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Psychiatry Week 1 2018/19 > 3: Depressed mood > Flashcards

Flashcards in 3: Depressed mood Deck (38)
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1

By which age do 50% of mental disorders start?

14

2

By which age do 50% of mood disorders start?

30

3

What is the definition of early morning wakening?

Waking up at least 2 hours before your normal time

4

What is stupor?

Extreme of psychomotor retardation, patient shuts down and doesn't do anything e.g eating

5

What is euthymia?

Normal mood

6

How do depressed people appear and behave?

Reduced facial expression

Furrowed brow

Little/no eye contact

Slow/absent movements

7

Why is it difficult to establish rapport with a depressed patient?

Apathy

8

How do people with depression speak?

Slowly

Quietly

Low pitch, monotonous

Monosyllabic / short responses

9

People who are depressed often have a speech ___.

delay

while they think of an answer

10

Describe a depressed person's mood.

Low, sad, miserable

"Flat" "empty" "black" "numb"

some patients may be irritable

11

Describe a depressed person's affect.

Depressed

Flattened

Unreactive - little variance in affect when subject of conversation changes

12

What is emotional paralysis?

"Numbness", inability to feel emotion - often reported by patients who are depressed

13

How does depression affect a patient's thoughts?

Slowed / absent

Content is negative, guilty, pessimisticdelusive (guilty, nihilism, hypochondriac, blaming others)

14

Do people with depression experience perception disturbances?

Uncommon

Otherwise second person, self-critical auditory hallucinations

15

Depressed patients may experience ___-person auditory hallucinations.

Give an example?

second-person auditory hallucinations

"You are a bad person" - usually reflects mood

16

How does depression affect a patient's cognition?

Slowed cognition

Difficulties with concentration and memory (orientation usually intact)

"Pseudo-dementia"

17

Do depressed patients have insight?

Yes

18

Who do people with depression usually blame their symptoms on?

Themselves

19

How can a depressed patient's posture be described?

Defeated

20

What is the chance that you will have a depressive episode during your lifetime?

Around 20%

21

Depression is often (acute / chronic).

chronic

meaning it lasts > 2 years

22

What are the two extremes of mood?

Mania

Depression

23

What is psychosis?

Impaired relationship with reality, featuring:

delusions

hallucinations

thought disorder

passivity of thought

24

What is the European classification of diseases called?

ICD-10

25

What is the American classification of diseases called?

DSM-5

26

What are the four mood disorders according to the ICD-10?

Mania

Bipolar disorder

Depressive disorder

Dysthymia (persistent low-grade depression)

27

What is dysthymia?

Chronic, persistent, low-grade depression

e.g patient can still carry out daily activities, work

28

According to the ICD-10, what are the three severities of depression?

Mild

Moderate

Severe

29

Do the ICD-10 and DSM-5 classifications of depression match up?

No

just to be confusing :)

30

How do you differentiate depression from a normal low mood?

Persistent

Interfering with normal function