Major Depressive Disorder Overview

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Questions and Answers

What is the defining characteristic of peripartum onset of depressive symptoms?

  • Symptoms appear only during the postpartum period
  • Symptoms appear during pregnancy or in the weeks following birth (correct)
  • Symptoms occur exclusively in childhood
  • Symptoms are limited to premenstrual phases

What duration is required for a diagnosis of persistent depressive disorder?

  • At least six months
  • At least two years (correct)
  • At least three months
  • At least one year

Which of the following is a symptom of premenstrual dysphoric disorder (PMDD)?

  • Significant weight loss or gain
  • Severe mood swings or crying often (correct)
  • Major changes in sleeping patterns
  • Severe irritability related to sleep apnea

What condition is characterized by extreme irritability, anger, and intense temper outbursts in children?

<p>Disruptive mood dysregulation disorder (DMDD) (B)</p> Signup and view all the answers

Which hormone is primarily associated with satiety in eating regulation?

<p>Leptin (C)</p> Signup and view all the answers

What is classified as morbid obesity in terms of BMI?

<p>BMI over 40 (D)</p> Signup and view all the answers

What behavior is characteristic of anorexia nervosa?

<p>Maintaining a body weight well below average (C)</p> Signup and view all the answers

What does the set-point theory suggest about body weight?

<p>Each individual has an ideal body weight resistant to change (D)</p> Signup and view all the answers

Which of the following is a symptom of binge eating disorder?

<p>Eating much faster than normal (C)</p> Signup and view all the answers

What is a key characteristic of Avoidant/Restrictive Food Intake Disorder (ARFID)?

<p>Apparent lack of interest in eating or food (B)</p> Signup and view all the answers

How is rumination disorder best described?

<p>Regurgitating recently eaten food (D)</p> Signup and view all the answers

What behavior may indicate the presence of binge eating disorder?

<p>Eating alone due to embarrassment (B)</p> Signup and view all the answers

One of the treatment stages for children with feeding disturbances is the reward stage. What does this stage involve?

<p>Systematic desensitization techniques (B)</p> Signup and view all the answers

Which of the following is a potential consequence of ARFID?

<p>Nutritional deficiency (C)</p> Signup and view all the answers

Pica is characterized by an appetite for which type of substances?

<p>Non-nutritive substances (B)</p> Signup and view all the answers

What is typically a main treatment for rumination disorder?

<p>Behavioral therapy (D)</p> Signup and view all the answers

Which disorder is characterized by sleepwalking and complex behaviors?

<p>NREM sleep arousal disorder (A)</p> Signup and view all the answers

What is a common treatment for hypersomnolence disorder?

<p>Ritalin (C), Clonidine (D)</p> Signup and view all the answers

Night terrors are associated with which of the following symptoms?

<p>Sense of panic and screams (C)</p> Signup and view all the answers

What distinguishes REM sleep behavior disorder (RBD) from normal REM sleep?

<p>Lack of muscle paralysis (C)</p> Signup and view all the answers

In which sleep disorder are uncomfortable sensations in the legs commonly reported?

<p>Restless leg syndrome (C)</p> Signup and view all the answers

What is a prevalent percentage of REM sleep behavior disorder in older adults?

<p>2% (B)</p> Signup and view all the answers

How is nightmare disorder often associated with PTSD?

<p>50-70% of cases show nightmares (C)</p> Signup and view all the answers

Parasomnias can occur during which phases of sleep?

<p>Either REM or NREM phase (D)</p> Signup and view all the answers

Which of the following is NOT a definition of alcohol use?

<p>Euphoria (A)</p> Signup and view all the answers

What is a common symptom of alcohol withdrawal?

<p>Tremors (A)</p> Signup and view all the answers

Which of the following drugs is classified as a stimulant?

<p>Cocaine (A)</p> Signup and view all the answers

Which of the following is a dangerous side effect of cocaine use?

<p>High fever (C)</p> Signup and view all the answers

What is methamphetamine commonly known for?

<p>Can be made from readily available ingredients (D)</p> Signup and view all the answers

Which of the following best describes stimulant withdrawal?

<p>Dysphoric mood and physiological changes (D)</p> Signup and view all the answers

Which of the following opioid drugs is used to manage chronic pain?

<p>Methadone (A)</p> Signup and view all the answers

What characterizes stimulant intoxication?

<p>Behavioral and psychological changes (A)</p> Signup and view all the answers

Which of the following is a characteristic sign of opioid use disorder?

<p>Strong desire to use opioids (A)</p> Signup and view all the answers

What is a common complication of opioid use disorder?

<p>Opioid overdose (D)</p> Signup and view all the answers

Which of the following withdrawal symptoms is associated with opioid withdrawal?

<p>Muscle aches (B)</p> Signup and view all the answers

What role do methadone clinics play in opioid addiction treatment?

<p>They use methadone to help manage withdrawal symptoms. (C)</p> Signup and view all the answers

Which of the following describes hypnotic drugs?

<p>Drugs primarily used to induce sleep. (C)</p> Signup and view all the answers

What is a significant criterion for hallucinogens according to Leo Hollister?

<p>Changes in thought, perception, and mood should predominate. (A)</p> Signup and view all the answers

Which drug acts as a serotonin agonist?

<p>Mescaline (A)</p> Signup and view all the answers

What kind of effects does phencyclidine (PCP) primarily cause?

<p>Mind-altering effects (C)</p> Signup and view all the answers

What is another name for 'angel dust'?

<p>PCP (A)</p> Signup and view all the answers

Which disorder is characterized by non-psychotic flashbacks of visual hallucinations from previous hallucinogenic experiences?

<p>Hallucinogen Persisting Perception Disorder (HPPD) (B)</p> Signup and view all the answers

Which substance involves the inhalation of volatile vapors or pressurized gases to achieve intoxication?

<p>Inhalants (C)</p> Signup and view all the answers

Inhalant use disorder leads to what type of impacts?

<p>Clinically significant impairment or distress (D)</p> Signup and view all the answers

What is the primary psychoactive component of cannabis?

<p>Tetrahydrocannabinol (THC) (C)</p> Signup and view all the answers

Which type of addiction explanation focuses on environmental influences on genes?

<p>Biological (C)</p> Signup and view all the answers

Expectancy theory relates to which aspect of addiction?

<p>Motivation for euphoric states (D)</p> Signup and view all the answers

What does the term 'cannabis use disorder' encompass?

<p>Cannabis abuse and dependence (C)</p> Signup and view all the answers

Flashcards

Satiation

A state of fullness and satisfaction that stops the act of eating.

Leptin

A hormone that signals the brain that the body is full and should stop eating.

Metabolic rate

The amount of energy expended by the body over a specific time.

Set-point theory

The theory suggests a person's weight is genetically determined.

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Anorexia nervosa (AN)

An eating disorder where a person is intentionally starving themself and/or exercising excessively.

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Persistent depressive disorder

A mood disorder characterized by persistent mild to moderate depressed moods for at least two years. It includes symptoms like fatigue, low self-esteem, and changes in appetite.

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Disruptive mood dysregulation disorder (DMDD)

A childhood condition characterized by extreme irritability, anger, and frequent, intense temper outbursts.

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Premenstrual dysphoric disorder (PMDD)

A severe form of premenstrual syndrome (PMS) affecting 1.8-5.8% of menstruating women, leading to intense irritability, depression, or anxiety before periods.

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What is Binge Eating Disorder?

An eating disorder where a person eats large amounts of food in a short period of time, often feeling out of control and experiencing guilt or shame afterward.

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What is Rumination Disorder?

A condition where a person regurgitates recently eaten food, re-chews it, and either swallows it again or spits it out.

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What is Pica?

A psychological disorder characterized by an appetite for non-nutritive substances such as ice, soap, hair, or paper.

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What is the "Record" Stage of ARFID Treatment?

This stage of treatment for ARFID encourages children to keep a log of their eating habits without trying to change them.

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What is the "Relaxation" Stage of ARFID Treatment?

This stage involves gradually exposing children to foods they avoid, while using relaxation techniques to manage anxiety.

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What is the "Reward" Stage of ARFID Treatment?

This stage focuses on systematically getting children used to new foods by gradually introducing them.

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What is the "Review" Stage of ARFID Treatment?

This stage involves monitoring a child's progress and making adjustments to the treatment plan as needed.

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What is Avoidant/Restrictive Food Intake Disorder (ARFID)?

This eating disorder is characterized by a lack of interest in food or eating, leading to weight loss, nutritional deficiencies, or dependence on feeding tubes.

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Alcohol intoxication

Recent alcohol ingestion causing behavioral or psychological changes like slurred speech, incoordination, impaired attention or memory, and even stupor or coma.

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Alcohol withdrawal

Symptoms that occur after reducing alcohol consumption following a period of excessive use.

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Stimulants

Drugs that increase overall levels of neural activity.

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Methamphetamine

A type of stimulant that can be made from readily available ingredients.

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Caffeine

A stimulant drug known for its use in coffee and energy drinks, but less potent than other stimulants.

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Stimulant use disorder

A substance use disorder involving the abuse of stimulant drugs.

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Stimulant intoxication

Clinically significant behavioral or psychological changes that develop during or shortly after using a stimulant.

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Stimulant withdrawal

Symptoms that occur after stopping or reducing prolonged stimulant use, including dysphoric mood, fatigue, and sleep disturbances.

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Hypersomnolence Disorder

This disorder is characterized by excessive sleepiness and difficulty waking up, often accompanied by confusion and slowness upon waking. It differs from narcolepsy as it doesn't involve other symptoms like cataplexy, sleep paralysis, or hypnagogic hallucinations.

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Sleepwalking

A sleep disorder characterized by complex motor behaviors during sleep, including wandering, talking, or even driving, with no memory of the events afterwards.

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Night Terrors

A sleep disorder involving sudden awakenings with intense fear, often accompanied by screaming or thrashing. It typically occurs during NREM sleep.

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Nightmare Disorder

A sleep disorder characterized by frequent nightmares, often involving disturbing themes of danger and threat to the individual.

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REM Sleep Behavior Disorder

A sleep disorder where muscle paralysis usually associated with REM sleep is absent, allowing the sleeper to physically act out their dreams.

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Restless Leg Syndrome

A sleep disorder characterized by an irresistible urge to move the legs, usually during periods of rest or while trying to fall asleep. It can interfere with sleep quality.

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Parasomnias

A category of sleep disorders that involve disruptive motor activity, unusual behaviors, or unusual mental states during sleep. They can occur in either REM or NREM phases of sleep.

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Insomnia

A sleep disorder characterized by difficulty falling asleep, staying asleep, or both, leading to daytime sleepiness and other difficulties.

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Opioid Use Disorder (OUD)

A type of substance use disorder that involves the use of opioids.

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Opioids

A group of drugs that act like natural painkillers produced by the body. These drugs bind to opioid receptors in the brain, leading to pain relief and feelings of euphoria.

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Opioid Withdrawal Symptoms

Symptoms experienced when someone stops using opioids after becoming dependent. They can include nausea, muscle aches, diarrhea, sleep problems, agitation, and low mood.

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Sedative, Hypnotic, or Anxiolytic Use Disorder

A type of substance use disorder involving sedatives, hypnotics, or anxiolytic drugs. This disorder can lead to significant impairment and distress.

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Hypnotics or Soporifics

Drugs that induce sleep or are used in anesthesia. They are often prescribed to treat insomnia.

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Anxiolytics

Drugs that reduce anxiety. They work by calming the nervous system.

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Hallucinogens

A class of drugs that significantly alter sensory and perceptual experiences. These drugs produce strong, atypical feelings and unusual sensory perceptions.

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Phencyclidine (PCP)

A drug with mind-altering effects that acts as an antagonist of the NMDA glutamate receptor.

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What is Hallucinogen Persisting Perception Disorder (HPPD)?

A chronic disorder characterized by non-psychotic flashbacks of visual hallucinations or distortions, stemming from past hallucinogenic drug use.

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What are inhalants?

A broad range of household and industrial chemicals whose volatile vapors or gases are inhaled to produce intoxication.

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What is inhalant use disorder?

A problematic pattern of inhalant use, leading to significant impairment or distress.

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What is inhalant intoxication?

The state of intoxication experienced during, or shortly after, inhalant use.

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What is cannabis use disorder?

A pattern of cannabis use leading to significant impairment or distress, encompassing both abuse and dependence.

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What is the psychodynamic explanation of addiction?

A theory suggesting that an individual's unconscious experiences and unresolved conflicts from the past may contribute to addiction.

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What is the cognitive explanation of addiction?

A theory explaining addiction based on the expectation of positive effects or feelings associated with drug use.

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Study Notes

Major Depressive Disorder (MDD)

  • Characterized by persistently sad mood, loss of interest, and other symptoms for at least two weeks.
  • A combination of genetic, environmental, and psychological factors.
  • Risk factors include family history, major life changes, medications, chronic health problems, and substance abuse.
  • About 40% of risk is genetic.
  • Affected 163 million people (2% of global population) in 2017.
  • Twice as common in women as men.
  • Diagnosis requires five or more symptoms, causing significant distress or impairment for at least two weeks.
  • Symptoms include significant weight changes, sleep disturbances, fatigue, feelings of worthlessness, difficulty concentrating, and suicidal thoughts.

Depression Subtypes

  • DSM-5 lists subtypes to describe specific types of depression.
  • Depression with anxious distress: characterized by anxiety symptoms such as tenseness, restlessness, lack of focus, fear, or losing control.
  • Depression with mixed features: includes manic symptoms like elevated mood, increased energy, or talkativeness.
  • Depression with melancholic features: lack of interest or pleasure in activities.
  • Depression with atypical features: elevated mood at times or around certain individuals, weight gain, increased appetite, or excessive sleep.
  • Mood-congruent or psychotic features: delusions or hallucinations.
  • Catatonia: person may be immobile or frozen for extended periods.
  • Seasonal pattern (formerly known as seasonal affective disorder): symptoms only appear during certain times of the year, often fall or winter.
  • Peripartum onset: appears during/after pregnancy or birth.

Persistent depressive disorder

  • Characterized by mild to moderate depression for at least two years and two or more of the symptoms of major depressive disorder.
  • Symptoms such as decreased/increased appetite, sleep difficulties, fatigue, low self-esteem, difficulty concentrating or making decisions, hopelessness, or pessimism.

Disruptive mood dysregulation disorder (DMDD)

  • Childhood condition of extreme irritability, frequent and intense temper outbursts.
  • Begin usually prior to the age of 10.

Premenstrual dysphoric disorder (PMDD)

  • Similar to PMS (premenstrual syndrome) but more severe.
  • Causes severe irritability, depression or anxiety in the week or two before menstruation.
  • Symptoms include lasting irritability or anger, sadness, despair, anxiety, panic attacks, mood swings, crying, lack of interest in activities, trouble thinking or focusing, tiredness, food cravings, trouble sleeping, and feeling out of control.
  • Bipolar I disorder (BD I): characterized by a single manic episode or recurrent manic and depressive episodes.
  • Bipolar II disorder (BD II): characterized by single (or recurrent) hypomanic episodes and depressive episodes.

Other Mood Disorders (Summary)

  • Childhood experiences play a significant role in increasing risk of sleep disorders, anxiety disorders, and depression in adulthood
  • The DSM-V diagnostic criteria are used to diagnose mood disorders.
  • Treatment options for these conditions include medications (e.g., SSRIs, SNRIs), psychological therapy, and lifestyle modifications.

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