Depression

Question 1

Diagnostic criteria for MDD

Answer 1

Question 2

Neurovegetative Symptoms of Depression

Answer 2

Common:
Fatigue, low energy
Inattention
Insomnia, early morning awakening
Poor appetite, associated weight loss

Sometimes included:
Decreased libido and sexual performance
Menstrual irregularities
Worse depression in the AM

Question 3

MDD With mixed features

Answer 3

With mixed features
•3+ manic/hypomanic symptoms during the depressive episode (if occur independently, diagnose bipolar disorder)

Question 4

MDD With melancholic features

Answer 4

With melancholic features
•Loss of pleasure or reactivity to pleasure
•3+ of the following
•Severe depression/despair
•Mood worse in AM
•Early morning awakening
•Psychomotor disturbance
•Anorexia/weight loss
•Guilt

Question 5

MDD With atypical features

Answer 5

With atypical features
•Mood reactivity
•2+ of following
•Increased appetite/weight
•Hyposomnia
•Leaden paralysis
•Rejection sensitivity

tend to be the reverse of the neurovegetative symptoms.

Question 6

What are the dosages and names of the SSRIs

Answer 6