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Psychiatry > Affective Disorders > Flashcards

Affective Disorders Flashcards

1
Q

what is a mood disorder?

A

disorders of mental status and function where altered mood is core feature

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2
Q

what would suggest that the depression has become a mood disorder rather than an emotion?

A

> impairment of function
specific symptoms and signs
persuasiveness of symptoms
persistence of symptoms

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3
Q

name some mood changes in depression

A

> low mood
anxiety
perplexity
anhedonia

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4
Q

how does depression affect thought content?

A 
> worthlessness
> guilt
> hopelessness
> neurotic symptomology (panic attacks)
> ideas of reference (normal events with negative associations with you)
> delusions and hallucinations
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5
Q

what physical changes occur in depression?

A 
> loss of appetite
> loss of libido
> pain
> constipation
> lack of energy
> insomnia
> agitation
> retarded motor function
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6
Q

what social affects does depression have?

A 
> loss interest
> irritability
> apathy
> withdrawal
> loss of concentration 
> loss of confidence
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7
Q

what is the ICD-10 classification of depression?

A

> no hypermanic episodes in life
2 weeks
not attributed to psychoactive substances
exclude psychotic illness if psychotic symptoms are present

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8
Q

what is the ICD-10 classification of somatic syndrome?

A 
> loss of interest in activities
> lack of emotion
> waking 2 hours before normal
> loss of weight/appetite/libido
> depression worse in the morning
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9
Q

what is the ICD-10 classification of mild depression?

A

at least 2 of:
> abnormal depressed mood almost every day for 2 weeks
> loss of pleasure
> decreased energy

at least 4 of 
> appetite change
> recurrent suicidal thoughts
> decreased concentration
> guilt
> loss of confidence
> agitation
> sleep disturbance
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10
Q

what is the ICD-10 classification of moderate depression?

A

at least 2 of:
> abnormal depressed mood almost every day for 2 weeks
> loss of pleasure
> decreased energy

at least 6 of 
> appetite change
> recurrent suicidal thoughts
> decreased concentration
> guilt
> loss of confidence
> agitation
> sleep disturbance
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11
Q

what is the ICD-10 definition of severe depression?

A

all of:
> abnormal depressed mood almost every day for 2 weeks
> loss of pleasure
> decreased energy

at least 8 of 
> appetite change
> recurrent suicidal thoughts
> decreased concentration
> guilt
> loss of confidence
> agitation
> sleep disturbance
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12
Q

true or false

there is an increase in psychiatric admission in the first 30 days after giving birth

A

true

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13
Q

what is the differential diagnosis of depression?

A 
> normal reaction to life event
> dysthymia
> cyclothymia
> bipolar
> stroke
> tumour
> hypothyroidism
> drugs
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14
Q

name 3 classes of antidepressants

A

> selective serotonin reuptake inhibitors
tricyclic antidepressants
monoamine oxidase inhibitors

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15
Q

what physical treatment exists for depression?

A

> ECT
deep brain stimulation
psychosurgery

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16
Q

what psychological treatment exists for depression?

A

> cognitive behavioural therapy
interpersonal therapy
family therapy

17
Q

what measurement tools exist for assessing depression?

A

> structural clinical interview for DSM disorders

> schedules for clinical assessment in neurosurgery

18
Q

what is mania?

A

pathological inappropriate elevated mood similar to the effects of mentally stimulating drugs

19
Q

what is the ICD-10 classification of hypomania?

A 
> no psychosis
> mild elevation of mood for several days
> increased:
- activity
-talkativeness
- energy
- overfamiliarity
- sociability
> irritable
> decreased concentration
> new interests
> mild overspending
> does not cause severe disruption
20
Q

what is the ICD-10 classification of mania?

A 
> can be psychosis
> 1 week
> severe enough to disrupt social and work life
> increased
- mood
- energy
-activity
> pressure of speech
> decreased need for sleep
> grandiosity
> disinhibition
> alteration of senses
> irritability
21
Q

give a psychiatric differential diagnosis for mania

A 
> mixed affective state
> schizophrenia
> schizoaffective disorder
> ADHD
> cyclothymia
> drugs/alcohol
22
Q

give a medical differential diagnosis for mania

A 
> hyperthyroidism
> cushings
> neurosyphilis
> epilepsy
> tumour
> AIDS
> MS
> stroke
23
Q

what treatment options are there for mania?

A

> lithium
ECT
antipsychotics (olanzapine, risperidone)
mood stabilisers (carbamazepine)

24
Q

what is bipolar disorder?

A

repeated 2+ episodes of depression, mania or hypomania

25
Q

true or false

bipolar disorder affects males more than females

A

false it affects both equally

26
Q

what is the mean age of onset of bipolar disorder?

A

21 years

27
Q

what age rage is there a risk for depression?

A

18-44 years

28
Q

what associations are there with depression?

A

> lower educational attainment
genetics
life events

Psychiatry (10 decks)

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