Depression hx taking

Question 1

overall structure of depression hx

Answer 1

core, biological & cognitive symptoms
insight, risk, future feelings/thoughts & screen psychosis
past psych hx & current meds
social, impact on daily living & relationship strains/abuse/violence etc

Question 2

Establish core symptoms of depression

Answer 2

low mood, anhedonia, anergia
onset & development of symptoms - causes, changes in jobs/social situation

Question 3

Biological symptoms depression

Answer 3

EMW, DVM, loss of appetite, weight loss
decreased libido, decreased sleep

Question 4

Cognitive symptoms depression

Answer 4

• feeling hopeless
• worthless
• helpless
• poor memory/concentration/attention
• guilty

Question 5

Ddx depression

Answer 5

anaemia, hypothyroidism

Question 6

Are antidepressants addictive

Answer 6

no

Question 7

Remaining pieces of hx

Answer 7

• risk
• insight
• feelings/thoughts about future
• past psych hx
• screen psychosis
• current meds

Question 8

Social history

Answer 8

• aetiology (social, job, bereavement)
• alcohol misuse
• living situation - support?
• relationship strains, abuse/violence screen
• impact on daily living & work