Psyc

Front 1

Brain structures involved with depression symptoms

Back 1

hypothalamus- sleep cycle, libido, appetite, arousal (energy)

frontal cortex- guilt, worthlessness, cognitive triad (worthless self, world, future)

limbic system- anhedonia ("without pleasure"), flattened mood

basal ganglia- psychomotor retardation

Front 2

melancholic (MDD subtype)

Back 2

anhedonia
late insomnia
profound psycomotor disturbance
worse AM depression

Front 3

seasonal (SAD MDD subtype)

Back 3

light exposure

Front 4

postpardum (MDD subtype)

Back 4

begins within 4 weeks of birth
preexisting psyc diagnosis is a predisposition.

Front 5

atypical (MDD subtype)

Back 5

hyperphagia (increased appetite)
hypersomnia
female disposition

Front 6

psychotic (MDD subtype)

Back 6

hallucinations and delusions.
add an antipsychotic

Front 7

catatonic (MDD subtype)

Back 7

hallmark is lack of, or bizzare movement.
cataleptic (rigid posture over long time)
responds well to ECT.
cataplexy- sudden loss of muscle tone

Front 8

Psychodynamic Therapy

Back 8

Human behavior is determined by one's past experience. Freudian.

Front 9

Interpersonal Therapy

Back 9

Disturbed personal and social relationships can cause or precipitate depression.

Front 10

Behavior Therapy

Back 10

Activity scheduling, self-control therapy, social skills training, and problem solving.

Front 11

Cognitive Behavior Therapy (CBT)

Back 11

Irrational beliefs and distorted attitudes toward the self, the environment and the future, perpetuate depressive effects. What you think affects how you behave.

Front 12

Dysthymia Diagnostic Criteria

Back 12

Depressed mood for at least 2 years (chronic, long lasting low grade depression).
Following the first 2 years, there may be episodes of MDD, in which case diagnoses may be given for both Dysthmia and MDD.

Front 13

Adjustment Disorder diagnostic criteria

Back 13

the development of emotional or behavioral symptoms in response to an identifiable stressor.
- marked distress that is in excess of what would be expected.
- significant imparment
- the symptoms do not represent bereavement.
-following the stressor, the symptoms do not persist for more than 6 montshs.

Front 14

5HT1

Back 14

Dopamine receptors responsible for Anti depressant

Front 15

5HT2

Back 15

Dopamine receptor responsible for sex dysfunction

Front 16

5HT3

Back 16

Dopamine receptor responsible for GI upset.

Front 17

Dr. Kubler's 5 stages of greif:

Back 17

Denial
Anger
Bargaining
Depression
Acceptance

May and usually don't go in order.

Front 18

5 axis of DSM 4 manual

Back 18

1) major psyc. disorder (autism, ADHD, etc)
2) personality disorders (mental retardation, IQ etc.)
3) General Medical Condition (GMC)
4) stressor type (finances, relationships etc.)
5) Global assesment of functioning (GAF) 1-100

-under 40, you are hospitalized for psychiatric care.
-60 you are barely hanging on in all areas of your life.
- 80 where most people are normal

Front 19

MDD

Back 19

1 of the following 3
-depressed mood for 2 weeks
- loss of all interest and pleasure for 2 weeks
- if under 18, abnormal irritable mood for 2 weeks.

5 of the 9:
2 above plus
3) appetite or weight disturbance
4) sleep disturbance
5) activity disturbance
6) abnormal fatigue or loss of energy
7) abnormal guilt or self reproach
8) abnormal poor concentration or memory
9) abnormal morbid thoughts of death or suicide
Rule out includes: not due to physical illness.

Always inquire about mania! "What's the longest you've ever gone without sleep?"