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Jewel Abnl. Psych Ch. 6 part 2

AB
18Avg. age of first manic episode
1number of weeks a manic episode must last for it to be classified as a manic episode
.9% of American men with bipolar
1.3% of American females with bipolar
whiteswhich ethnic group is more likely to be labeled bipolar
irritability and temper tantrumsduring a manic episode, children are more likely to display this as compared to adults
2# of weeks that mood needs to be down to diagnosis major depressive disorder
5how many symptoms from the list are needed for dx of MDD
2Dysthymia requires presence of depression with how many other symptoms
12disruprive mood dysregulation disorder requires how many months of symptoms for diagnosis
ODD, intermittent explosive disorder, bipolar disorderDisruptive Mood Dysregulation Disorder cannot exist with
MDD, ADD, conduct disorder, substance use disorderDisruptive Mood Dysregulation Disorder can coexist with
6.5-12.9percentage of women with post partum depression
10.6percentage of people over 60 suffering from depression
interpersonal and social rhythm therapythis therapy promotes adherence to regular daily routines
cognitive-behavioral therapythis therapy helps people develop skills to change inappropriate or negative thought patterns
lithiummost commonly used medication for bipolar disorder
glutamatelithium moderates this in the brain
toxicif not monitored, lithium can be
anticonvulsant medicationsanother medication used to treat bipolar d/o
atypical antipsychoticsmay be added for bipolar d/o during depressive episodes
ECTused for severe depression, extreme/prolonged mania, or catatonia
pregnancyECT can be used during
interpersonal therapyfocuses on an interpersonal problem area for a specified number of sessions
behavior activationfocuses on reinforcing events through daily scheduling of pleasurable activities, social skills training and time management strategies
SSRI'ssecond generation antidepressnats
tricyclic antidepressants and MAOI'sfirst generation antidepressants
MAOI'sinhibits the action of monoamine oxidase which would normally break down norepinephrine, serotinin and dopamine
atypical depressionMAOI's may be particularly useful in patients with
tyraminepeople on MAOI's need to avoid foods with
foods high in tyramine aresmoked meat, aged cheeses, fava beans, aged sausages, alcohol, cottage cheese, yogurt, etc.
high blood pressure & deathMAOI's & foods high in tyramine can lead to
TCA'sact on norepinephrine & serotonin
dry mouth, constipation, increased heart rateTCA's side effects can include
nausea, headaches,SSRI's side effects can include
children and adolescentsantidepressants can be problematic in
warnings about use of antideprsesants in children /adolescents is in the form ofa "black box" warning
both mania and depressionECT can be used to treat
deep brain stimulationinvolves putting eletrobes deep into the brain
transcranial magnetic stimulationuses electromagnetic pulse


Dr. Hyla Harvey
Marshall University Joan C. Edwards School of Medicine
Hurricane, WV

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