Term
| Major Depressive Disorder (MDD) |
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Definition
| This diagnosis requires that an individual has had at least one Major Depressive Episode, but no Manic, Hypomanic, or mixed episodes. In a Major Depressive Episode, an individual has persistent depressed mood or loss of interest or pleasure for at least 2 weeks, and this negative mood represents a change from previous functioning.These Major Depressive Episodes are not due to a medical condition, medication, abused substance, or Psychosis. If Manic, Mixed, or Hypomanic Episodes develop, the diagnosis is changed to Bipolar Disorder. |
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Term
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Definition
a chronic condition characterized by depressive symptoms that occur for most of the day, more days than not, for at least 2 years.This disorder's depressive symptoms are not due to a medical condition, medication, illegal drug, or Psychotic Disorder.
Cannot be distinguished from person's usual level of functioning |
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Term
| Which gender is more likely to develop a depressive disorder? |
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Definition
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Term
| Which gender is more likely to attempt suicide? |
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Definition
| men, at a far higher rate. |
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Term
| Subtypes of Major Depressive Disorder |
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Definition
| Psychotic features, Melancholic Features, Atypical features, catatonic feature, catatonic features, postpartum onset, and seasonal features |
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Term
| Seasonal features (seasonal affective disorder [SAD]) |
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Definition
Indicates that episodes mostly begin in fall or winter and remit in spring; these patients have reduced cerebral metabolic activity; responds to light therapy and SSRI's
Looks similar to atypical features |
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Term
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Definition
| dominant vegetative symptoms (overeating and oversleeping) |
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Term
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Definition
| outdated term indicates a severe form of endogenous depression (not attributable to environmental stressors) |
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Term
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Definition
non-responsiveness, extreme psychomotor retardation, withdrawal, negativity
responds to low doses of Ativan |
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Term
| Which portion of the population is likely to commit successful suicide? |
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Definition
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Term
| Should the elderly be treated for depression or dementia first? |
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Definition
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Term
| Symptoms of Depression in Children/Adolescents |
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Definition
| dominant symptom: irritability |
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Term
| What four areas can contribute to the development of depressive disorders? |
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Definition
| genetics, neurotransmitter issues, psychological factors, and social factors |
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Term
| What is the primary goal of treating depression? |
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Definition
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Term
| Neuro vegatative symptoms: |
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Definition
decreased energy, fatigue
sleep disturbance
appetite and weight changes
elimination changes
decrease libido |
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Term
| Pharmacological treatment of depression |
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Definition
Antidepressants (SSRI's [zoloft, paxil])
Atypical antipsychotics
Mood stabilizers |
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Term
| Wellbutrin should be used with caution in patients with a history of what? |
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Definition
| seizures! this drug lowers the patient's seizure threshold |
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Term
| What is the most weight neutral drug used to treat depression? |
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Definition
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Term
| How do comorbidities affect the disease course of depression? |
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Definition
| higher rate of suicide, greater severity of depression, greater impairment in social and occupational functioning, and poorer response to treatment |
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Term
| Transcranial Magnetic Stimulation |
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Definition
Used more often than VNS
Mini MRI machine
delivers waves to pt brains
GOOD FOR tx resistant depression |
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Term
| Electric convulsive therapy (ECT) |
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Definition
GOOD FOR: psychotic symptoms, elderly
much safer for the elderly
70-80% response rate
STIGMA |
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