Sick Stats and DSM Technicalities
The Sad Feels
Mood: Eeyore
From Melancholy to Mania
Bi-Winning
100
This is the most important distinguishing feature between seasonal affective disorder and major depressive disorder.
Seasonality.
100
This mood disorder is treated with bright light therapy
Seasonal Affective Disorder (SAD)
100
This term is used to describe the feeling of being outside oneself or detached
Depersonalization
100
Depressive episodes are more common in this type of Bipolar Disorder
Bipolar II
100
What is the most commonly abused substance in people with bipolar disorder
alcohol
200
What percentage of people with bipolar disorder experience ONLY manic episodes
10-20 percent
200
Individuals who develop depression later in life (>60yo) are more likely to exhibit this category of symptoms.
Psychotic symptoms
200
This test would be helpful in making the correct diagnosis in the following case:
65yo obese male with new onset depression endorses fatigue and excessive daytime sleepiness. No current psychotropics and no past psychiatric history.
Polysomnography (Sleep study).
(To r/o sleep apnea contributing to depressive disorder secondary to medical condition)
200
Rapid cycling bipolar disorder has an increased prevalence of this endocrine dysfunction
Hypothyroidism
200
This is the first line treatment for bipolar depression
Olanzapine-fluoxetine, lurasidone, quetiapine
300
According to the NESARC survey, this ethnic group has the highest rate of Bipolar I
Native Americans
300
This is the greatest predictor of post-partum depression
History of depression prior to birth of baby.
300
This is one of the most common neuro-immune mechanisms closely associated with depression.
Elevation of pro-inflammatory cytokines.
300
This is the recommended treatment for severe mania
Antipsychotics + mood stabilizers
300
These are the risk factors for rapid cycling BPAD
female gender, hypothyroidism
400
In order to achieve sustained remission from depression a patient must be mostly symptom free (Not meet clinical criteria of MDD) for this duration of time.
12 Months.
400
Depression is a byproduct of this internal quality according to Beck's model of depression.
Distorted negative thoughts (Cognitive Distortions)
400
This is the average amount of years that elapse from initial onset to diagnosis of a mood disorder.
6-8 years
400
This is the way patients with bipolar disorder respond to the dexamethasone suppression test.
Non-suppression
400
This could be a possible cause for a recurrence of manic episode within 4 weeks while on carbamazepine after an initial good response in 2 wks, with the patient maintaining compliance.
Autoinduction of the epoxide pathway
500
This is the percentage of bipolar patients who will likely relapse in their symptoms (manic or depressed phase) over a 5 year period after a period of stabilization.
80-85%
Based on the STEP-BD Study)
500
Beck's negative triad of depression consists of the following 3 features...
(Name all 3 for full credit)
1) Negative views about the world
2) Negative views about oneself
3) Negative views about the future
500
Deep Brain Stimulation targeting treatment refractive depression achieves remission in 50% of patients if when targeting this anatomical area...
Subgenual Cingulate Cortex
500
Compared to neurotypical controls, this neurotransmitter metabolite is reliably elevated in patient with mania.
3-Methoxy-4-hydroxyphenylglycol (MHPG)
This is a norepinephrine metabolite
500
This medical disease is present more in hospitalized patient with bipolar disorder than any other Axis 1 disorder.
Diabetes Mellitus