Depressive D/O
Depressive symptoms, constant low mood, pessimistic outlook, at least 2 years
PDD - Persistent Depressive Disorder
Medication class most often used to treat generalized anxiety disorders and panic disorders but are used short term.
Benzodiazepines
A milder form of bipolar disorder, which is characterized by hypomania and mild depression lasting at least two years but not otherwise meeting the diagnostic requirements for Bipolar I, II or NOS.
Cyclothymic d/o or cyclothymia
Avoid Caffeine, consistent Na diet, 2.5-3L fluid a day.
Diet education for Lithium
Sudden reduction of depressed symptoms, increase in energy, and giving possessions away is a concern for
Suicide
Anxiety Level
- Difficulty concentrating and focusing
- tension
- palpitations
- increased HR
- diaphoresis
Moderate
Priorities during acute mania
Prevent injury, ensure safety. Secondary is fluids, food, sleep.
Serotonin Syndrome signs
Hyperreflexia, myoclonus, fever, tachy, confusion/delirium, diarrhea.
The two hallmark symptoms for a diagnoses of MDD
1)depressed mood
2) loss of interest or pleasure in activities
Anxiety Level?
- Sense of impending doom
- difficulty sleeping
- light headedness
- Nausea
- tremors
Severe
BUN, creatinine, TSH, Na
Labs during Lithium therapy
Common SE of Amitriptyline (TCA)
Dry mouth, drowsiness, dizziness, wt. changes.
Cover or Overt statement?
"Soon no one will have to worry about me"
Covert
Depersonalization is commonly seen in
Panic D/O
Pt. experiences 4 or more episodes of mania, hypomania, or depression in one year
Rapid cycling
Long term medication tx for GAD
Buspar
Elevated Thyroid levels could potentially rule out.
MDD
Overwhelming symptoms of panic when expose to phobic stimulus is what?
Specific Phobia
Alterations in bodily movements ranging from immobility, odd posturing, to mimicking the movements or speech of others.
Catatonia
Anticholinergic adverse effects
Hot, dry, decreased saliva, constipation, urinary retention, blurred vision, tachy, confused