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11 Cards in this Set

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major depressive eipsodes can be present in either ______ or ______
MDD
bipolar I/II d/o
Define Major depressive episode
for 2 weeks, pt is depressed or anhedonic. must have at least 5 of the following:

Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor agitation/retardation
Suicidality
risk of suicide if pt hospitalized previously for MD episode?
15%
Is a manic episode a psychiatric emergency?

sx?
yes

1 week of irritability, elevated/expansive mood + at least 3 of the following: (4 if irritable mood)

Distractability
Impulsivity
Grandiosity
Flight of ideas
Activity increase
Sleep decr
Talk (hypertalkative, pressured)
% of manic pts with psychotic sx?
75%
what is a mixed mood episode?

is this a psychiatric emergency?

these pts are typically not repsonsive to what drug?
criteria for both Major depressive episode and manic episode are met and present nearly every day for at least one week

yes!

lthium
difference b/w manic and hypomanic episode
Manic (7d, impaired function, need hospitalization, may have psychotic featuers)

Hypomanic (at least 4 d, no impaired function, doesn't require hospitalization, no psychotic featuers)

hypomania does need to meet the sx for manic episodes though.
irritability
carb drawing
hypersomnia

average age of onset?
more common in ______
think seasonal affective d/o

40yo
women
___% of MDD pts attempt suicide and ____ % are successful
67%
10-15%
increased risk of having MDD w/a first degree relative with it?
+monozygotic twin?
+dizygotic twin?
2-3x more likely

50%
10-25%
indications for hospitalizations with MDD
HI
SI
unable to care for self