types of mood disorders Flashcards

1
Q

categories of mood disturbance?

A

normal experience
clinical depression / mania (syndrome) - bipolar
recurrent episodes of mood disturbance
relatively mild & chronic mood disturbances (sub-syndromal depression + dysthymia)

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2
Q

core symptoms of depressive disorders?

A

low mood
lack of energy
lack of enjoyment + interest

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3
Q

2 classifications of features of depressive disorders

A

depressive thoughts

biological symptoms

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4
Q

depressive thoughts?

A

low self esteem
guilt + self blame
hopelessness
suicidal thoughts

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5
Q

biological symptoms of depressive disorders?

A
loss of interest / pleasure
lack of emotional response
EMW
DMV
reduced appetite
weight loss
psychomotor retardation / agitation
loss of libido
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6
Q

other presentations of depression

A
agitated depression
masked depression
atypical depression
psychotic depression
depression in a specific context (e.g. post-natal)
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7
Q

how do patients present with agitated depression?

A

there is no psycho-motor retardation, but instead the patient is restless and agitated

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8
Q

how do patients present with masked depression?

A

more difficult to diagnose

some of the depressive symptoms are less obvious

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9
Q

how do patients present with atypical depression?

A
over-eating
weight gain
increased sleep
patients are often extremely fatigued
(relationship with SAD)
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10
Q

how do patients present with psychotic depression?

A

hallucinations, often auditory

delusions

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11
Q

what are hallucinations?

A

a false perception where there is no external stimulus

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12
Q

what is a delusion?

A

an idea / belief, held on inadequate grounds and not in keeping with the patient’s educational and cultural background
the believes are firmly held

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13
Q

symptoms of mania?

A
elated mood
increased activity
increased energy
ideas of self importance
pressure of speech
flight of ideas
increased libido
reduced sleep
psychotic symptoms
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14
Q

classification of depressive episodes in manic patients?

A

mild
moderate
severe
severe with psychotic symptoms

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15
Q

classification of manic episodes in manic patients?

A

hypomania
mania
mania with psychotic symptoms

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16
Q

epidemiology of depressive symptoms?

A

point prevalence 13-20%

17
Q

epidemiology of depressive illness?

A

lifetime risk: 5-17%

18
Q

epidemiology of bipolar mood disorder?

A

lifetime risk: 0.5-1.5%

19
Q

causes of mood disorders?

A

predisposing: genetic factors, childhood experiences
precipitating: bereavement and other losses
perpetuating (maintaining): difficult relationships, financial difficulties, alcohol and drug misuse

20
Q

causes of mood disorders?

A

biological: genetic, brain illness, physical illnesses outside the brain
psychological: childhood experiences, view of yourself and the world
social: work, housing, finance etc.

21
Q

treatment of mood disorders

A

psychological
biological
social