1
Q
Treatment resistant depression patients
Vagal nerve stimulator
A
- stimulates the Vagal nerve.
- Used to control seizures in the past.
- Cost over $20,000 and insurances are very slow to pay for it because they describe it as somewhat experimental.
- Involves electrical stimulation of the left Vagal Nerve by an implanted device.
- Used for treatment resistant depression.
2
Q
Treatment resistant depression patients
Transcranial Magnetic Stimulation (TMS)
A
- For treatment resistant depression
- Repetitive stimulation of the prefrontal cortex which effects the Limbic circuits and acts on neurotransmitter systems
- Newer versions of this approach are being studied. Current results are modest.
3
Q
If we see the depressive symptoms in spades, what should we ask before diagnosis?
A
4
Q
What should be considered if patient is in manic phase?
A
- Hospitalization
5
Q
Disruptive mood dysregulation disorder
A
- Children older than 5 with temper/rage outbursts
- The working name “Temper dysregulation disorder with dysphoria” was abandoned
- It is intended to address the over diagnosis of bipolar disorder in children
6
Q
A
DSM
flashcards
Decks in class (7)
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