Term
| What are the most common mental disorders seen in outpts? |
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Definition
| mood disorders, comprising some 28% of pts needs |
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Term
| Where do mood disorders rank in the general population? |
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Definition
| 3rd (behind anxiety and substance abuse disorder) |
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Term
| What percentage of the most common symptoms encountered in primary care setting end up being unexplained in terms of a physical dx? |
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Definition
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Term
| What percent of the 13 most common defined mental disorders are tx by physicians vs. psychiatrists? |
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Definition
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Term
| What % of pts seen in primary care settings have a mental health related disorder? |
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Definition
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Term
| Data suggests that pcps miss what percentage of major depression, substance abuse, and at first vistis, panic disorder? |
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Definition
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Term
| What is the overall category for entities whose predominant symptom is a pathologic: dysphoria, euphoria, or both? |
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Definition
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Term
| What are lows, and what are mild lows? |
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Definition
| major depression, dysthymia |
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Term
| What are the no one cause of suicide? |
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Definition
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Term
| What is the difference btwn how non-professionals and professionals speak of depression? |
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Definition
| non-professionals: emotion. professionals: syndrome/mental disorder consisting of many s/s, incl appetite loss, anhedonia, hopelessness, insomnia, and dysthymia |
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Term
| What is known as a group of s/s that occur together and constitute a recognizable condition? |
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Definition
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Term
| What are most psychiatric disorders in reality? |
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Definition
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Term
| What are 3 types of mood? |
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Definition
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Term
| What mood involves expansiveness, flight of ideas, decreased sleep, heightened self-esteem, and grandiose ideas? |
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Definition
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Term
| What is a loss of energy and interest, feelings or guilt, difficulty in concentrating, loss of appetite, and thoughts of death or suicide? |
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Definition
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Term
| What can be the result of mood changes? |
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Definition
| impaired interpersonal relationships, social and occupational functioning |
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Term
| What is the difference btwn endogenous v. reactive depression? |
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Definition
| endogenous depression is strictly biological and unrelated to any environmental force; reactive is psychosocially driven |
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Term
| What is the dif btwn primary and secondary model depressions? |
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Definition
| secondary depressions are preceded by another physical or mental disorder (eg etoh-, hypothyroidism) |
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Term
| What is the dif btwn unipolar v. bipolar? |
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Definition
| bipolar model exists whenever there has been a manic episode |
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Term
| What is the dif historically btwn psychotic and neurotic depressions? |
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Definition
| psychotic even when no psychosis was present but there was severe depression |
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Term
| Though referred to as *affective disorder*, what is the major pathology of depression? |
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Definition
| mood, the *sustained internal emotional state*, and not one of teh *affect*, the *external presentation of present emotional state* |
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Term
| What is one or more major depressive *episodes* w/o a hx of manic, mixed or hypomanic episodes; must last at least 2 weeks, typically a person is either depressed or loses interest in activities? |
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Definition
| major depressive disorder |
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Term
| What is a distinct period of at least 1 week of abnml elevated, expansive, or irritable mood? |
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Definition
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Term
| What is a period of at least 1 week in which both a manic and major depressive episode occur almost daily? |
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Definition
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Term
| What has a duration of at least 4 days, similar to manic, but incl at least 3 sx among inflated self-esteem, decreased need for sleep, distractibility, great physical and mental activity, and over-involvement in pleasurable behavior w/unpleasant consequences? |
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Definition
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Term
| What biologic factors contribute to mood disorders? |
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Definition
| genetics: contributes to about 50-60% of bipolar disorder and 35-50% in unipolar mood disorder |
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Term
| What are psychological factors that contribute to mood disorders? |
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Definition
| loss of father or mother during the 1st 5 years of life. loss of father btwn the ages of 10 and 14 associated w/increased risk of adult depression. little or no support system. sexual, physical, and/or emotional abuse. most focus is on loss or self-esteem |
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Term
| What are some psychosocial factors that contribute to mood disorders? |
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Definition
| life events and environmental stress. family functioning/changes. some personality types: dependent, obsessive compulsive |
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Term
| What is the first essential feature of major depression? |
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Definition
| either dysphoria or anhedonia, that is a pervasive loss of interest or ability to experience pleasure in nml enjoyable activities. dysphoria is usually dysthymia but can be irritable or apprehensive. |
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Term
| Many pts w/major depression do not feel depressed, but feel what instead? |
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Definition
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Term
| How do a majority of pts w/ major depression look? |
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Definition
| lifeless, boring or dull rather than crying or sad |
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Term
| What should you ask pts to determine major depression? |
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Definition
| ask not only if they fell depressed (sad or blue) but also if they no longer enjoy the things they used to! |
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Term
| What are the *biological* signs of depression? |
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Definition
| psychomotor retardation or agitation. lack of energy. weight gain or loss. change in sleep, more or less. decreased libido. |
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Term
| What are the psychological s/s of major depression? |
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Definition
| diminished ability to think or make decisions. negative thinking about the past (guilt), the present (low self-esteem), future (hopeless). thoughts of death and dying and suicide. readily overwhelmed w/easy tasks, depressed pts no longer try to do anything. concentration impaired. |
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