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22 Cards in this Set
- Front
- Back
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How many criteria need to be satisfied and for how long for major depressive episode?
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five criteria for at least a two week period
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How many criteria need to be satisfied and for how long for a manic episode?
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three criteria for at least a one week peroid
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How long must critera for a major depressive episode and a manic episode be satisfied for mixed episode?
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1 week
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How many of the manic episode criteria need to be fullfilled and for how long in a hypomanic episode?
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three criteria for at least four days
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What sort of affective change does carcinoid syndrome cause? Multiple sclerosis? Lymphoma? Temporal lobe seizure? HIV infection? Autoimmune illness (SLE)?
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Depressive episode - lymphoma, carcnoid syndrome, pancreatic carcinoma, SLE
Manic episode - temporal lobe seizure, multiple sclerosis, HIV infection |
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Medications that may induce depressive episode?
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Antihypertensives, corticosteroids, levodopa, diuretics, sulfonamides
EtOH, barbiturates, sedative hypnotics, anticonvulsants, antipsychotics, withdrawal of psychostimulants |
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Which medications may induce manic episodes?
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Dopamine agonists
Antidepressants Bronchodilators Levodopa Corticosteroids |
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Average age of onset for major depressive disorder?
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40
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Sleep phase changes in major depressive disorder?
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REM sleep shifted to earlier in night and stages 3 and 4 decreased.
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CSF changes in depression?
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decreased serotonin and 5-HIAA levels
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Medication needed for ECT?
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atropine, general anesthesia, muslce relaxant
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Major complication of ECT?
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Retrograde anesthesia - dissappears in 6 months
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What are the unique types and features of depressive disorders?
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Melancholic - anehdonia, early monring awakenings, psychomotor dissturbance, excessive guilt, anorexia
Atypical - hypersomnia, hyperphagia, reactive mood, leaden paralysis, hypersensitivity to interpersonal rejection Catatonic - catalepsy, purposeless motor activity, extreme negativism or mutism, bizarre posutres, echolalia Psychotic - delusions or hallucinations |
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Diagnostic criteria for Biplar I?
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One manic episode
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How long to untreatd manic episodes typically last?
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3 months
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Diagnostic criteria for Bipolar II disorder?
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One or moer major depressive episodes and at least one hypomanic episode
No manic episodes |
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What are criteria for rapid cycling?
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four or more mood disorders in 1 year
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How is bipolar II treated?
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The same as bipolar I
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Diagnostic criteria for dysthymic disorder?
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Depressed mood for majority of the time for most days for at least 2 years
Two of Poor concentration or difficulty making decisions Fellings of hopelessness Poor appetite or overeating Insomnia or hypesomnia Low energy or gatigue Low self-esteem Durign the 2-year period the person should not have been without symptoms for over 2 months and should not have experienced a major depressive episode |
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What is double depression?
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Patients with major depressive disorder with dysthymic disorder during reisudiual periods
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Treatment for dysthymic disorder?
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cognitive therapy and insight oriented psychotherapy are most effective although antidepressant medications are good when used at the same time.
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Diagnostic criteria for cyclothymic disorder?
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Numerous peorids with hypomanic sympotoms and peroids with depressive symptoms for at least 2 years
The person must never have been symptom free for >2 month period for those 2 years No history of major depressive episode or manic episode |
