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16 Cards in this Set
- Front
- Back
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Minor (subsyndromal) depression is characterized by the
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presence in the preceding 2 weeks of two to four depressive symptoms associated with impaired social functioning, mental health, and health perceptions
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Dysthymia has a similar level of symptoms as minor depression but
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symptoms must be present most of the time for a duration of 2 years or more
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Depressive symptoms are common after the loss of a loved one; treatment should be considered if
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the bereaved person meets the criteria for major depression 2 months after the loss
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a cyclical depression usually occurring in the fall and winter months with improvement in spring and summer
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Seasonal affective disorder
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recommended treatment for a first episode of depression (American College of Physicians)
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continue for 4 to 9 months after full remission of symptoms, and that patients with recurrent depression consider lifelong therapy.
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SSRIs have an excellent safety profile compared with tricyclic antidepressants, but
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sexual side effects are common
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Serotonin-norepinephrine reuptake inhibitors (SNRIs) may be especially helpful in patients with
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concomitant pain syndromes
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Bupropion may be a good alternative for those with sexual side effects on SSRI or SNRI therapy but
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may lower seizure threshold in higher doses and thus is contraindicated in patients with seizure disorders
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the only nonoral antidepressant available
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transdermal preparation of selegiline
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treatment of seasonal affective disorder
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full-spectrum light therapy in addition to antidepressants and CBT
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Treatment of premenstrual and postpartum depression
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similar to that of other forms of depression
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GAD
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characterized by excessive anxiety and worry about various events or activities on most days for at least 6 months, with difficulty controlling worrying
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The diagnosis of panic disorder requires
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that an attack be followed by at least 1 month of worry about a recurrence of an attack
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shown to be the most effective psychotherapeutic intervention in controlled trials, appears to be equal in efficacy to pharmacologic interventions, and has a lower relapse rate.
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CBT
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PTSD is characterized by
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at least 1 month of symptoms that include intrusive thoughts about the trauma, nightmares or flashbacks, avoidance of reminders of the event, and hypervigilance with sleep disturbance
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The most effective medications for PTSD
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SSRIs, with positive symptoms (hyperarousal, flashbacks) responding best
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