abnormal psych chart 7 & 8 – Flashcards

Flashcard maker : Rebecca Baker
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Bipolar I
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Full manic and depressive episodes; severe
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Bipolar II
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Mildly manic, episodes alternate, not as severe
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______ % of adults in the US suffer from severe depression
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9
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What rate is depression higher among people?
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poor people
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5 main areas of functioning in unipolar depression
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1. emotional 2. motivational 3. behavior 4. cognitive 5. physical symptoms
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endogenous depression
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internal, don’t know where it came from
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Dysthymic disorder
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Symptoms “mild but chronic”
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diagnosing unipolar depression criteria 2:
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no history of mania
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What biochemical factors play a role in depression?
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serotonin & norephinephrine
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in the 1950s, what caused depression?
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high blood pressure medicine
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what areas in the brain does depression come from?
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prefrontal cortex, hippocampus, anyglada, brodman area 25
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3 main psychological views on unipolar depression
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Psychodynamic, behavioral, cognitive
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describe the behavioral view of unipolar depression
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depression results in changes in rewards and punishments people receive. Social rewards are important
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What scientist believes that positive rewards in life dwindle for some people leading to preform fewer constructive behaviors?
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Lewinsohn
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What are limitations of behavioral view of unipolar depression?
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research relied heavily on person
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Describe cognitive view of unipolar depression
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Negative thinking, learned helplessness
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Maria describes herself as “miserable,” has lost her sense of humor, and is displaying _____, or the inability to experience any pleasure at all.
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anhedonia
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According to DSM-5, a major depressive episode is a period marked by at least _____ symptoms of depression and lasts for _____ weeks or more.
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five; two
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Concerning whether a predisposition to depression is inherited, researchers have found that as many as _____ percent of the relatives of those with unipolar depression are depressed.
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30
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These theorists emphasize relationships and propose that depression results when people’s relationships leave them feeling unsafe and insecure
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object relations
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According to Beck, individuals repeatedly interpret their experiences, themselves, and their futures in negative ways that lead them to feel depressed. He calls this the cognitive
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triad
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Sharon experiences mild manic episodes that alternate with major depressive episodes over the course of time. She would be diagnosed with _____ disorder.
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bipolar II
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The symptoms of this milder form of bipolar disorder continue for two or more years, interrupted occasionally by normal moods that may last for only days or weeks.
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cyclothymic disorder
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research suggests that mania may be linked to low _____ activity
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serotonin
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Sociocultural view of unipolar depression
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greatly influenced by social context that surrounds people, depression is triggered by outside stressors
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2 types of stressors in sociocultural view
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family-social and multicultural
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Describe family social in sociocultural view
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connection between declining social rewards & depression is a two way street, uncomfortability in social contract
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divorced people are ___ times as likely to be depressed that married or widowed
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3
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describe multicultural in sociocultural view
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gender & depression. women are twice as likely to receive a diagnosis
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Artifact theory (multicultural)
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men don’t get help, so that side isn’t recorded
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life stress theory (multicultural)
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women in society experience more stress than men
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2 kinds of relationship in multiculutral view
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gender & depression cultural background & depression
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how many episode and how long does it have to last to be diagnosed as bipolar?
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3 or more episodes; a week +
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what is the permissive theory?
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low serotonin+low norephrinephrine=depression high serotonin+ high nor=manic
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between ____ and _____ of all adults in the world suffer from a bipolar disorder at any given time
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1% and 2.6%
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what causes bipolar disorder?
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These insights have come from research into NT activity, ion activity, brain structure, and genetic factors
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If ions fire too easily what does it cause? if it fires too slowly what does that cause?
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mania, depression
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around ____ of people with unipolar depression recieve treatment
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1/2
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Psychdynamic therapy for treating unipolar depression
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free association, therapist interpretation
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What can go wrong with psychodynamic therapy for unipolar depression?
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1. depressed clients may be too passive to fully participate 2. depressed clients may become discouraged and end treatment too early
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behavioral therapy in treating unipolar depression
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-reintroduce clients to pleasurable activities and events -appropratily reinforce their depressive and non behaviors -improve social skills
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what can go wrong with behavioral therapy in treating unipolar depression?
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too limited with people in severe cases
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cognitive therapy in treating unipolar depression
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increase activity, challenge automatic thought, identify negative thinking, challenge primary attitude
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How does Becks cognitive therapy work?
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uses 4 phases and lasts 20 sessions
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asociocultural therapy for treating unipolar depression
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multicultural treatments family social treatments interpersonal therapy
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studies show that ____ therapy is just as effective as cognitive therapy
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interpersonal therapy
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biological approach to unipolar depression
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electroconvulsion therapy (ECT), antidepressant drugs
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what does electrocunvulsion therapy (ECT) do?
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causes seizure in brain, 6-12 sessions
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In the 1950s 2 types of antidepressant drugs were found
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1. monoamine 2. tricyclics
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what were these antidepressant drugs originally treated with?
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TB
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how does monoamine (MAO) work?
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-breaks down norepinephrine -MAO inhibitors stop this breakdown from occurring -This leads to a rise in norepinephrine activity and a reduction in depressive symptoms -Approximately half of patients who take these drugs are helped by them
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Monamine(MAO) pose potentental danger. How?
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People who take MAOIs experience a dangerous rise in blood pressure if they eat foods containing tyramine (cheese, bananas, wine)
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how does tricyclics work?
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Tricyclics are believed to reduce depression by affecting neurotransmitter (NT) reuptake mechanisms
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how early do tricyclics have to be taken before improvement?
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10 days
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how do second generation antidepressants work?
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-These drugs increase serotonin activity specifically (no other NTs are affected) -Selective norepinephrine reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are also now available
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In recent years, three additional biological approaches have been developed:
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Vagus nerve stimulation Transcranial magnetic stimulation Deep brain stimulation
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how does Vagus nerve stimulation work?
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Depression researchers surmised they might be able to stimulate the brain by electrically stimulating the vagus nerve through the use of a pulse generator implanted under the skin of the chest Research has found that the procedure brings significant relief to as many as 40% of those with treatment-resistant depression
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how does Transcranial magnetic stimulation work?
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Another technique designed to stimulate the brain without the undesired effects of ECT, TMS has been found to reduce depression when administered daily for 2 to 4 weeks
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how does deep brains stimulation work?
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Theorizing a “depression switch” located deep within the brain, researchers have successfully experimented with electrode implantation in the brain’s Brodman Area 25
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In treating bipolar, what did antidepressants do?
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made it worse for the individual
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what actually helps treat bipolar disorder?
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lithium
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What do doctors add on to the treatment with lithium to help a little more?
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psychotherapy
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People with _____ disorder experience excessive anxiety under most circumstances and worry about practically anything.
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generalized anxiety
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This theory suggests that people with generalized anxiety disorder cannot tolerate the knowledge that a negative event may occur, no matter how slim the possibility.
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intolerance of uncertainty theory
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Kevin suffers from _____ and is afraid to leave the house and travel to public places or other locations where escape might be difficult for him.
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agoraphobia
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When talking about phobias, what does “stimulus generalization” mean?
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You become scared of things similar to the original phobia-producing stimulus.
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Dr. Napolitano is petting a cat in front of her client and then encourages Maria, her client, to pet the cat as well. This is known as:
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modeling
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Jill has been experiencing recurring periods of shortness of breath, sweating, trembling, faintness, and a feeling of unreality for over a month. She may be suffering from:
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panic disorder
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Studies have found that people who scored high on anxiety-sensitivity surveys are up to _____ times more likely than others to develop panic disorder.
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5
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This type of therapy has been found as least as helpful as medication for panic disorder.
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cognitive
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What is it called when you have persistent thoughts, ideas, impulses, or images that seem to invade your mind?
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obsession
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As much as _____ percent of people in the United States and other countries throughout the world develop OCD at some point during their lives.
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3
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This is an ego defense mechanism in which people unconsciously cancel out an unacceptable desire or act by performing another act.
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undoing
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Persons with OCD tend to have all of the following characteristics EXCEPT: -the belief that their intrusive negative thoughts are equivalent to actions. -to have exceptionally high standards of conduct and mortality. -lower rates of depression than other people. -the general belief that they should have perfect control over their thoughts and actions.
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c
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What is NOT expected to happen during psychodynamic therapy?
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Clients will forget the losses in their lives.
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Cognitive therapy follows four phases and usually requires fewer than _____ sessions.
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20
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This is a treatment for unipolar depression that is based on the belief that clarifying and changing one’s interpersonal problems will help lead to recovery.
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interpersonal psychotherapy
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The brain seizure caused by ECT lasts from _____ seconds to a few minutes.
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25
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People who take _____ may experience a dangerous rise in blood pressure if they eat foods containing the chemical tyramine.
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MAO inhibitors
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In a practice called _____ therapy, clinicians typically keep patients on tricyclics for five months or more after being free of depressive symptoms.
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continuation
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In studies of severely depressed people who have not responded to any other form of treatment, as many as 40 percent improve significantly when treated with:
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vagus nerve stimulation.
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What procedure to treat depression was first developed in 1985 in order to help patients without the undesired effects or trauma of ECT?
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transcranial magnetic stimulation
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What procedure to treat depression was modeled after techniques used successfully to treat Parkinson’s disease?
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deep brain stimulation
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This was a watershed medication for bipolar disorder when it was approved by the FDA in 1970.
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lithium
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The risk of relapse is _____ times greater if patients stop taking a mood stabilizer.
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28
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What is an important reason for those with bipolar disorder to participate in psychotherapy?
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to emphasize the importance of continuing to take their medication
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