This many Americans have depression (per Birru lecture)
17 Million
First then second line treatments for late onset depression
SSRI then SNRI
Depression with Mania
Bipolar I
Depression with hypomania
Bipolar II
Rare mood disorder - no extreme highs & lows like in bipolar I and II
Cyclothymia
This depressive disorder affects people under the age of 18 exclusively
Disruptive Mood Dysregulation Disorder (DMDD)
When would an atypical antidepressant be used
Bipolar I is usually experienced first at the age (although onset in any age may occur)
Early Adulthood
non psychotic, milder, or subthreshold manic state; without marked social and occupational impairment.
Hypomania
Cyclothymia is this kind of bipolar trait with low grade affective manifestations
subthreshold
This Depressive Disorder only effects women
Premenstural Dysphoric Disorder
Due to the risk of hypertensive crisis, patients on MAOIs must avoid this
High tyramine foods
During these periods patients may continue to experience some symptoms & decreased functioning, & brain functioning continues to be abnormal on a functional MRI
Euthymic (remission)
In a manic episode treatment is aimed at these 2 points in an acutely agitated patient
stabilization and de-escalation
2 of the 3 mood disorders have MDD as a trait, name these two
BPI and BPII
Persistent depressive disorder
Why would a provider avoid the use of tricyclic antidepressants (TCA's)
Side effects and considerable toxicity in overdose
Clinician administered 11 item scale (for mania)
YMRS
This drug for treatment of bipolar should not be used for pregnant women of childbearing potential due to the unacceptable risk to the fetus of teratogenesis and impaired intellectual development.
Valproate
Name 3 SSRIs
Prozac, Zoloft, Paxil
This depressive disorder is extreme, frequent, all ages can have, 3x's more likely if immediate family has
Major Depressive Disorder
These 2 psychotherapies are evidence based and found to be effective in the treatment of depression
Cognitive behavoural therapy (CBNT) and interpersonal therapy
First line monotherapy for Bipolar includes these 2 medication types
Mood Stabalizers (lithium or valoprate) and Antipsychotics (aripiprazole, quetiapine, or risperidone)
These are the 3 grades of lithium toxicity
mild 1.5-2.5 mEq/L
moderate 2.5-3.5 mEq/L
Severe 3.5 or higher mEq/L
Name 2 methylphenidate and 2 amphetamines for ADHD
Ritalin and Concerta
Adderall and Vyvanse