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Hugh's MD2 Foundation > Depression > Flashcards

Flashcards in Depression Deck (12):
1

What are some questions to ask an anxious patient?

Do you feel on the edge

Are you worrying a lot

How you been irritable

How you had difficulty relaxing

2

What might be found in laboratory findings in depression?

Elevated cortisol

Dexamethasone nonsuppression

3

What are some physical signs of anxiety?

Palpitations

Sweating

Dizziness

Tachycardia

Hypertension

"Butterfly's in stomach"

Diarrhoea

4

What are the 8 aspects of the mental state examination?

1. Appearance

2. Attitude towards the interview

3. Speech and Language

4. Mood and Affect

5. Thought process and thought content

6. Perception

7. Cognition

8. Insight

5

How do you make the diagnosis of depression?

2 weeks in which lowered mood is experienced on most days 

Causes significant distress

It interferes with the person's ability to function

Feelings of worthlessness and guilt

6

What does the Yerkes-Dodson therapy describe?

The relationship between the level of arousal and performance status is a bell curve

7

What is anxiety?

Anxiety that is out of proportion to the stimulus, in duration and intensity

Causes significant distress

8

What are the DSM-IV criteria for diagnosis of Major Depression?

At least 5 out of the following:

1. Depressed mood

2. Loss of interest in normal activities

3. Significant increase or loss of weight

4. Insomnia or hypersomnia

5. Psychomotor agitation

6. Diminished ability to concentrate

7. Fatigue

8. Feeling of worthlessness or guilt

9. Desire to die

9

What are some melancholic features of major depression?

Anhedonia

Worse in the morning, early waking, significant weight loss, excessive guilt

10

What are some questions to ask to elicit the symptoms of depression?

Low energy?

Loss of interest?

Loss of confidence in self?

Felt hopeless?

11

What must you exclude to make the diagnosis of depression?

Direct physiological effect from some physical pathology

Dereavement

Psychotic disorders

12

How prevalent are mental illnesses?

45% lifetime prevalence