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21 Cards in this Set
- Front
- Back
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Difference between unipolar & Bipolar? |
Unipolar represents depressive disorders ranging from euthymia - depression Bipolar represents mood flux of entire mood range mania - depression |
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What is the definition of clinical depression? |
Intense & pervasive of all aspects of person Impairs social/occupational function Absence of precipitants - (preceding events) |
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Who does disruptive mood dysregulation disorder (DMDD) predominantly effect? |
Children prior to 10 Defined as severe recurrent temper outbursts 3 time pw |
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What are the criteria to diagnose MDD? |
Must have major depressive episode - MDE 5/9 symptoms over 2 weeks Depressed mood Diminished interest in pleasure Fatigue Insomnia Weight change Must have 1 of first 2^ |
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What is the lifetime and 12 month prevalence of MDD? |
12 month 6% Lifetime 20.6% |
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What is the leading cause of years living with disability globally? |
MDD |
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What are the three main neurotransmitters targeted with pharmacology treatment for MDD? |
Serotonin Noradrenaline Dopamine |
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Main treatments for MDD? |
CBT behavioural activation therapy Problem solving therapy Pharmacology - targets neurotransmitters |
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What are the main risk factors for suicide and what is the percentage of combordity with MDD? |
Family history Early life adversity/trauma Psychiatric illness esp. anxiety/depression Impulsivity 60% comorbid with MDD |
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Define PDD |
Persistent depressive disorder Depressed more for more days than not over 2 years Presence of at least Change in appetite/weight Fatigue Low self esteem |
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Define premenstrual dysphoric disorder |
At least 5 symptoms one week before menses - Marked irritability/anger, depressed mood, anxiety Decreased interest in usually activities, lack concentration, lethargy |
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Treatment of PMDD? |
SSRI’s and hormones CBT |
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Name 4 causes of depressive disorders |
Genetics Neurobiology Cognition Personality |
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What are the personality features that may cause depression ? |
Neuroticism linked time depression/anxiety Introversion Negative self esteem Interpersonal sensitivity |
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Name four depressogenic schemas of cognitionV |
Fear of losing control Fear of abandonment Incompetence Deserve to be punished |
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Define mania |
Abnormally president elevated/expansive/irritable mood May include inflated self esteem Decrease need for sleep Racing thoughts |
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What is the diagnosis of a manic episode? |
3 features: Distinct period of abnormal/elevated expansive or irritable mood - lasts 1 week During that period - 3 of these Impaired regard for consequences excessively goal oriented Flight of ideas ABOVE disturbance causes marked impairment in social/occupational functioning |
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Difference between manic and hypomanic episode? |
Hypomanic has same features of manic episode but lasts 4 days only |
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What are the diagnoses for BP1 and BP2? |
BP1 - manic episode - MDE NOT necessary BP2 - hypomanic episode and MDE |
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What is cyclothymic disorder? |
2 years numerous periods hypomanic/depressive symptoms that do NOT meet threshold for manic/depressive epsiode |
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Treatment for bipolar? |
Mood stabilisers / antipsychotics Antidepressant/anti manic medication CBT |
