Affective Disorders Flashcards
(24 cards)
what are mood disorders
disorders of mental status ad function where altered mood is the core feature
refers to states of depression and of elevated mood
can be primary of a result of another illness
what are the classification systems
ICD10 international classification fo disease 10th edition
DSM5- diagnostic and statistical manual of disorders 5th edition
when does depression become abnormal
persistence of symptoms
pervasiveness of symptoms
degree of impairment
presence of specific of symptoms
what are psychological symptoms
change in mood anxiety anhedonia guilt hopelessnss worthlessness ideas of reference
what are physical symptoms
change in bodily function lack of energy early morning wakefullness initial insomnia loss of appetite fatigue pain agitation reatrdation
what are social symptoms
loss of interests
irritability
withdrawal
loss of concentration
what is the criteria for depression
last or 2 weeks
no hypomanic or manic episodes in life
what is mild depression
2 of depressed mood that is abnormal almost everyday loss of interest decrease energy 4 of loss of confidence unreasonable guilt decreased concentration agitation or retardation
what is moderate depression
2 of then 6 loss of confidence guilt decreased concentration agitation change in appetite recurrent suicidal thogutha
what is severe depression
all depressed mood loss of interest decreased energy loss of confidence guilt decreased concentration agiation change in appetite suicial thoughts sleep disturbance psychotic symptoms
what is post natal depression
increased risk the first 30 days following brith
baby blues in first 2 weeks
develops 3-6 months after
what are differentials to depression
seasonal affective disorder bipolar normal reaction to life event stroke tumour depression
what are the antidepressants
SSRI
tricyclic antidepressants
monamine oxidase inhibitors
up to 6 months after response
what are psychological treatments
CBT
IPT
family therapy
what are physical treatments
ECT
what is mania
describe a state of feeling or mood than can range from near normal to severe
mania- for a week with large impact
hypomania- 4 days with no impact
what is hypomania
lesser depress of mania no psychosis elevation of mood for several days increased energy increase sociability concentrations reduce over familiar
what is mania without or without psychotic symptoms
1 week severe elevate mood increased energy disibhibtion pressure of speech alteration of senses extravagant spening poor sleep increase libido grandiosity
what are differentials
shiziophrenic drugs and alcohol ADHD stroke MS tumour
what are antisychtocis
olanzapine
risperidone
quetapine
what are mood stabiliser
sodium valproate
lamotrigine
carbamazepine
lithium
what is bipolar affective disorder
2 or more episodes of depression an mania or hypomania
what is the epidemiology of bipolar
males=females
mean age 21
what is the epidemiology of depression
more common in females
mean age 27
less common in those employed
less common in those financially independent
