CMN 552 FINAL EXAM
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
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
