Mood Disorders — Flashcards

Flashcard 181: What is the first line therapy for anorexia nervosa? _____

Answer: Nutritional rehabilitation and psychotherapy

Flashcard 182: How does intelligence change in the elderly?_____

Answer: No change

Flashcard 183: Which \u03bc-opioid antagonist is used to help reduce cravings for alcohol and prevent relapse in opioid use disorder?

Answer: Naltrexone

Extra: Naltrexone is a long-acting \u03bc-opioid receptor antagonist. It is used in the management of: 1. **Alcohol use disorder**: Reduces cravings and the positive reinforcement of drinking. 2. **Opioid use disorder**: Used for relapse prevention after detoxification. (Note: Naloxone is used for acute overdose due to its short half-life).

Flashcard 184: A _____ history of completed suicide is another well-known risk factor for suicide completion

Answer: family

Flashcard 185: Which personality disorder is characterized by unstable mood and relationships and a sense of emptiness? _____

Answer: Borderline (cluster B)

Flashcard 186: What sexual dysfunction may be treated with SSRIs? _____

Answer: Premature ejaculation

Flashcard 187: Sleep in the elderly is associated with _____ REM latency

Answer: decreased

Extra: Changes in sleep patterns with normal aging: - ↓ Total sleep time - ↓ REM sleep duration - ↓ N3 (Slow-wave sleep / Deep sleep) - ↑ Sleep latency (increased time to fall asleep) - ↓ REM latency (REM occurs earlier in the night)

Flashcard 188: Narcolepsy is characterized by nocturnal and narcoleptic sleep episodes that start with _____ sleep (sleep paralysis)

Answer: REM

Flashcard 189: What is the first-line pharmacological treatment for excessive daytime sleepiness in narcolepsy?

Answer: Modafinil

Extra: Initial management of narcolepsy includes sleep hygiene and scheduled daytime naps. Modafinil (a non-amphetamine stimulant) is the first-line pharmacological treatment for excessive daytime sleepiness. \n\nNote: Sodium oxybate is often used for cataplexy.

Flashcard 190: _____ in the house are an independent risk factor for suicide completion

Answer: Firearms