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10 Cards in this Set

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What are the categories of primary mood disorders?
MDD, bipolar I and II, dysthymic disorder, and cyclothymic disorder.
What characterizes MDD?
recurrent episodes of depression, each continuing for at least 2 weeks.

'depression' = 5 of the following sx present, w/ #1 or #2 required:
1) depressed mood
2) anhedonia - loss of interest or pleasure
3) change in appetite
4) sleep disturbance
5) psychomotor retardation or agitation
6) decreased energy
7) feelings of worthlessness or inappropiate guilt
8) diminished ability to think or concentrate
9) recurrent thoughts of death or suicide

Sx must also caused marked distress; there must be no evidence of medical or substance induced etiology; sx also cannot be due to a normal reaction to the death of a loved one.
Differentiate b/t Bipolar I and II.

Is there such a thing as a dz that is only manic?

What is hypomania? Dysthymia?
I is mania and depression, and II is hypomania and depression.

no. Thus, one episode of mania alone or hypomania plus one episode of Major depression defines bipolar disorder.

felling somewhat better than would be expected (more mild mania); dysthymia is ditto for depression.
What is Dysthymic disorder?

Cyclothymic dz?

What helps differentiate these disorders from MDD and bipolar dz?
dysthymia continuing over a 2-year period with no discrete episodes of illness. MUST NOT be w/o sx for >2m.

periods of hypomania and dysthymia occuring over a 2 year period w/ no discrete episodes of illness.

sx are less severe, not episodic, chronic, and NEVER associated with psychosis.
In schizophrenia, in between psychotic episodes the pt will still have impairment. Is this true of the mood disorders?
no, the pt will typically function normally.
Define mood and affect?
mood: person's sustained emotional state
affect: the outward manifestation of a person's feelings, tone, or mood.
What are some categories of 2ndary causes of depression?
TEV NNN TIA

Toxic, endocrine, vascular, neuro, nutrition, neoplastic, trauma, infect, autoimmune
When should you refer pts with depression?
questions regarding suicide risk
presence of psychotic sx
past hx of mania
lack of response to meds
To dx a manic episode, how many of the sx list do you need?
at least three of the following symptoms have persisted (four if the mood is only irritable) and have been persistent to a significant degree
- ^esteem, decreased sleep, more talkative than usual, flight of ideas, increased pleasure engagement, etc.
What do you need to dx type I bipolar? II?
I: manic/mixed episode +/- major depressive episode

II: hypomanic episode + major depressive episode.