Deck 226: Mood Disorders

Question 1

A college student is brought to clinic by a parent who is concerned about increasingly bizarre behavior and poor school performance. The provider notes difficulty engaging the patient in an organized conversation. The patient denies any concerns about behavior. What will the provider do initially to manage this patient's symptoms?

A) Admit the patient for inpatient treatment
B) Begin treatment with lithium or lamotrigine
C) Counsel the parent to report any symptoms of depression
D) Schedule an appointment with a psychiatrist

Answer 1

B

Question 2

A patient is seen frequently over a 9-month period with somatic complaints that are not related to physical disease. The primary provider notes that the patient has had a 15% weight loss in the previous 2 months and the patient reports difficulty sleeping. The spouse tells the provider that the patient seems tired all the time and is irritable with other family members. What will the provider do initially?

A) Perform a suicide risk assessment
B) Prescribe a selective serotonin reuptake inhibitor
C) Refer the patient for psychotherapy
D) Suggest cognitive-behavioral therapy

Answer 2

A

Question 3

A patient is seen in clinic 2 weeks after the death of a parent. The patient reports feelings of sadness and hopelessness and a feeling that the parent is still present, even to the point of hearing the parent's voice at times. What will the provider determine from these findings?

A) There is a concern for hypermania.
B) There is a possibility of manic episodes.
C) These are concerning for depression.
D) These are normal grief responses.

Answer 3

D