Depression
Someone who lacks emotional expression would be described as having what type of affect?
Flat
What is the speech pattern of a person experiencing a manic episode?
rapid, pressured speech with abrupt changes from topic to topic
Name a strategy to reduce suicide?
Screening, Safety planning
CBT, Reducing access to lethal means
What is the leading cause of disability in the U.S.?
depression
Which OTC herbal supplement should be avoided when taking SSRIs?
St. John's Wort
Why draw a thyroid panel if you suspect depression?
Thyroid disease can cause depression and treatment would be hormone replacement rather than antidepressants.
What is an alteration in mood expressed by feelings of elation, grandiosity, and racing thoughts?
Mania
What is a historical risk factor for suicide?
Previous attempts
Family history of suicide
Childhood abuse, neglect, trauma
Mental health _________ is when a person is viewed in a negative way for having a mental health diagnosis.
stigma
What are two symptoms of serotonin syndrome?
confusion, dilated pupils, headache, rapid HR, heavy sweating, tremors, HTN
What is the lifetime prevalence of depression?
17%
What is the most likely medication to trigger a manic response?
Steroids
Which ethnic group is at highest risk for suicide?
whites
What is the difference between mood and affect?
Mood: pervasive and sustained emotion
Affect: external, observable emotional reaction
Name the most common side effect of lithium therapy?
weight gain
personalizing
all or nothing thinking
mind reading
discounting positives
What symptom is present in mania but absent in hypomania?
psychosis
Men are __ times more likely than women to commit suicide.
Four
What proportion of Americans suffer from a mental illness?
1 in 5 Americans
What is a symptom of lithium toxicity?
blurred vision, ataxia, tinnitus, N/V, severe diarrhea
What are three symptoms of depression in a 6-year-old child?
vague physical complaints
aggressive behavior
clinginess
behind in academic/social skills
What are the two neurotransmitters associated with bipolar disorder that are not associated with depression?
acetylcholine
glutamate
Which high-risk population has a 41% lifetime prevalence for suicide?
transgender individuals
Name a treatment for treatment-resistant depression.
ECT: electroconvulsive therapy
rTMS: repetitive transcranial magnetic stimulation
VNS: vagus nerve stimulation
atypical antipsychotic
psychedelic drugs (LSD, psilocybin)
Name two drug classes used to treat bipolar disorder.
antimanic, anticonvulsant, atypical antipsychotic