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Flashcards in Week Seven Deck (6)
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1
Treatment resistant depression patients

Vagal nerve stimulator

  • stimulates the Vagal nerve.  
  • Used to control seizures in the past.
  • Cost over $20,000 and insurances are very slow to pay for it because they describe it as somewhat experimental. 
  •  Involves electrical stimulation of the left Vagal Nerve by an implanted device.
  • Used for treatment resistant depression. 

2
Treatment resistant depression patients

Transcranial Magnetic Stimulation (TMS)

  • For treatment resistant depression
  • Repetitive stimulation of the prefrontal cortex which effects the Limbic circuits and acts on neurotransmitter systems
  • Newer versions of this approach are being studied.  Current results are modest.

3

If we see the depressive symptoms in spades, what should we ask before diagnosis? 

4

What should be considered if patient is in manic phase?

  • Hospitalization 

5

    Disruptive mood dysregulation disorder

 

  • Children older than 5 with temper/rage outbursts
  • The working name “Temper dysregulation disorder with dysphoria” was abandoned
  • It is intended to address the over diagnosis of bipolar disorder in children

6