Nu664C/Nu664C Family Psychiatric Mental Health
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What are the subtypes of Depressive Disorders to
know? - ...ANSWER...✔✔Persistent (Dysthymia),
Melancholic, Atypical, Psychotic, Postpartum, Childhood
Depression.
What characterizes Persistent Depressive Disorder
(Dysthymia)? - ...ANSWER...✔✔Chronic, low-grade
depression lasting at least 2 years (or 1 year in
children) with symptoms like low self-esteem, poor
concentration, fatigue, and hopelessness.
How do the symptoms of Persistent Depressive
Disorder compare to Major Depression? -
...ANSWER...✔✔Symptoms are less severe than
major depression but longer-lasting.
What is a common treatment for Persistent Depressive
Disorder? - ...ANSWER...✔✔SSRIs and cognitive-
behavioral therapy.
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What are the key features of Melancholic Depression? -
...ANSWER...✔✔Profound loss of pleasure
(anhedonia), lack of mood reactivity, early morning
awakening, weight loss, and psychomotor changes.
Who is more likely to experience Melancholic
Depression? - ...ANSWER...✔✔Common in older
adults and hospitalized patients.
What treatments are effective for Melancholic
Depression? - ...ANSWER...✔✔Medications and
electroconvulsive therapy (ECT).
What distinguishes Atypical Depression from other
types? - ...ANSWER...✔✔Mood can improve in
response to positive events, with features like
increased appetite, weight gain, excessive sleep, and
heavy limbs.
What demographic is more commonly affected by
Atypical Depression? -...ANSWER...✔✔Younger
individuals and those with bipolar disorder
What is the treatment for Atypical Depression? -
...ANSWER...✔✔SSRIs or MAOIs.
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What defines Psychotic Depression? -
...ANSWER...✔✔Severe depression with delusions or
hallucinations, which can be mood-congruent or mood-
incongruent.
What is the treatment approach for Psychotic
Depression? - ...ANSWER...✔✔Combined treatment
with antidepressants and antipsychotics or ECT.
What is Postpartum Depression and when does it
onset? - ...ANSWER...✔✔Onset during pregnancy or
within four weeks after delivery, characterized by
sadness, anxiety, irritability, and difficulty bonding with
the baby.
How does Postpartum Depression differ from 'baby
blues'? - ...ANSWER...✔✔It is more intense and long-
lasting than 'baby blues'.
What are the symptoms of Childhood Depression? -
...ANSWER...✔✔Irritability, academic decline,
withdrawal from peers, somatic complaints, and low
self-esteem.
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What are common risk factors for Childhood
Depression? - ...ANSWER...✔✔Family history and
environmental stressors.
What neurobiological factors are involved in
depression? - ...ANSWER...✔✔Dysregulation of
serotonin, norepinephrine, and dopamine; structural
brain changes include decreased hippocampal volume
and hypoactivity in the prefrontal cortex.
What genetic factor is associated with depression? -
...ANSWER...✔✔The serotonin transporter gene (5-
HTTLPR).
What are the side effects of SSRIs? -
...ANSWER...✔✔GI upset, sexual dysfunction,
insomnia.
What distinguishes SNRIs from SSRIs? -
...ANSWER...✔✔SNRIs inhibit serotonin and
norepinephrine reuptake and may cause hypertension.
What are examples of atypical antidepressants? -
...ANSWER...✔✔Bupropion (activating, seizure risk)
and mirtazapine (sedating, weight gain).