By which age do 50% of mental disorders start?
By which age do 50% of mood disorders start?
What is the definition of early morning wakening?
Waking up at least 2 hours before your normal time
What is stupor?
Extreme of psychomotor retardation, patient shuts down and doesn't do anything e.g eating
What is euthymia?
How do depressed people appear and behave?
Reduced facial expression
Little/no eye contact
Why is it difficult to establish rapport with a depressed patient?
How do people with depression speak?
Low pitch, monotonous
Monosyllabic / short responses
People who are depressed often have a speech ___.
while they think of an answer
Describe a depressed person's mood.
Low, sad, miserable
"Flat" "empty" "black" "numb"
some patients may be irritable
Describe a depressed person's affect.
Unreactive - little variance in affect when subject of conversation changes
What is emotional paralysis?
"Numbness", inability to feel emotion - often reported by patients who are depressed
How does depression affect a patient's thoughts?
Slowed / absent
Content is negative, guilty, pessimistic; delusive (guilty, nihilism, hypochondriac, blaming others)
Do people with depression experience perception disturbances?
Otherwise second person, self-critical auditory hallucinations
Depressed patients may experience ___-person auditory hallucinations.
Give an example?
second-person auditory hallucinations
"You are a bad person" - usually reflects mood
How does depression affect a patient's cognition?
Difficulties with concentration and memory (orientation usually intact)
Do depressed patients have insight?
Who do people with depression usually blame their symptoms on?
How can a depressed patient's posture be described?
What is the chance that you will have a depressive episode during your lifetime?
Depression is often (acute / chronic).
meaning it lasts > 2 years
What are the two extremes of mood?
What is psychosis?
Impaired relationship with reality, featuring:
passivity of thought
What is the European classification of diseases called?
What is the American classification of diseases called?
What are the four mood disorders according to the ICD-10?
Dysthymia (persistent low-grade depression)
What is dysthymia?
Chronic, persistent, low-grade depression
e.g patient can still carry out daily activities, work
According to the ICD-10, what are the three severities of depression?
Do the ICD-10 and DSM-5 classifications of depression match up?
just to be confusing :)
How do you differentiate depression from a normal low mood?
Interfering with normal function