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Low level depression that lasts atleast 2 yrs |
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Low level depression with hypomania (slight shopping spree) for minimum of 2 yrs |
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Major depression and mania |
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Major depression and hypomania |
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Depression has 2 signs, which are? |
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Definition
Anhedonea (unable to enjoy former pleasures) or failure to function |
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Four sleep probs with Depressed ppl are: |
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Definition
Excessive sleepiness Short bursts of REM(But more REM overall) Early morning awakening |
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What is learned helplessness? |
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Definition
It is seen in depressed ppl who just dont want to do anything for themselves. This is followed by learned hopelessness and thus suicidal |
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What are the 3 levels of depression? |
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Definition
Acute reactive (less then 2 wks) Major Bipolar |
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What catecholamines moderate depression? |
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Definition
NE and Serotonin (more specific) will drop |
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Vomiting centers require which catecholamines? |
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Definition
Dopamine (but is also used by the basal ganglia therefore movement disorders - tics, chroea and psychosis) |
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Definition
Sym in the brain and parasym in the periphery |
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Definition
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Anticlonergic means the same thing as sym but no sweating (the only sym with muscarinic receptors) |
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Alpha 1 receptors are all in the? |
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Definition
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With SSRI's the side-effects are? |
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Definition
Anorgasmia (20% of females never had one) and if a male presents with depression cause of his PE then SSRI's will lighten up his world |
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Definition
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Definition
Painful erection for 4 hrs. This can be caused by a drug (SSRI subgroup) and can be cause of sickle cell |
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Definition
A risk factor for aged pts (But sunlight helps raise the catecholamines) |
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Pts on MAO inhibitors must avoid? |
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Definition
Aged cheese and wine (Tyramine -> ocatpine is potent analoge of NE thus BP goes up and no MAO's thus hypertension crisis) Thus in USMLE it would be a depressed person who went to a party last night. |
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So depression can be treated in 4 ways, which are? |
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Definition
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Definition
Lithium (but we dont know how it works - but might work like Na thus going into that channel and prevents too much Na to go through). NB that hyponatremia is a side-effect as it fools the body into thinking that its the Na. It also fools the thyroid into thinking that its iodine thus hypothyroidism is another side-effect. Same thing with PTH receptors thus high Ca and low Phospherous. It also blocks ADH receptors in the kidney -> nephrogenic Diabetes Insipidus (only 2 drugs can cause this) |
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Psychomotor seizures are aka? |
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Worry or demeanor translates to? |
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The fear of going outside |
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Fear of snakes in females was found to be due to? |
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Definition
First painful intercourse that they displaced onto snakes |
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A falsly held belief despite proof to the contrary (NB for it to be paranoia it has to be abt mulitple things) |
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Misperception of a stimulus |
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Is a perception without a stimulus |
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A pyscotic person has lost touch with reality, and shows? |
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Definition
Thought (thought references), speech (flight of ideas being spoken) disorders |
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