Exam (elaborations)
Psychiatry & Behavioral Health PAEA EOR 2024/2025 A+ grade assured
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Psychiatry & Behavioral Health PAEA EOR 2024/2025 A+ grade assured
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Psychiatry & Behavioral Health PAEAEOR
Bipolar 1 Disorder Definition
≥ 1 manic episode and occasional MAJOR DEPRESSIVE episodes
Bipolar 1 Disorder strongest risk factor
Family history*
Brainpower
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Mania
Abnormal & persistently elevated, expansive or irritable mood (at least 1 week, or less if
hospitalization required), marked impairment of social/occupational function
Mood (euphoria)
Thinking (racing, disorganized)
Behavior (Bipolar 1 Disorderhyper, pressured speech, risk taking...)
Bipolar 2 Disorder
Hypomania + Major depressive episode*
Bipolar 1 Disorder Management
Mood stabilizers (2nd or 1st gen antipsychotics, may add SSRI for depressive sx)
Hypomania
,Period of eleood stabilizers (2nd or 1st gen antipsychotics, may add SSRI for depressive
sx)vated, expansive or irritable mood (at least 4 days that is clearly different from normal
depressed mood), does not cause marked impairment (no psychotic features)
Mood: euphoria
Thinking: racing, disorganized...
Behavior: hyper, pressured speech, excessive involvement in pleasurable activities
Bipolar 2 Disorder Management
1. Mania: Lithium, valproate, 2nd gen antipsychotics
2. Depression: (same as mania)
3. Mixed: atypical antipsychotics, valproate
TERM
What type?
DEFINITION
Bipolar 1
LOCATION
Image: What type?
TERM
What type?
DEFINITION
Bipolar 2
LOCATION
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TERM
What type?
DEFINITION
Major Depressive Disorder
LOCATION
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TERM
What type?
DEFINITION
Cyclothmia
LOCATION
Image: What type?
Cyclothymia
Less severe version of bipolar, often longer lasting
, Mania: never, but periods of elevation.
Depression: symptoms but no full episode within 1st 2 years
Hypomania: may have sx, but do not meet full criteria
Major Depressive Disorder Definition
Depressed mood + anhedonia w/ ≥5 assoc sx almost everyday for most of the day x2
weeks*
Absence of mania or hypomania
Major Depressive Disorder Sx
Fatigue, sleep changes, guilt/worthlessness, recurring thoughts of death/suicide...
Constipation, headache, skin changes, chest/abd pain...
Major Depressive Disorder Risk factor
Family history
Major Depressive Disorder Pathopysiology
Alteration in neurotransmitters
Major Depressive Disorder Management
1. Psychotherapy: 1st line in mild to moderate depression
2. Medications: SSRIs first line medical tx*
3. Cognitive behavioral therapy
Dysthymic Disorder
Severity of mood does not meet criteria for major depression. (chronically depressed >2y in
adults, >1y in children).
Persistent Depressive Disorder
Includes chronic major depressive disorder & dysthymic disorder.
Generalized Anxiety Disorder
Excessive anxiety or worry a majority of days in a 6 month period associated w/ ≥3: fatigue,
restlessness, difficulty concentrating, muscle tension, sleep disturbance, irritability,
shakiness, headaches.
Generalized Anxiety Disorder Management
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