CMN 554 Final Exam Questions and Correct
Answers
MODULE 1: MOOD DISORDERS
Risk Factors for development of bipolar disorder
childhood adversity, cannabis and other substance use, previously married, genetic processes
common differential diagnosis for bipolar disorder
major depressive disorder, other bipolar disorders, GAD, Panic disorder, PTSD, bipolar,
substance/medication induced bipolar disorder, schizoaffective disorder, adhd, disruptive
mood dysregulation disorder, personality disorders
differentiate depressive episodes in bipolar 1 disorder vs bipolar II disorder
past episodes of mania, bipolar 1 accompanied by manic episodes bipolar II no manic just
hypomanic
For at least 2 years (at least 1 year in children and adolescents) there have been
numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic
episode and numerous periods with depressive symptoms that do not meet criteria for a
major depressive episode.
cyclothymia
symptoms of depression in children
2 week duration of depressed or irritable mood and/or loss of interest or pleasure
usually irritable rather than depressed
weight or appetite change
sleep disturbance
,psychomotor retardation or agitation
fatigue or loss of energy
feelings of worthlessness or guilt
diminished concentration
suicidal ideations, intent, or plan
IMPAIRMENT in child's functioning critical to diagnosis in youth
mood disturbance symptoms in depression
mood change: painful arousal, hypersensitivity to unpleasant events, insensitivity to pleasant
events, insensitivity to unpleasant events, reduced anticipatory pleasure, anhedonia affecting
blunting, apathy
severe recurrent temper outbursts manifested verbally (verbal rages) and/or
behaviorally (physical aggression toward people or property) that are grossly out of
proportion in intensity or duration to the situation or provocation
disruptive mood dysregulation disorder
family and twin data collectively suggest that genes explain approximately what percent
of bipolar disorder and what percent of major depression
75%, 37%
depressed mood for most of the day, for most days than not, as indicated by either
subjective account or observation by others, for at least 2 years
persistent depressive disorder
DIGFAST
, Manic Episode: distractibility, indiscretion, grandiosity, flight of ideas, activity increase,
sleep deficit, talkativeness
contraindications of bright light therapy
patients with glaucoma, cataracts, macular degeneration, retinal detachment, retinitis
pigmentosa or retinopathy, patients taking photosensitizing medications
indications for bright light therapy
seasonal affective disorder, circadian rhythm sleep disorders, insomnia, postpartum
depression, nonseasonal depression, bipolar depression, parkinson's disease, adhd, dementia,
fibromyalgia, delirium
3 levels of CBT therapy:
automatic thoughts, intermediate beliefs, cognitive schemata
automatic thoughts:
the conscious response to stimuli
intermediate beliefs:
assumptions about the self, the world, and the future that led to the automatic thought
occurring in response to a particular stimulus
cognitive schema:
the content (the beliefs) and the organization of that content, an individual schema determines
which stimuli are most likely noticed and encoded in memory, which stimuli are ignored or
discounted, how encoded information is linked to associated in memory, and which memories
are most easily recalled
Answers
MODULE 1: MOOD DISORDERS
Risk Factors for development of bipolar disorder
childhood adversity, cannabis and other substance use, previously married, genetic processes
common differential diagnosis for bipolar disorder
major depressive disorder, other bipolar disorders, GAD, Panic disorder, PTSD, bipolar,
substance/medication induced bipolar disorder, schizoaffective disorder, adhd, disruptive
mood dysregulation disorder, personality disorders
differentiate depressive episodes in bipolar 1 disorder vs bipolar II disorder
past episodes of mania, bipolar 1 accompanied by manic episodes bipolar II no manic just
hypomanic
For at least 2 years (at least 1 year in children and adolescents) there have been
numerous periods with hypomanic symptoms that do not meet criteria for a hypomanic
episode and numerous periods with depressive symptoms that do not meet criteria for a
major depressive episode.
cyclothymia
symptoms of depression in children
2 week duration of depressed or irritable mood and/or loss of interest or pleasure
usually irritable rather than depressed
weight or appetite change
sleep disturbance
,psychomotor retardation or agitation
fatigue or loss of energy
feelings of worthlessness or guilt
diminished concentration
suicidal ideations, intent, or plan
IMPAIRMENT in child's functioning critical to diagnosis in youth
mood disturbance symptoms in depression
mood change: painful arousal, hypersensitivity to unpleasant events, insensitivity to pleasant
events, insensitivity to unpleasant events, reduced anticipatory pleasure, anhedonia affecting
blunting, apathy
severe recurrent temper outbursts manifested verbally (verbal rages) and/or
behaviorally (physical aggression toward people or property) that are grossly out of
proportion in intensity or duration to the situation or provocation
disruptive mood dysregulation disorder
family and twin data collectively suggest that genes explain approximately what percent
of bipolar disorder and what percent of major depression
75%, 37%
depressed mood for most of the day, for most days than not, as indicated by either
subjective account or observation by others, for at least 2 years
persistent depressive disorder
DIGFAST
, Manic Episode: distractibility, indiscretion, grandiosity, flight of ideas, activity increase,
sleep deficit, talkativeness
contraindications of bright light therapy
patients with glaucoma, cataracts, macular degeneration, retinal detachment, retinitis
pigmentosa or retinopathy, patients taking photosensitizing medications
indications for bright light therapy
seasonal affective disorder, circadian rhythm sleep disorders, insomnia, postpartum
depression, nonseasonal depression, bipolar depression, parkinson's disease, adhd, dementia,
fibromyalgia, delirium
3 levels of CBT therapy:
automatic thoughts, intermediate beliefs, cognitive schemata
automatic thoughts:
the conscious response to stimuli
intermediate beliefs:
assumptions about the self, the world, and the future that led to the automatic thought
occurring in response to a particular stimulus
cognitive schema:
the content (the beliefs) and the organization of that content, an individual schema determines
which stimuli are most likely noticed and encoded in memory, which stimuli are ignored or
discounted, how encoded information is linked to associated in memory, and which memories
are most easily recalled
