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39 Cards in this Set
- Front
- Back
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What is an SSRI
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selective serotonin reuptake inhibitor, is a medication designed to help increase the amount of serotonin in the synapse by blocking its reabsorption.
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What is seratonin
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a neurotransmitter that helps regulate mood, emotions and other body functions.
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what is dysthymia
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pervasive depression lasting for two years or more
not disabling but can interfere with one's normal realm of functioning |
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what are manic symptoms in bipolar disorder
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*increased energy
*increased activity *restlessness *euphoric mood *extreme irritability *flight of ideas *distractible *unrealistic thoughts of ability *substance abuse *aggresive behavior *denial |
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What are some typical 1st choice medicaitons for depression
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SSRI — a selective serotonin reuptake inhibitor.
fluoxetine (Prozac, Sarafem), paroxetine (Paxil), sertraline (Zoloft), citalopram (Celexa) and escitalopram (Lexapro). serotonin and norepinephrine reuptake inhibitors (SNRIs), norepinephrine and dopamine reuptake inhibitors (NDRIs), combined reuptake inhibitors and receptor blockers, and tetracyclic antidepressants. |
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what are symptoms of depressive disorder
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*sad, anxious, empty mood
*hopelessness, pessimism *lack of interest *fatigue *restlessness, irritability *insomnia *chronic pain *suicidal thoughts |
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side effects of amytrityline
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sedation
weight gain confusion |
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How long does one have symptoms before given a diagnosis of depression
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about two weeks of exhibiting 5 or more symptoms
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side effects of trazedone
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sedation
liver dysfunction |
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What characterizes major depressive disorder
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major depression is disabling and interferes with the ability to function
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what are some side effects of mirtazepine (remeron)
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sedation
weight gain hypotension |
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what are some side effects of venlafaxine (effexor)
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elevate blood pressure
sexual dysfunction |
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what are some side effects of buproprion (wellbutrin)
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lowers seizure threshold
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what are some of the side effects of paroxetine (Paxil)
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short half life
sexual dysfunction |
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What are some side effects of fluvoxamine (Luvox)
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GI upset
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What are some side effects of sertraline (zoloft)
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diarrhea
sexual disrunction |
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On the Becks Mental Health assessment, what does a score of 0-8 indicate
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none or minimal risk
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On the Becks Mental Health assessment, what does a score of 9-15 indicate
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mild depression
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On the Becks Mental Health assessment, what does a score of 16-22 indicate
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moderate depression
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On the Becks Mental Health assessment, what does a score of 23 or greater indicate
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severe depression
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if a patient has passive suicidal ideation what intervention is necessary
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same day psychatric assessment by a mental health professional
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What are some symptoms of dysthymia
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poor appetite or overeating
insomnia or hypersomnia low energy/fatigue low self esteem poor conlcentration feelings of hopelessness |
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when would you begin giving medication for depression
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*moderate to severe depression for >1mo
*mild to moderate depression that interferes with functioning |
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dys-somnia
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disorders caused by pathology of sleep mechanism:
getting to sleep staying asleep daytime sleepiness |
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how long does it take before you notice a difference with taking medication for depression
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4 to 6 weeks
changes will be subtle |
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parasomnia
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disorders that intrude into sleep:
unusual awakening unusual motor movement |
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What is primary insomnia
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difficulty falling asleep
caused by situational circumstances usually self limiting |
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What is secondary or chronic insomnia
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related to mood or anxiety disorder
difficulty falling asleep short but intense REM sleep early awakening nightmares |
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What are some sleep management techniquies
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maintain regular sleep pattern
stop activities before you get ready to go to sleep don't use bedroom for unrelated activity |
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what is insufficient sleep syndrome
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most common sleep disturbance
less sleep than what body requires |
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what is narcolepsy
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sleep paralysis
chronic sleep disorder sudden attacks of sleep |
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cataplexy
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sudden loss of muscle control often triggered by intense emotion
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obstructive sleep apnea
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associated with weight gain
small airways noses or throats enlarged tonsilar tissue chronic disorder with one or more pauses for 10 to 30 seconds during sleep |
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periodic limb movement and restless leg disorder
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CNS disorder with muscle spasms that cause arousal from sleep
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What are the 5 major types of anxiety disorders
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generalized anxiety disorder
obsessive compulsive disorder panic disorder post traumatic stress disorder social phobia |
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what is the treatment for GAD
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behavioral therapy
relaxation techniques medication |
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symptoms of panic attack
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intense fear or somatic discomfort
abrupt onset and rapid peak feeling of dread or impending doom |
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Panic disorder
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recurrent panic attacks
co-morbidity common |
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what is the treatment for panic attacks
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SSRIs
tricyclic antidepressants Wellbutrin DOES NOT work |
