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54 Cards in this Set
- Front
- Back
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MDD criteria |
5 of the following (but at least 1 of deoressed mood and anhedonia) for a 2 week period |
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Minic episode symptoms
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abnormally and persistently |
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Hypomanic criteria
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4 days
3 DIGFASTS no marked impairment |
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Depression or mania? which results from...
hyperthyroidism |
mania
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Depression or mania? which results from...
antihypertensives |
depression
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Depression or mania? which results from...
steroids |
both
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Depression or mania? which results from...
levodopa |
both
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Depression or mania? which results from...
HIV |
mania
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Depression or mania? which results from...
MS |
mania
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Depression or mania? which results from...
carcinoid |
depression
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Depression or mania? which results from...
lupus |
depression
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Depression or mania? which results from...
anticonvulsants |
depression
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Depression or mania? which results from...
diuretics |
depression
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Depression or mania? which results from...
sulfonamides |
depression
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Depression or mania? which results from...
stimulant withdrawal |
depression
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response to lithium in mixed episodes
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reduced
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MDD criteria
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at least one MDE with anhedonia
no history of manic or hypomanic |
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triad for seasonal affective disorder
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irritability
carb drawing hypersomnia |
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MDD concordance for 1st degree, twins
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1st degree - 2-3x more likely
dizygote - 10-25% monozygote - 50% |
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lifetime prevalence of MDD
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15%
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% of patients hospitalized for MDE that will eventually suicide
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15%
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autonomic instability
hyperthermia seizures (possible coma/death) |
serotonin syndrome
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TCA side effects
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sedation
weight gain orthostatic hypoTN anticholinergics prolonged QTc |
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ause of serotonin syndrome
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MAOIs used with SSRIs
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MAOI side efects
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- orthostatic hypotension
- hypertensive crisis - serotononin syndrome with SSRIs |
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adjuvants to make nonresponders respond to antidepressants
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T3, T4, lithium, L-tryptophan
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indications for ECT
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unresponsive to pharm
can't tolerate pharm rapid reduction needed (suicidality) |
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drugs in ECT
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atripine
anesthesia muscle relaxant |
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ECT side effect
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retrograde amnesia, better in 6 months
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drugs for atypical depression
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MAOIs
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types of MDD
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melancholic
atypical catatonic psychotic |
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atypical depression
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hypersomnia
hyperphagia reactive mood leaden paralysis hypersensitivity to rejection |
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rx for catatonic depression
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antidepressants and antiPSYCHOTICS
antipsycatatonics |
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manic episode without a depressive episode?
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still BP I
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1 manic episode
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BP 1
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lifetime prevalence of BPD
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1%
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concordance rates for BPD
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1st degree: 8-18x
dizygotes 5-25% monozygotes 75% |
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Prognosis for BPD
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worse than for depression.
50-60% on lithium get improvement |
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rx for rapid cyclers with BPD
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anticonvulsants
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rx for mixed episode BPD
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anticonvulsants
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antipsychotic used for BPD
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olanzapine
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ECT for mania?
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yes, but takes more than the 8 treatments usually needed for depression
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rapid cycling =
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four or more episodes in 1 year
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BPII criteria
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at least 1 MDE
at least one hypOmanic episode no hypERmanic episodes |
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tx for BPII
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same as for BPI
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Criteria for Dysthymia
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2Ds, 2years, 2 criteria, 2 months
depressed mood most of most days at least 1 years (1 year in kids) 2 of CHASES no relapses more than 2 mos no MDE |
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symptoms in dysthymia
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CHASES
Concentration/decision trouble Hopelessness Appetitie up or down Sleep up or down Energy low, fatigue Self esteem low |
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double depression
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MDD with dysthymia in between
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can dysthymia have psychotic features?
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no
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tx for dysthmia
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Cognitive therapy
insight-oriented psychotherapy concurrent SSRI, TCA, MAOI |
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Cyclothymia criteria
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numerous periods of hypomani and periods of depressive symptoms
2 years 2 months no MDE or manic episode |
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cyclothymia can coexist with
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Borderline Personality Disorder
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MF for cyclothymia
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M=F
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episodes of depressive symptoms not meeting criteria for MDE
euthymic periods also seen |
Minor Depressive disorder
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