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Mental Health Test 2

Depression and bipolar

QuestionAnswer
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
Created by: tliszka5
 

 



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