Term
| What is the difference between mood and affect |
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Definition
| mood is like the climate where affect is the weather? |
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Term
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Definition
| history of one manic episode lasting at least one week; likely history of depressive episodes |
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Term
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Definition
| 4 or more episodes of depression and mania/ 12 months |
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Term
| what is the kindling theory of bipolar disorder? |
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Definition
| the brain is sensitized by psychosocial stress and/or genetics so later the episodes need no stimulus |
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Term
| you see a patient with grandiosity and pressured speech, flighty ideas, easily distracted, needs little sleep, feels little need for responsibility. What do you think this is? |
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Definition
| Manic episode of bipolar disorder |
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Term
| what is defensive coping and what are some examples? |
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Definition
| projection of falsely positive self-eval used to increase self esteem - could be personalizing, "all or nothing", "mind reading", or discounting negatives |
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Term
| Anti-manic lithium (eskalith and lithobid) is exreted by the __________ and has a ______ therapeutic range. |
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Definition
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Term
| the side effects dry mouth, metallic taste, thyroid changes, polyuria, hyperglycemia, hand tremors, weight gain, nausea, decreased libido are common side effects of |
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Definition
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Term
| N&V, diarrhea, coarse hand tremors, blurred vision, slurred speech, ataxia and weakness are TOXIC effects of |
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Definition
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Term
| impaired consiousness, low BP, low urine output, irregular pulse and seizures indicate a lithium level of |
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Definition
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Term
| Depakote, Lamictal, Tegretol, Neurontin and Topamax are all which type of drug? |
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Definition
| mood stabilizers (anticonvulsants) |
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Term
| for anticonvulsants, monitor ______ and ______ function, and CBC for risk of ___________. |
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Definition
| liver; renal; agranulocytosis |
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Term
| __________________ are for sleep SHORT TERM, and cause cognitive changes in the elderly |
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Definition
| benzos (klonopin, ativan) |
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Term
| __________ are used SHORT TERM for psychomotor agitation, psychosis. Side effects are weight gain and mem/concentration impairment |
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Definition
| antipsychotics (Abilify, seroquel, Haldol) |
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Term
| ___________ are prescribed with mood stabilizers and may cause manic episodes if given alone |
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Definition
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Term
| What are the focuses of family focused therapy? |
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Definition
| "relapse planning" -- communication skills and a "no blame" attitude |
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Term
| Name some risk factors for major depression |
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Definition
| intoverted, stress sensitive, obsessive, recent negative traumas, childhood trauma, lack of relationships |
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Term
| a patient has abnormal serotonin levels, LOTS of cortisol, problems with appetite and sleep. Whats going on? |
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Definition
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Term
| Major depression age differences in male vs female? |
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Definition
| females have lifetime risk with peak in early adulthood. Males peak in adolescence with a suicide risk in men over 80 |
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Term
| postpartum depression occurs when? |
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Definition
| 2 weeks to 12 mo. after delivery but usually with in 6 mo. |
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Term
| what are the symptoms of seasonal affective disorder? |
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Definition
| hypersonmia, lethargy, anxiety, irritability, weight gain. |
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Term
| What do people use light therapy for? (think melatonin) |
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Definition
| seasonal affective disorder to increase melatonin production and mimck the sun |
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Term
| what are the somatic signs of Major depression? |
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Definition
| GI symptoms, pain, palpitations, dizziness, change in sex drive, appetite and sleep, decreased concentration |
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Term
| What does SOAPE stand for (in suicide risk assessment) |
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Definition
| Subjective data, Objective data, Assessment, Plan, Eval and Education |
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Term
| long term ___________ use exacerbate depression in older adults |
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Definition
|
|
Term
| how long does it take for antidepressants to take therapeutic effect? |
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Definition
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Term
| What are the adverse effects of tricyclic antidepressants? |
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Definition
| antiCH, orthostatic hypoTN, wieght gain, problems after MI |
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Term
| what are the adverse effects of SSRIs? |
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Definition
| restlessness, agitation, anxiety, GI complaints, apathy |
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Term
| why are SSRI's safer than TCAs? |
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Definition
| the overdoses are rarely fatal |
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|
Term
| what is serotonin syndome? |
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Definition
| an emergency situation where srotnin levels are really high. The person may have ataxia, super restlessness and disorientation |
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Term
| what is SSRI discontinuation syndrome? |
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Definition
| when the meds are stopped without tapering them. If its really bad you may have to restart SSRIs at a low dose |
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Term
| some drugs work in combination to inhibit reuptake of neurotransmitters. What NT's do they work on? |
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Definition
| serotonin, dopamine and norepinephrine |
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Term
| with which drugs should you avoid tyramine foods like aged wine cheese beer and vinegar, and other antidepressants |
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Definition
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Term
| with which drugs in hypertensive crisis a risk? |
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Definition
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