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11 Cards in this Set
- Front
- Back
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types of mood disorders include
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• depressive (major depressive disorder, dysthymia)
• bipolar (bipolar 1/11 disorder, cyclothymia) • secondary to GMC, substances, medications |
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Criteria for Depression (major depressive episonde) (>/=5)
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MSIGECAPS
Mood -depressed Sleep - increased/decreased Interest- decreased (anhedonia) Guilt Energy- decreased Concentration - decreased Appetite - increased/ decreased Psychomotor - agitation/ retardation Suicidal ideation Must be persistent for at least 2 weeks |
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Criteria for Mania (manic episode) (>/=3)
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GST PAID
Grandiosity Sleep (decreased need) Talkative Pleasurable activities, Painful consequences Activity Ideas (flight of) Distractible Must be persistent for at least 1 week |
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Major depressive disorder - features/specifiers
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• psychotic - with hallucinations or delusions
• chronic - lasting 2 yrs or more • catatonic - at least two of: motor immobility; excessive motor activity; extreme negativism or mutism; peculiarities of voluntary movement; echolalia or echopraxia • melancholic - quality of mood is distinctly depressed, mood is worse in the morning, early morning awakening, marked weight loss, excessive guilt, psychomotor retardation • atypical- increased sleep, weight gain, leaden paralysis, rejection hypersensitivity • postpartum • seasonal- pattern of onset at the same time each year (most often in the fall or winter) |
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Major depressive disorder - neurotransmitter etiology
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neurotransmitter dysfunction at level of synapse (decreased activity of serotonin,
norepinephrine, dopamine) |
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Dysthymia
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depressed mood for most of the day, for more days than not, as indicated either by subjective
account or observation by others, for at least 2 years |
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Classification of bipolar disorder
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- Bipolar I: mania more prominent
- Bipolar II: recurrent depressive episodes + hypomanic episodes |
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Bipolar disorder - epidemiology
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• prevalence: 0.6-0.9%; M:F = 1:1
• age of onset: teens to 20's |
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Dysthymia - epidemiology
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• point prevalence: 3%; life prevalence: 6%; M:F = 1:2-3
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Major depressive disorder - epidemiology
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• prevalence: male 5-12%, female 10-25% (M:F = 1:2)
• mean age of onset: -30 yrs |
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Cyclothymia
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presence of numerous periods of hypomanic and depressive symptoms (not meeting
criteria for MDE) for at least 2 yrs; never without symptoms for >2 months |
