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17 Cards in this Set

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Drugs that can induce depression
antihypertensives, sedatives, anti-inflammatories, analgesics, steroids, neuroleptics, antineoplastics
Diseases that can induce depression
endocrine, CNS, CV, arthritis, infection, SLE
Indications for antidepressants (8)
depression
eating disorders
OCD
panic
social phobia
post-traumatic stress
substance abuse
dementia with depression
Criteria for major depression
Five or more Sx for 2 weeks, must include #1 or #2:
1) depressed mood everyday
2) anhendonia
3) change in appetite or weight
4) insomnia or hypersomnia
5) agitation or retardation
6) fatigue
7) feeling worthless or guilty
8) difficulty concentrating
9) suicidal thoughts
Define dysthymia
chronic, low level depression
Criteria for dysthymia?
2 or more of the following most days for at least two years:
poor appetite or overeating, insomnia or hypersomnia, low energy, low self esteem, difficulty making decisions, poor concentration, hopelessness
SIG E CAPS diagnosis tool for depression?
Sleep
Interest
Guilt
Energy
Concentration
Appetite
Pscyhomotor
Suicide
Treatment strategies for resistant pts
Change antidepressant
Add second antidepressant, lithium, cytomel, or anticonvulsant
Critical risk factors for suicide (8)
1) prior attempts
2) acute suicidal ideation
3) severe hopelessness
4) attraction to death
5) famiy hx
6) acute overuse of alcohol
7) loss or separation
8) age (teens, 80-84)
Best tx for bipolar depression?
mood stabilizer +/- antidepressant
Tx consideration for high suicide risk?
not TCAs, MAOIs, or sedatives
Best tx for severe refractory pts?
ECT
Best tx for OCD?
SSRIs
Best tx for panic disorders?
SSRIs +/- BZD
Best tx for atypical depression?
MAOIs or SSRIs
Best tx for pregnancy?
none, Prozac or Zoloft
When should long-term maintenance tx be considered?
if three or more episodes