affective mood
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show | Mood (affect)-
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alteration in mood or feelings(sadness, despair, pessimism). | show 🗑
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show | Mania
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Major Depressive Disorder & Dysthymic Disorder are aka __________ | show 🗑
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show | (Bipolar)
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depression is > in woman, young age,lower income,single,divorced,>spring,fall and > in whites but more sever in_____ | show 🗑
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Bipolar is = in both men and woman, 1st manic episode is at age ___ | show 🗑
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show | when ADAPTATION is ineffective.
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*Features: delusions-include guilt/punishment, hallucinations are auditory, berating is known as | show 🗑
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show | Catatonic ;Major Depressive Disorders Subtype
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*Features (severe form of depressive episode) worse in AM, suicidal ideation is known as | show 🗑
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show | Atypical ;Major Depressive Disorders Subtype
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show | (SAD-seasonal affective disorder)Major Depressive Disorders Subtype
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4weeks postpartum( with psychotic features-infant at risk)is known as | show 🗑
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show | Premenstrual dysphoric disorder- characterized by more severe symptoms than premenstrual syndrome.
Mixed anxiety/depression
Recurrent brief depression-(1day/1wk,1x per month over 12 months.*high risk of suicide.
Minor depression-chronic (self pity )
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show | Depressive DisordersMajor Depressive Disorder MDD
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show | Major Depressive Disorder Diagnostic Criteria
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Depressed (SAD) most of the day nearly every day.Child/Adolescent-irritable.Older adults- subsyndromal depression.Marked diminished interested in pleasure.Significant wgt. Loss/gain.Insomnia/Hypersomnia 5.Psychomotor agitation/retardation.Fatigue | show 🗑
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Feelings of worthlessness/guilt (may be delusional). Decreased ability to think/concentrate/indecisive.Recent thoughts of death or SUICIDAL ideation. | show 🗑
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B. Never a MANIC Episode. C. Clinically significant distress or impairment. D. Symptoms have no direct physiological cause. E. Symptoms longer than 2months,suicidal ideation, psychotic/psychomotor (not related to bereavement). | show 🗑
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show | Dysthymic Disorders Classification
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show | Depressive Disorders Dysthymic Disorder DD
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show | *Dominent Symptom:Irritability and disruptive behavior, sadness and hopelessness core issues
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What is the common denominator in childhood DD | show 🗑
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show | ADOLESCENTS DD
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*Perception of Abandonment by parents or peers can precipitate what in childhood DD | show 🗑
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What is the tx for DD in children and adolescents | show 🗑
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show | Elderly -> TX: antidepressants, electroconvulsive therapy, psychotherapy (behavioral, group, cognitive, family).
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Postpartum Depression-may last a week to several months. a. “blues”-50-85% (within 48hrs.) b. moderate-10-20% (start later-vary day to day) c. severe/psychotic-1to2 out of 1000 (risk of suicide/infanticide) what is the TX | show 🗑
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show | NOT a normal result of aging.
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what neurotransmitter deals with stress | show 🗑
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What neurotransmitter regulates psychobiological factors (irritability, poor impulse control,arousal | show 🗑
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What neurotransmitter exerts strong influence over mood/behavior | show 🗑
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What neurotransmitter is excessive in depression, inadequate in mania. | show 🗑
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show | *Diathesis –Stress model
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show | *Learning theory
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show | *Cognitive theory
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This belief is associated with lower rates of depression. | show 🗑
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This stage of Depression shows helpless, powerless,Behavioral-slow movement,limited communication, slumped, retarded thinking, difficulty concentrating anorexia or overeating, h/a, sleep disturbance. | show 🗑
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What stage of depression shows Affective-total despair, worthlessness, flat affect.Behavioral- psychomotor retardation, no communications,fetal position.Cognitive- Delusional thinking,confusion, suicidal thought.Physiological- slow-down entire body | show 🗑
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ND for depression | show 🗑
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show | Psychopharmacology;Depression (pp.261-269)
Mania (pp.290-296)
Psychotherapy
Group/Family
Cognitive- Behavioral Therapy (CBT)-change negative thought patterns and behavior.
Interpersonal Therapy (IET)-work through personal relations.
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show | increased intracranial pressure. High risk: CVA,MI,Aneurysm,>BP,CHF.
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At least 1 episode of mania alternates with depression.(Psychosis may accompany the manic episode) | show 🗑
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show | Bipolar II (hypomania)-
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show | II
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show | Cyclothymia-
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show | Rapid Cycling
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Bipolar DisorderDevelopmental Implications | show 🗑
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Child/Adolescent- Treatment Strategies Bipolar | show 🗑
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show | Hypomania
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What type of mania *Usually requires hospitalization | show 🗑
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show | Delirious Mania
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show | Set limits on client’s behavior when needed.
Reminded the client to respect distance between self & others
Use short, simple sentences to communicate.Clarify the meaning of client’s communication. provide finger foods that are high in calories and prote
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show | Elderly rate very high
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What affiliation decreases suicide risk. | show 🗑
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What is a primary intervention for suicide | show 🗑
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What is a secondary intervention for suicide | show 🗑
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What is a tertiary intervention for suicide | show 🗑
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Nursing Intervention (NIC)Suicide | show 🗑
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