Depression

Question 1

What is the commonest mood disorder?

Answer 1

Depression

Question 2

Which medical treatment can lead to depression?

Answer 2

Steroids

Question 3

What two classification symptoms can be used in Depression?

Answer 3

ICD-10 and DSM-5

Question 4

What can depression be defined as?

Answer 4

Form of sadness, not just absence of happiness

Question 5

Psychological Symptoms of Depression? (5)

Answer 5

Anxiety
Perplexity
Anhedonia
Agitation
Apathy

Question 6

What is Anhedonia?

Answer 6

Inability to experience pleasure in things normally enjoy

Question 7

What physical symptoms can depression present with? (6)

Answer 7

Lack of Energy
Too Much/Too Little Sleep
Appetite Changes
Weight Changes
Libido Changes
Constipation/Pain

Question 8

What is Stupor?

Answer 8

Extreme retardation in which consciousness is intact

Question 9

What happens during stupor?

Answer 9

Patient may stop eating, speaking, drinking

Question 10

What three core symptoms present in depression?

Answer 10

Low Mood
Anhedonia
Low Energy

Question 11

If delusions present in depression how do they usually present?

Answer 11

Negative or Guilty in Nature

Question 12

If hallucinations present in depression how do they usually present?

Answer 12

Usually Auditory second person

Question 13

What is a tactile hallucination?

Answer 13

eg feeling things crawling on skin

Question 14

What medical conditions can depression be linked to? (2)

Answer 14

Thyroid

Chronic Illness/Pain

Question 15

What medication can cause depression? (1)

Answer 15

Beta Blockers

Question 16

How long does depression need to last in ICD Classification?

Answer 16

At least 2 Weeks

Question 17

How does Depression Somatic Syndrome present? (5)

Answer 17

Waking 2 hours before normal time
Depression worse in morning
Marked loss of episode
Weight Loss
Marked loss of libido

Question 18

By what percentage does a person lose or gain weight in Depression Somatic Syndrome?

Answer 18

5%

Question 19

Lifetime prevalence rate of Depression?

Answer 19

2.9-12

Question 20

Point prevalence rate of Depression?

Answer 20

3.7-7.7

Question 21

Rates for Females of Depression?

Answer 21

2:1

Question 22

Highest risk of depression for what age?

Answer 22

18-44

Question 23

Median Risk of Depression age?

Answer 23

25

Question 24

Mean age risk of depression?

Answer 24

27

Question 25

When is there increased risk of psychiatric admission following childbirth?

Answer 25

30 days following Childbirth

Question 26

How long does the risk of postnatal depression following childbirth last?

Answer 26

24 Months

Question 27

What percentage of women experience blues within 2 weeks of giving birth?

Answer 27

75%

Question 28

What Endocrine conditions are differential diagnosis for Dementia? (3)

Answer 28

Hypothyrodism Addisons Hyperparathyrodism

Question 29

First Line Treatment for Depression?

Answer 29

Antidepressants | - SSRI

Question 30

Name 3 classes of Antidepressants?

Answer 30

SSRI TCA Monoamine Oxidase Inhibitions

Question 31

How long should antidepressants be continued for in Depression?

Answer 31

Six to Twelve Months

Question 32

What Psychological Treatments can be used for Depression? (4)

Answer 32

CBT Interpersonal Psychotherapy Family Therapy

Question 33

What physical treatments can be used for Depression? (4)

Answer 33

ECT Psychotherapy DBS VNS

Question 34

ECT can be used for Depression when?

Answer 34

Severe Treatment Resistant

Question 35

How to measure Depression? (5)

Answer 35

``` SCID SCAN BDI-II HADS PHQ-9 ```

Question 36

How long does a Typical Episode of Depression last?

Answer 36

4-6 Months

Question 37

What percentage of people with depression die by suicide?

Answer 37

15%

Question 38

How long does untreated Depression usually last?

Answer 38

Six to Twelve Months

Question 39

Complications of untreated suicide? (3)

Answer 39

Suicide Psychosis Dysfunction