What are key features that differentiate bereavement from depression?
- suicidality is rare
- improves with social contact
- lack of diminished self attitude or worthlessness.
Depression can cause a lot of different sleep changes…but what is the most typical effect depression has on sleep?
Early morning awakening.
There are no absolute contraindications to ECT, however, what are the 5 high risk factors for ECT?
- Space occupying lesion in CNS
- Elevated ICP
- Recent MI
- Uncontrolled HTN
- Risk of cerebral bleed
What lithium level is considered toxic?
What is the treatment of lithium toxicity and when do you consider hemodialysis?
> 2.5
Treatment:
- DC Lithium
- aggressive IV hydration
- Hemodialysis if 1) S/S of sever toxicity or 2) level >4.
What is the term to describe poverty of speech and thought content?
Alogia
To meet criteria for “rapid cycling” how many episodes do you need in what time frame?
Is there a M vs F predominance?
At least 4 episodes in 1 year.
(Each episode must meet criteria for depressive, mixed, manic or hypomanic episode)
Female predominance.
Usually accepted time frame for grief can last up to?
12 months (usually 6-12 months)
RATES of suicide has increased the most in what age group over the past 40+ years?
Adolescence (Since 1950 nearly 4X increased rate)
A patient with Bipolar 2 Disorder has at least 1 depressive episode and 1 hypomanic episode…
Can they have psychosis?
Yes, but only in the depressive episode. If during hypomanic episode, then it is mania and they have BPAD 1.
Pancreatic Cancer is associated with high rates of what psychiatric illness?
Depresssion
