Mood Disorders- Depresison Flashcards

1
Q

What are mood disorders?

A

A spectrum of diseases where mood is altered. This can range from manai ato depressuon. It is the commonenst group f metnal disorders.

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2
Q

What are the two classes of mood disorders?

A

Primary- originate on their own

Secondary- Arise due to another condition e.g. cancer, dementia, drug misuse or medical treatment.

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3
Q

How are mood disorders related to anxiety?

A

Often associated with symptoms of anxiety and anxiety disorders. With those patients who have both a mood disorder and an anxiety disorder the mood disorder is treated first

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4
Q

What is dysthymia?

A

A sub-threshold disease with depressive symptoms. Typically consists if a dysthymic mood mixed with depressive episodes

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5
Q

Depression? Isn’t that just a fancy word for feeling bummed out?

A
Depression is an emotion 
Which can range from an            
Important severe, life threatening 
Grim disease 
Having massive impacts on 
The individuals life 

Yes it can lead to suicide
Or the more common symptoms include
Unhappiness of the most severe form

It may also be not as severe
Gandering from 
Nonchalant attitudes to an
Oversion to social situations. Depression is a 
Recurrent illness
And can be very 
Non- pleasurable for 
Those who suffer with it 

Sometimes it is a systematic disease presenting with
Lethargy and pain. Depression is not just
Unhappiness but is
Typically considered as a form of sadness

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6
Q

What is depression?

A

Emotion with a wide range of normal experiences, can range from severe and life threatening to fatigue and pain. Typically considered as a form of sadness and not just an absence of happiness. It is a disease that regularly re-occurs

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7
Q

What are the psychological symptoms of depression

A

Change in mood, depression, anxiety, perplexity (bewildered/overwhelmed) anhedonia (loss of joy from things that would once given one joy)

Change in thought content- guilt, hopelessness, worthlessness, hypochondriasis, agoraphobia, obsessions and compulsions, panic attacks, ideas of reference (thinking people are laughing at you when they aren’t) delusions and hallucinations

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8
Q

What are the physical signs of depression?

A
Change in bodily functions
Energy (fatigue
changes in sleep and appetite
Decreased libido
Pain
Constipation 
Change in psycho motor functions (agitation, retardation)
Stupor- patient stops moving acting dead but is not dead
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9
Q

What are the social symptoms of depression

A

Loss of interests/irritability
Apathy
Withdrawal, loss of confidence, indecisive
Loss of concentration, registration and memory

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10
Q

How do you classify depression according to the ICD-10 classification

A

Lasts for around 2 weeks
No hypomanic or manic episodes in lifetime
Not attributable to psychoactive substance use or organic mental disorder

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11
Q

How do you define somatic syndrome according to the ICD-10 classifiction

A

Marked loss of interest or pleasure in activities that are normally pleasurable
Lack of emotional reactions to events or activities that normally produce an emotional response
Waking 2 hrs before normal time
Depression worse in morning
Evidence of psyhomotor agitation or retardation
Marked loss of appetite
Weight loss (5%) or body weight in a month
Marked loss of libido

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12
Q

How do you classify mild depression according to the ICD-10 classification

A

At least two of

Depressed mood that is abnormal fro most of the day almost everyday for the past two weeks. Largely uninfluenced by circumstances
Loss of interest or pleasure
Decreased energy or increased fatiguability plus additional four from the ICD depression symptoms list

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13
Q

How do you classify moderate depression according to the ICD-10 classification

A

At least two of

Depressed mood that is abnormal for most of the day almost everyday for the past two week s largely uninfluenced by circumstances
Loss of interest or pleasure
decreased energy or fatigability
Additional six symptoms from ICD depression symptoms list

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14
Q

How to you classify severe depression according to the ICD-10 classification

A

All of

Depressed mood that is abnormal for most of the day almost everyday for the past two week s largely uninfluenced by circumstances
Loss of interest or pleasure
decreased energy or fatigability
Additional six symptoms from ICD depression symptoms list

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15
Q

What symptoms are on the ICD-10 symptoms list?

A
Loss of confidence or self esteem
Unreasonable feelings of guilt or self reproach
Recurrent thoughts of suicidal behaviour
Decreased concentration
Agitation or retardation
Sleep disturbance of any sort
Change in appetite
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16
Q

Describe post natal depression

A

Increased risk of psychiatric admissions in the 30 days following childbirth

75% experience baby blues within 2 weeks
10% of woman develop a major depressive disorder within 3-6- months
Puerpal psychosis- more rare
Despite there being a massive hormone change, there is no evidence hormones have an impact

17
Q

What are some differential diagnosis to depression?

A
Normal reaction to life event
SAD
Dysthymia
Cyclothymia
Bipolar disorder
Stroke/tumour/dementia
Hypothyroidism, Addison's, Hyperparathyroidism
Flu, mono, hepatitis, HIV/AIDS
Drugs
18
Q

What are the pharmacological treatments of depression?

A

SSRI’s- fluoxetine, citralizine
Tricyclic antidepressants
Monamine oxidase inhibitors
Other antidepressants

19
Q

What are the psychological treatments of depression?

A

CBT
IPT (interpersonal therapy
Individual dynamic psychotherapy
Family therapy

20
Q

What are the physical treatments of depression?

A

ECT
Psychosurgery
DBS (deep bran stimulation)
VNS (vagus nerve stimulation)

21
Q

What are some measuring tools for depression?

A

SCID (structured clinical interview for DSM disorders)
SCAN (schedules for clincial assessment in neuropsychiatry)
HDRS (Hamilton depression rating scale
HADS (hospital anxiety and depression scale
PHQ-9 (patient health questionnaire 9)

22
Q

Describe the epidemiology of depression?

A

avergae age of onset is around 27
typically occurs between the ages of 18-44
more likely if female
stable marriage less likely to be depressed
More likely if lower educational attainment
Increased risk in 1st degree relatives
typically occurs after exit events

23
Q

What are the outcomes for depression?

A
Typical episode lasts4-6 months
54% fail to recover after 26 weeks
12% fail to recover at all
80%+ experience further episodes
15% die by suicide