achilles
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A 25-year-old moderately obese woman with a history of bipolar disorder diagnosed at age 19 complains to her physician that her recent struggles with her weight and eating have caused her to feel depressed. She states that she has recently had increased difficulty sleeping, has felt excessively anxious and agitated, and has had increasing thoughts of suicide. She often finds herself fidgety and unable to sit still for extended periods of time. Her family tells her that she is increasingly irritable. She has never previously attempted suicide. Her current medications include lithium carbonate and zolpidem as needed for sleep. Which of the following is more consistent with a diagnosis of major depressive disorder than bipolar depression in this patient during this episode?
A. Early onset of bipolar disorder
B. Increased appetite
C. Insomnia
D. Increased thoughts of suicide
E. Psychomotor agitation
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| cyra
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D
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| DrS
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not sure, but is it E. Psychomotor agitation?
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| amygdalaa
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I think suicidal thoughts occur in major depression. so D.
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| achilles
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the answer is D.
Bipolar depression is associated with less psychomotor agitation compared to unipolar depression (major depressive disorder), and thus a patient's agitation is more consistent with a major depressive disorder diagnosis than with the depression of bipolar disorder.
In psychomotor agitation the patient is restless, paces up and down, occupies him- or herself with purposeless activities, or starts tasks which are soon abandoned.
These questions turn out to be a good learning tool as some things i miss during my reading...these questions make me read them and bring them to my attention...questions are so imp to cover !! ( as if you did'nt know that already )
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| achilles
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opps...i did it again...the answer is E-psychomotor agitation...i guess i should type the whole answer instead of just a,b,c,d, or e.
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| cyra
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"Bipolar depression is associated with less psychomotor agitation compared to unipolar depression (major depressive disorder), and thus a patient's agitation is more consistent with a major depressive disorder diagnosis than with the depression of bipolar disorder. "
I had no clue about this little fact.Thankyou for taking the time out to post these questions achilles!
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| achilles
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cyra, there are so many little facts unknown to me too...i hope someday i am good enough to be entrusted with someone's life...that will be the real test.
so lets keep posting questions and sharing and discussing our confusions...
good luck.
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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| achilles
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Posts: 1,227
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this message was to start with a thanks...i dont know how it got deleted... .
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" it's not whether you get knocked down, it's whether you get up"
" i have miles to go before i sleep "
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