For premenstrual dysphoric disorder (PMDD) the clinician should:
A. Give patients a trial of an SSRI to see if it relieves symptoms
B. Recognize that oral contraceptives can relieve symptoms
C. Ask the patient to keep a diary of mood and menses for 2 months
D. Diagnose the disorder only if the patient exhibits psychotic symptoms
ANS: C
Premenstrual dysphoric disorder (PMDD) is characterized by recurrent symptoms that occur during the luteal phase of the menstrual cycle and remit during menstruation. Even though many women express mood changes and other symptoms during the premenstrual phase, 5% to 9% fully meet the criteria for PMDD. Differential diagnosis includes bipolar disorder, thyroid dysfunction, premenstrual syndrome, exacerbation of unipolar depression, anxiety disorder, and cyclothymic disorder. Careful tracking of symptoms for at least 2 months is advised to determine a diagnosis of PMDD (Box 17.13).
You might also like to view...
The critical care nurse is experiencing psychologic symptoms of compassion fatigue
What strategies will the nurse use to enhance psychological well-being? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Make time for recreational activities. 2. Practice yoga for relaxation. 3. Plan to take a walk in the park at least once a week. 4. Monitor food and beverage intake. 5. Darken the room and limit activities before sleep.
List five things you will do in the care of the person with glaucoma.
What will be an ideal response?
Some studies indicate the ______% of US adults suffer from mental illness within their lifetime
a. 22.1% b. 32% c. 42% d. 11%
From the following responses, choose the most appropriate action a paramedic should take when asked to administer a category A drug to a pregnant patient?
a. Give half the dose b. Give the medication c. Question the order d. Refuse the order