CT 2 - Depression And Mood Disorders Flashcards

Question

What must you be careful about with the use of anti-psychotics int he elderly population

Answer 1

All APs increase risks of strokes and VTE in elderly patients

Answer 2

Presents similarly to serotonin syndrome but occurs over a few days rather than acutely. It is also caused by very low levels of dopamine as opposed to high levels of serotonin in SS. Is caused by anti-psychotics. Hypertension, fever, tachycardia, sweating, lead pipe rigidity of limbs

Answer 3

Severe refractory depression (has not responded to meds) Catatonia Mania Works by electrodes administering mild electric impulses to brain under anaesthesia which can trigger release of NTs 50% relapse within 12 months

Answer 4

- long duration of symptoms - causes distress to oneself or others - despondent (low in spirit in depression or driven in mania) - dysfunction is present (social impairment and ADLs are affected)

Answer 5

Elevation of mood. Carefree and very happy. Uncontrollable excitement Increased energy and over activity Rapid rate of delivery of speech Decreased need for sleep Loss of normal social inhibitions resulting in reckless or impulsive behaviour Self esteem is inflated with grandiose ideas

Answer 6

All the symptoms of mania + now delusions are present (usually grandiose), hallucinations. Excessive motor activity Flight of ideas very extreme that communicating with patient is impossible

Answer 7

Persistent mild elevation of mood, increased energy and activity,increased socialability, talkativeness, increased sexual energy and decreased need for sleep . ‘ However these symptoms are not severe enough to cause disruption of work or impact ADLs Must be present for at least 4 days and there shouldn’t be much fluctuation throughout the day. There are no hallucinations or delusions

Answer 8

Two or more episodes in which there is disruption to the patients mood or energy levels. Can have manic episodes and depressive episodes on other occasions

Answer 9

Manic and depressive episodes

Answer 10

Hypomanic and depressive episodes

Answer 11

Persistent instability of mood with periods of depression and mild elevation of mood but are not severe or prolonged enough to warrant diagnosis of bipolar affective disorder

Answer 12

Chronic depression of mood lasting several years which is not severe enough to justify diagnosis of mild,moderate or severe recurrent depressive disorder

Answer 13

Repeated episodes of depression without any history of episodes with mood elevation. *note following a depressive episode and commencement of anti-depressants mild elevation of mood may be observed * for this diagnosis to be applicable must NOT have any history of mania!!!!!

Answer 14

By mild, mod or severe Presence or absence of psychotic symptoms

Answer 15

Helps patient identify triggers and deal with negative emotions, encouraging them to come up with strategies to help themselves and not be avoidant Is used for major depressive disorder, GAD, suicidal ideation, personality disorders

Answer 16

Advice on sleep hygiene, active monitoring, self guided CBT, group physical therapy

Answer 17

Therapist works with patient to identify problems within relationships that are impacting mental health. Eg Grief Conflicts with partners, family members, friends etc Personal difficulties like social isolation Helping with life changes etc

Answer 18

Stop anti-depressants Start on anti-psychotics and ECT in severe cases Psychoeducation (identifying triggers and making action plans)

Answer 19

Gold standard is lithium and is used to prevent recurrence Anti-convulsants such as lamotrigine as mood stabilisers For mania or hypomanic episode in bipolar affective disorder can use anti-psychotics

CT 2 - Depression And Mood Disorders Flashcards

(43 cards)