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26 Cards in this Set
- Front
- Back
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most mental disorders are diagnosed by their manifestations. What are the three areas |
signs |
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What are some mood disorder questionnaires
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Childrens depression inventory |
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what is the first line treatment for depression
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psychotherapy
supportive, psychodynamic, cognitive-behavioral, interpersonal, family systemic |
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what are the three most common mood disorders in children
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major depression disorder
dysthymic bipolar |
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when does suicide reach its peak, and when does mortality from suicide increase
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mid-adolescent
steady increase |
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what is different in children with depression compared to adults
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auditory hallucinations are more common than delusions
increased anxiety and somatic symptoms - ache, HA, sick, tired - compared to adults |
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what is the criteria for depression
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2 weeks - depressed or loss of interest/pleasure
4 symptoms: change in weight/appetite insomnia, excessive sleep agitation/retardation fatigue/decreased energy decrease concentration SI *without mania |
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what are some major depressive disorder symptoms in children
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sadness |
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how is dysthymic disorder different then depression
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fewer symptoms and is more chronic
interfere with normal judgement depressed most days of the week, for several years, average 4 years do not see it as out of the ordinary because its subtle |
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when does dysthymic disorder occur
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child or adolescents
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what percentage of children with dysthymic disorder develop major depression
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70%
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what is reactive depression
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adjustment disorder with depression
most common form feel sad or lethargic and preoccupied for periods of hours to 2 weeks, not a mental disorder, will improve mood with change in activity or pleasant event. transient mood swings |
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what disorders are commonly with depression
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dysthmia
anxiety disruptive or antisocial disorder substance abuse |
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what is the percentage of major depression
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5%
10-15% with symptoms of depression |
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what is the prevelence of dysthymic disorder
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3%
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which sex attempts suicide more and which is more successful?
Which race has the highest prevalence of suicide |
girls Asian females highest among minorities |
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what percentage of major depression patients develop bipolar
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20-40% |
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what are risk factors for depression
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family and genetic factors |
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what is the most common disorders that predispose teens to suicide
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mood disorders with or without substance abuse, or anxiety disorder |
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what are psychological interventions for major depression
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interpersonal therapy - connect with others, family |
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what are pharmacological treatment for depression
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SSRIs- class of choice SNRIs |
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what percentage in children ages 9-17 have anxiety
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13% - highest then all other mental disorders |
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this anxiety is normal among infants and toddlers, not in children and adolescents, it effects social or job functioning for >1 month
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separation anxiety - 4% of population suffer
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what are some somatic symptoms of separation anxiety
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dizziness, nausea, or palpitations
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what is separation anxiety a precursor for
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agoraphobia and panic disorder |
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what are some screening measures with mental disorders
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vision, hearing, dental, BP - esp on meds, hct, ua
Cardiac function - TCA, Tegretol, Thorazine Tox Screen: lithium, tegretal to check therapeutic levels LFT and CBC - depakote, tegretol, thorazine HCO3 - topamax check STDs Check for substance abuse Monitor appetite changes HR - anorexia |
