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Behavioral Science

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94 Deja Review: <strong>Behavioral</strong> <strong>Science</strong><br />

Does MDD appear at a certain age? The mean age of onset is 40.<br />

What are the medical conditions that<br />

can cause or mimic a depressive<br />

episode?<br />

What medications can cause depressed<br />

mood?<br />

What is double depression?<br />

What is “postpartum onset” depression<br />

(aka postpartum depression, PPD)?<br />

What is the diagnostic criteria for<br />

dysthymic disorder?<br />

How can you differentiate dysthymic<br />

disorder from MDD?<br />

How do you treat depression<br />

pharmacologically?<br />

Thyroid dysfunction (particularly<br />

hypothyroidism)<br />

Malignancy<br />

Stroke (Post-stroke depression)<br />

Neurodegenerative disorders<br />

Mononucleosis<br />

Acquired immunodeficiency syndrome<br />

(AIDS)<br />

Syphilis<br />

Parkinson disease<br />

Stroke<br />

Multiple sclerosis<br />

Lupus<br />

Nutritional deficiency<br />

Menopause<br />

Accutane (isotretinoin)<br />

Reserpine<br />

Beta-blockers<br />

Steroids (eg, prednisone)<br />

Methyldopa<br />

Interferon (used to treat viral hepatitis)<br />

Oral Contraceptive Pills<br />

This term is used when a patient meets<br />

criteria for both MDD and dysthymic<br />

disorder.<br />

A major depressive episode happening<br />

within 4 weeks of delivery (some believe<br />

within 12 months of delivery is still<br />

PPD)<br />

Depressed mood for a least 2 years,<br />

plus two more symptoms of major<br />

depression, but not meeting criteria<br />

for MDD<br />

Dysthymic disorder must last longer,<br />

but is less severe.<br />

The first-line treatment option is the<br />

selective serotonin reuptake inhibitors<br />

(SSRIs) (see Table 13.1).

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