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Mental Health Test 2
Depression and bipolar
Question | Answer |
---|---|
Situational Depression | occasional feelings of sadness which everyone experiences and is a normal response to nonfulfillment of everyday life |
Pathological depression | adaptation is ineffective and there is significant impairment in social relationships and work performance |
Seasonal Affective depression | seasonal pattern depression that usually occurs in fall and winter due to lack of sun and overproduction of melatonin |
Depression | alteration in mood that is expressed by feelings of sadness, despair, and pessimism with lost of interest, somatic symptoms, changes in appetite, and sleep patterns. |
Mood | pervasive and sustained emotion, so how the patient feels |
Anhedonia | inability to find pleasure in positive events |
Psychomotor retardation | slowing of thoughts and physical movements |
Affect | physical expression of mood so how the patient looks |
Flat | severe reduction in emotional expressiveness |
Depression in biochemical influences | deficiency of norepinephrine, serotonin, and dopamine with impairments of hippocampus, amygdala, and frontal cortex |
HPA axis with depression | prolonged darkness intensifies melatonin production which is linked to seasonal depression |
HPT axis with depression | hypothyroidism or elevated TSH is associated with depression symptoms |
Major Depressive Disorder (MDD) | Everday depression for at least two weeks with no history of manic behavior and affects is functioning especially social and occupational |
Persistent Depressive Disorder | milder form of MDD with chronically depressed mood for at least 2 years and they are sad or "down in the dumps" |
Premenstrual dysphoric disorder (PMDD) | mood swings that have 1 to 2 weeks before period or menses |
Childhood Depression | A child experiences anxiety, irritability, psychosomatic complaints, social isolation, and emotional explosions |
Adolescent Depression | hard to recognize because the symptoms are consistent with normal emotional stresses of growing up but key signs and symptoms are visual manifestations of behavior changes that last for several weeks |
Bereavement overload | inability to complete grief resolution of one loss before the next one occurs |
Senescence | elderly depression |
Postpartum depression | associated with hormonal changes after giving birth with the main concern of the inability to care for the infant |
Moderate depression | associated with persistent depressive disorder with helpless, anhedonia, difficulty with concentration, sleep disturbance, and impact on normal functioning |
Severe depression | symptoms of major depressive disorder and bipolar depression |
Cognitive therapy | focuses on the changes of automatic thoughts to positives |
Light Therapy | an effective treatment for seasonal depression |
Electroconvulsive therapy | only used if antidepressant therapy was ineffective but the patient will not experience pain |
Hypertensive crisis with MAOIs | if the patient eats foods with tyramine, they will experience a blood pressure of 180/120 or higher, chest pain, headache, confusion, blurred vision, N/V, anxiety, shortness of breath, seizures, death |
serotonin syndrome with SSRIs | taken with other medications that increases serotonins, they will experience agitation, restlessness, confusion, tachycardia, impaired muscle coordination, diaphoresis, fever, sweating |
Bipolar | mood swings from profound depression to extreme mania with intervening periods of normalcy |
Mania | alteration in mood that the person has a lot of energy, trouble sleeping, exhibit manipulative behaviors, talks fast, agitated, irritable, trouble concentrating, and doing risky things |
Depression | alteration in mood that the person has very little energy, trouble sleeping with too little or too much, trouble concentrating, feeling tired or slowed down |
Stages of bipolar with mania | hypomania to acute mania, and delirious mania |
Bipolar 1 | more severe with mania lasting up to 7 days and depressive episodes lasting 2 weeks |
Bipolar 2 | hypomania so they never experienced a full manic epsiode |
Cyclothymic Disorder | mild mood swings of at least 2 year duration |
Bipolar with biochemical influences | low serotonin and excess of norepinephrine and dopamine |
Bipolar with physiological influences | prefrontal cortex, frontal lobes amygdala, and thalamus |
Disruptive mood dysregulation disorder | bipolar disorder in children with recurrent mood swings and atypical symptoms |
Lithium | mood stabilizer with a very narrow therapeutic index |
Lithium level of 1.5 to 2 | vomiting and dirarrhea |
Lithium level of higher than 2 | tremors, sedation, confusion, tinnitus, and ataxia |
Lithium level of higher than 3.5 | delirium, seizures, coma, CV collapse, death |
Other symptoms of lithium toxicity | blurred vision, lack of coordination, ringing in the ears, and slurred speech, and may affect salt and water levels |
Bipolar and ADHD | ADHD medications can exacerbate mania so have to wait after bipolar symptoms were controlled |
Restraints | need have an in-person evaluation within an hour, reissue a new order every 4 hours, and have to observed every 15 minutes |