Depressive Random
low level depressive feelings through most of each day, for the majority of days. (at least 2 years in adults and 1 year in children/adolescents)
persistent depressive disorder
Name two assessments that may be utilized to screen for depression.
PHQ 9, and Beck inventory
Name some foods/drinks that are high in tyramine?
aged cheese, pickled/smoked fish, beer, and wine
Name two CBT's used to treat PTSD/ ASD
Exposure therapy and cognitive restructuring
thoughts or impulses that persist and recur and can not be dismissed from the mind
obsessions
What are two things that must be present to be diagnosed with persistent depressive disorder?
decreased appetite or overeating, insomnia or hypersomnia, low energy, poor self esteem, difficulty thinking, and hopelessness
Alteration in activities necessary to support physical life and growth;
(eating/appetite loss, sleeping changes, elimination changes)
vegetative signs of depression
What can be an outcome if a pt who is on MAO's does not adhere to the dietary resitrictions?
increased BP and risk of hypertensive crisis
A fear of places that one avoids to control anxiety is called?
agoraphobia
ritualistic behaviors one is driven to do to reduce anxiety
compulsions
symptoms of depression cluster in the last week prior to onset of a womans period.
premenstrual dysphoric disorders
When is close observation needed in the beginning of antidepressant treatment? (what day range)
7-14 days
neurotransmitter that plays a role in mood, sleep, sexuality, and metabolism
serotonin
Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable to others
recurring pulling out of ones hair (trichotillomania) is more common in what gender and what age?
females and children
Name at least 5 signs of Major depressive disorder that must be present for 2 weeks along with depressed mood and or a loss of interest or pleasure.
weight loss/ appetite changes, sleep disturbances, fatigue, worthlessness or guilt, loss of ability to concentrate, recurrent thoughts of death
The risk of serotonin syndrome is the greatest when what two medication classes are taken together?
SSRI and MAOI
This neurotransmission is increased in schizophrenia and mania. (pleasure/ reward system)
dopamine
What level of anxiety?
Perceptual field greatly reduced, difficulty concentrating on environment, severe cognition impairment, confused and automatic behavior, somatic symptoms increase
severe anxiety
This medication is used for people with anxiety, but can also be given to those as a smoking cessation drug. Takes 2-4 weeks to work
Buspirone (non benzo)
Someone with bipolar disorder may have episodes of extremely low moods that meet criteria for major depression called?
Bipolar depression
s/s of serotonin syndrome (name 3)
abdominal pain, diarrhea, sweating, fever, tachycardia, elevated bp, altered mental status, myoclonus, increased motor activity, irritability, hostility, and mood changes, altered mental status.
Rare: excessive fever, cardio shock, or death
This neurotransmission is increased in mania, anxiety, and schizophrenia. (attention and focus)
nourepinephrine
What level of anxiety?
Markedly disturbed behavior, unable to process reality, tendency to misperceive environment, complete loss of focus
PANIC
What is a side effect of Eszopiclone?
unpleasant taste upon awakening