Flashcards in Altered Mood Deck (34):
What is the leading cause of disability worldwide?
Most common depression diagnosis?
Mixed anxiety and depression
Are men or women more likely to get depression?
Life expectancy reduction in someone with depression?
How long must you have had symptoms for to be diagnosed with depression?
Core symptoms of depression
1) Low mood
(need at least 2 core plus additional symptoms)
Depression Additional Symtpoms
Loss of self confidence/self esteem
Recurrent thoughts: death, suicide, suicidal behaviour
Change psychomotor activity
Change in appetite
Mild/moderate/severe depression scoring
Mild: 2 core plus others to total minimum 4
Moderate: 2 core plus others to total minimum 6
Severe: 3 core plus others to total minimum 8
(severe +/- psychotic symptoms)
Loss of interest/pleasure
Lack of emotional reactions
Loss of appetite
Loss of libido
Early morning waking
-Need at least 4
-Weight loss at least 5% of body weight in past month
-psychomotor agitation/retardation marked on or reported by other people
Hallucinations in depression
-Usually mood congruent
-Auditory most common (second person and derogatory)
What is recurrent depression
Repeated episodes of mild, moderate or severe depression
-No episodes fulfilling criteria for mania or hypomania
Chronic low mood
Doesn’t fulfil criteria for RDD
May have fulfilled criteria for mild depressive episode (but not recurrent mild episode)
Tired and depressed for months at a time
Usually able to cope with demands of everyday life
-psychotic symptoms, similar to schizophrenia
-mood symptoms of bipolar disorder
-have both psychotic and mood symptoms at the same time or within two weeks of each other
Endocrine cause of low mood
Haematological cause of low mood
Inflammatory cause of low mood
Infective cause of low mood
Medication which could cause low mood
Inflammatory cause of low mood
A group of symptoms, such as stress, feeling sad or hopeless and physical symptoms that occur after going through a stressful event
-symptoms occur because you're having a hard time coping
-reaction is stronger than expected for the type of event that occured
One or more manic or mixed (manic and depressive) episodes
(lecture says two or more episodes of mania +/- depression)
Depressive episode with at least one episode of hypomania
What is rapid cycling bipolar?
4 or more mood episodes in one year
-may be interspersed with periods of wellness
-cycling may take place in a matter of days, weeks or months
Mean age of bipolar onset?
Which is more common, bipolar I or II?
Bipolar II (1.5-5% vs 1%)
Chance of developing bipolar if you have first degree relative with it?
~7 fold risk
Chance of child having bipolar if you have it?
50% risk of psychiatric disorder
Endocrine differential of bipolar?
Inflammatory differential of bipolar?
Infection differential of bipolar?
Medication which could cause symptoms similar to bipolar?
Persistant instability of mood
Numerous periods of mild depression and mild elation
Need prolonged observation or good account of past behaviour
Are men or women more likely to get bipolar?
Equally likely, ratio is 1:1