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Mood Disorders

Description

University Level Nursing - Psychiatry Mind Map on Mood Disorders, created by SaraJaarour on 10/15/2015.
SaraJaarour
Mind Map by SaraJaarour, updated more than 1 year ago
SaraJaarour
Created by SaraJaarour over 6 years ago
207
2

Resource summary

Mood Disorders
  1. Unipolar
    1. Major Depressive Disorder

      Annotations:

      •  15% die suicide
      1. Diagnostic Criteria

        Annotations:

        • Single episode of Major Depression Alteration in sleep, appetite, energy
        • 5 symptoms for 2 weeks 1 must be depressed mood or loss of interest and pleasure Sleep/Guilt/Energy/Concentration/appetite/Psychomotor/suicidality
        • Untreated Episodes: 6-12 months
        1. Epidemiology

          Annotations:

          • PR 5-20% Female-Male 2:1 IR 20-40  Decreases above 65
          1. Etiology

            Annotations:

            • Genetic/Personal Experience Deficiency in: NE - Alertness and enegry Serotonin - mood and imulse Dopamine - drive and motivation
            • Neuro-endocrine link Hypothalamic-Pituitary-Adrenal axis
            • Anti-hypertensives Cortisone Analgesics Hormones
            • Brain Tumors CVA High Potassium, Sodium Bicarb Calcium Low Vitamines B1,B6, C, D, Folic Acid
            1. Beck

              Annotations:

              • Pessimistic Views
              1. Hopelessness Theory
            2. Persistent Depressive Disorder
              1. Dysthymic Disorder

                Annotations:

                • Mild/Chronic MDD PR: 6% 2 years of chronically depressed mood
                1. Diagnostic Criteria

                  Annotations:

                  • Sleep Appetite Energy Concentration and Hopelessness Major Depressive Episodes may co-occur --> Double Depression
              2. Bipolar
                1. Bipolar 1

                  Annotations:

                  • Most serious At least 1 episode of mania and MD EPISODES
                  1. Diagnostic Criteria
                    1. Mania

                      Annotations:

                      • 3 to 4 of the below: esteem/sleep/speech/thoughts/attenntion/activity/Hedonism A week of elevated mood for one time
                      • PR 0.4-1.6% Male=Female Early 20s Sleep/wake cycle
                  2. Bipolar 2

                    Annotations:

                    • PR 0.5% Women Cyclic  Suicide 15%
                    1. Diagnostic Criteria

                      Annotations:

                      • Hypomania 3 days with 3 or 4 of the following symptoms: Grandiose-Decreased sleep-Pressured speech- Racing thoughts-Flight of ideas-easily distractible-psychomotor agitation
                    2. Cyclothymic
                      1. Diagnostic Criteria

                        Annotations:

                        • Recurrent, Chronic, Mild  Hypomania and dysthymia Adolescents to early adulthood
                        • PR 0.1-1% MEN=WOMEN Steroids, high dose anti-convulsants, amphetamines, narcotics
                        • 1 episode of hypomania
                    3. Mood Disorder with a known etiology
                      1. Substance Induced
                        1. Due to a medical condition
                          1. Melancholic Depression

                            Annotations:

                            • Depression Guilt Remorse Loss of pleasure Vegetative Symptoms
                            1. Postpartum Depression

                              Annotations:

                              • 4 weeks of delivery
                              1. Seasonal Mood Disorders

                                Annotations:

                                • Depression worsen in the fall and improve in the spring and vice versa
                                1. Atypical

                                  Annotations:

                                  • Pattern of hyperinsomia, increased appetite and weight gain
                                  1. Rapid Cycling

                                    Annotations:

                                    • 4 mood disturbances per year
                                    1. Catatonic
                                    2. Disruptive Mood Dysregulation Disorder

                                      Annotations:

                                      • Childhood Bipolar Disorder Children up to 18 years
                                      1. Premenstrual Dysphoric Disorder

                                        Annotations:

                                        • The final week before the onset of menses, few weeks after its onset
                                        • first 4 must be present Affective liability (swings) Irratibility Depression Anxiety
                                        1. Suicide

                                          Annotations:

                                          • Tunnel vision Constriction in their common cognitive state
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