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OLOL ~Mood Disorders
N140 OLOL Psych ~ Mood Disorders
Disorder | Symptom |
---|---|
Bipolar I | Person has experienced the full range of manic of mixed symptoms |
Bipolar I | Manic episodes, often involving shopping sprees, acting provocatively, and lapses in judgment |
Bipolar II | Episodic occurrences of hypomania |
Bipolar II | Has not experienced an episode that meets criteria for mania or mixed symptomology |
Major Depressive Disorder | Depressed mood, loss of interest or pleasure in usual activities |
Major Depressive Disorder | Social and occupational functioning impaired for at least 2 weeks |
Major Depressive Disorder | No history of manic behavior |
Major Depressive Disorder | Cannot be attributed to the use of substances or a general medical condition |
Dysthymic Disorder | Sad or "down in the dumps" |
Dysthymic Disorder | No evidence of psychotic symptoms |
Dysthymic Disorder | Depressed mood for most of the day, more days than not, and for the last 2 years (1 year for adolescents) |
Dysthymic Disorder | Not as severe as depression |
Premenstrual Dysmorphic Disorder | Depressed mood, anxiety, mood swings |
Premenstrual Dysmorphic Disorder | Symptoms occur the week before menses starts |
Bipolar II | "Hulk" syndrome- episodes of violent outbursts |
Dysthymic disorder | A mood disorder similar to major depression, but remaining mild to moderate in severity; less severe than in major depression. |
Bipolar 1 disorder | characterized by a single manic episode with no past major depressive episodes. |
Bipolar 2 disorder | characterized by at least one major depressive episode and past hypomanic episodes but not a full manic episode. |
Major Depressive disorder | (unipolar disorder) A loss of interest in life & a depressed mood which moves from mild to severe & lasts at least 2 weeks. |
Cyclothymic disorder | A mood disorder characterized by a mood range from moderate depression to hypomania, but with briefer mood swings & less severe symptoms than Bipolar Disorder.It may or may not include periods of normal mood. This disorder lasts for at least 2 years. |
Schizoaffective disorder | A combination of the signs and symptoms of schizophrenia and those with mood disorders;symptoms include:delusions,hallucinations,disorganized speech&behavior,neg symptoms,communication diffuculties,& also major depressive symptoms,manic episodes, or mixed |
Psychotherapy | ___ & medication is considered the most effective treatment for depressive disorders. |
The goals of psychotherapy are: | symptom remission; psychosocial restoration; prevention of relapse; reduced secondary consequences such as marital discord or occupational difficulties; increasing treatment compliance. |
Interpersonal Therapy | Focuses on difficulty in relationships such as grief reactions, role disputes, & role transitions. (ex. Person who, as a child, never learned how to make & trust a friend outside of their family.) |
Behavior Therapy | Seeks to increase the frequency of the patient's positively reinforcing interactions with the environment & to decrease negative interactions.Also may focus on improving social skills. |
Cognitive Therapy | Focuses on how the person thinks about themselves, others and the future and interprets his/her experiences.This model focuses on the patient's distorted thinking that in turn influences feelings,behavior,&functional abilities. |
Benzodiazepines | used to treat anxiety, insomnia, seizures, panic disorders, & alcohol withdrawal. |
Antidepressants | 4 groups: Tricyclic agents; SSRI's; SNRI's; MAOI's. |
Hypomania | Elevated or exaggerated mood resembling mania but less intense and lacks psychotic symptoms. (i.e. Mild mania w/out much change in behavior, but accompanied by sound associations & distractibility. |
Endogenous Depression | Depression occurs without any relationship to external events. (related to the person's internal conflicts or events in their personal life). |
Exogenous Depression | Depression occurring from a major life event. (Hurricane, loss of job, miscarriage, etc.) |
Seasonal Affective Disorder (SAD) | Depression that occurs in the fall and winter months, while during the spring and summer the client experiences normal mood or hypomania. There is a direct correlation with light and the production of melatonin in these clients. |
Explain why persons with Major Depressive Disorders have impaired judgments. | Individual does not use cognitive abilities to solve problems. This may be related to their extreme apathy or belief that it "doesn't matter anyway". |
Lack of judgment & insight. | _____________ often leads to substance abuse in Major Depressive patients. |
List symptoms of Mood Disorders (Major Depressive Disorder | 1)Over 2 weeks,client has experienced a change from previous functioning w/depressed mood or decreased interest or pleasure;2)Symptoms cause significant distress or impair functioning;3)Symptoms are not caused by a substance or medical condition. |
When assessing the patient's perception that has a Mood Disorder, what should be asked? | Ask patient when the symptoms started, What was happening when the symptoms began, symptom duration, & what the patient has tried to do about his or her symptoms. *Also it is important to determine any hx of depression, tx, & response to previous tx. |
Depression in Children | Symptoms include difficulties with schoolwork, lack of enthusiasm and energy, social withdrawal, impulsive, angry outburst. Other signs of anxiety and hyperactivity. |
Depression in the Elderly | Symptoms include confusion, memory loss, & agitation. It is often mistaken for Dementia (Pseudodementia). |
Verbalizing emotions. | Manifestations of depression vary among cultures & are more apparent in cultures that avoid ____ ____. |
Asians. | ____ who are depressed are more likely to have somatic complaints of headache or backache. |
Latin. | ____ cultures complain of "nerves" or headache. |
Middle-Eastern | ________ cultures complain of heart problems. |
The goal of pharmacologic tx for Mood Disorders (Major Depressive Disorders, etc.) is ... | to increase the efficiency of available neurotransmitters & the absorption by postsynaptic receptors. |
Antidepressants | ___ establish a blockage for the reuptake of norepinephrine & serotonin into their specific nerve terminals. This permits them to linger longer in synapses & to be more available to postsynaptic receptors. |
Antidepressants | They also increase the sensitivity of the postsynaptic receptors. |
ECT - Electroconvulsive Therapy | Used to tx depression in pts who donot respond to antidepressants or those who experience intolerable SE's to drug therapy. ***It is occasionally used for pts who are actively suicidal&waiting for medication to become effective. |