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Depression Series II

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by Dr. O on February 4, 2010

Answers for Previous Day’s “Diagnose the Patient: Depression Edition”

1. B) Major Depressive Episode

2. A) Prozac (A SSRI)

3.A) Dysthymia

4. A) Supportive Psychotherapy

Type of Disorder Time Requirement No. of Symptoms Treatment

Major Depression  2 weeks          5 + depressed mood               SSRI +/-CBT

or Anhedonia

Dysthymia             2 years                    1-3 symptoms                 Supportive Therapy

Bipolar I              1 week or less             Mania (required)       Mood stabilizer

Bipolar II               2 weeks                  Major Depression      Mood stabilizer

Working Definitions: (stay tuned)

  1. A. Major Depression
  2. B. Dysthymia
  3. C. Bipolar I
  4. D. Bipolar II

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Response to Previous Day’s Question

by Dr. O on February 4, 2010

Question: Your spouse doesn’t like sex as much as you do. What should you do?

Response: Address the issue soon. This subject can destroy a marriage.

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Question of the Day: February 4th, 2010

by Dr. O on February 4, 2010

Your spouse spends excessively. What should you do?

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Diagnose the Patient: Depression Edition

February 3, 2010
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There are several different types of depression.  However, the type that most people are unaware of is Dysthymia. This type of depression is much milder than a Major Depressive Episode. Let’s look at a couple of examples and have our first lesson on depression:
1.Mr. X is a 34 year-old male who has had two weeks [...]

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I Am An Adult Living with Attention Deficit Disorder (ADD)

January 29, 2010
pos-it2

(Taken from the diary of a mad ADD patient)

I can’t go on like this anymore! I drop things, I lose things and sometimes I don’t know whether I am coming or going. Life for me ain’t been no crystal stairs, and if it was I would have probably broken them by now. Everyday I [...]

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Medication Management 252

January 27, 2010
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A novel new treatment for Bipolar Depression:
Seroquel-XR (Quetiapine fumarate)
My experience with this drug has been favorable. I am not an agent for AstraZeneca . I have not been paid, and I am not getting any kickbacks. This is for informational purpose only.

This is a novel, new agent which has a decreased number of side-effects.
It can [...]

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The Book of Eli: Masterpiece or Flop?

January 25, 2010
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I saw The Book of Eli Friday night, in the Gas Lamp district of San Diego, which is a very nice and trendy place with plenty of restaurants, shopping and people to watch.  I probably should have walked the area and had some fun, as opposed to attending this movie. I am both a psychiatrist [...]

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Relationship Survey 101

January 21, 2010

You attend your 40th High School class reunion. One of your old friends spent most of the night talking about sex after 40.  You reacquaint yourself with this friend and invite them over for dinner. All of your family members attend and dinner goes well. However, something happens between your classmate and your 25 year [...]

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Drug Pop Quiz 101

January 19, 2010

Which of the following antidepressants does not have a withdrawal phenomena?
Prozac
Zoloft
Paxil
All of the above have a withdrawal phenomena
The correct answer is D.
All of the above antidepressants are known as SSRIs (Selective Serotonin Reuptake Inhibitors). Each of them has an associated Serotonin Withdrawal Dysphoria/ Syndrome.  It is important to note that although all of them will [...]

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