Term
| What is seen on a persons face that demonstrates emotion? |
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Definition
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Term
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Definition
Good Spirits
"normal mood"
Can experience a full range of emotions |
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Term
| What is the range of emotion disorders from Highest to Lowest? |
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Definition
Mania
Hypomania
(Euthymia)
Dysthymia
Depression |
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Term
| What is the DSM-IV criteria for Major Depressive Episode? |
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Definition
2 week period of depressed mood or loss of interest or pleasure with at least 4 of the following occuring everyday:
Change in appetite or weight
Change in Sleep
Psychomotor agitation or retardation
Fatigue
Feelings of worthlessness, or guilt
Diminished ability to concentrate
Recurrent thoughts of death |
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Term
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Definition
"subthreshold" depression
Longer duration
Persistent, not intermittant |
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Term
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Definition
Distinct period of abnormally and persistently elevated, expansive, or irritable mood lasting at least 1 week
with 3 of the following:
inflated self-esteem
decreased need for sleep
more talkative
flight of ideas, racing thoughts
distractibility
increase in goal-directed activity
Excessive involvement in pleasurable activities |
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Term
| What features of severe mania can allow a diagnosis of mania without having symptoms lasting a week? |
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Definition
necessitates hospitalization to prevent harm to self or others
Psychotic features are present |
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Term
| What is different about diagnosis of Hypomania? |
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Definition
Mood only needs to last throughout 4 days
Does Not necessitate hospitalization
No pyschotic features are present
(like mania but doesn't last as long) |
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Term
| How is Mixed Episode defined? |
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Definition
| Criteria met for BOTH manic episode and major depressive episode during a 1 week period |
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Term
| What are the criteria for Major Depressive Disorder? |
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Definition
Single Depressive Episode
No hx of manic, mixed, hypomanic episodes
May be single or recurrent
May be mild, moderate, or severe |
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Term
| If a patient says to you "I've always been depressed", what should you consider? |
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Definition
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Term
| What type of drugs can induce mood disorders? |
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Definition
Glucocorticoids
L-Dopa
Meperidine
Digitalis
Interferon
Benzos
Barbiturates
Beta Blockers
Lidocaine
Ketoconazole |
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Term
| How is Bipolar 1 Charactized? |
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Definition
| Presence of one manic or mixed episode |
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Term
| What is characterized by Bipolar II? |
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Definition
One or more major depressive episodes
At least one hypomanic episode
No history of manic episode |
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Term
| What is Rapid cycling of Bipolar? |
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Definition
Four mood episodes in a year
Demarcated by full remission for 2 months or switch to opposite polarity |
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Term
| What is an attenuated bipolar disorder? |
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Definition
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Term
| What is characteristic of Cyclothymia? |
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Definition
At least 2 years
numerous periods with hypomanic and periods with depressive
Do not meet criteria for major dpressive episode
No symptom free period longer then 2 months |
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Term
| What is the treatment for Biopolar disorder? |
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Definition
Acute episode treatment, maintenance
ECT
Mood stabilizers
Anticonvulsants
Antipsychotics |
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Term
| What is the Gold Standard for treatment of Bipolar Disorder? |
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Definition
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Term
| Why must Lithium be monitored closely? |
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Definition
Narrow therapeutic window
Toxic in overdose
Tremor |
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