Mood Disorder Flashcards
(74 cards)
What is Masked Depression
Depressed mood not prominent, but other features of depression are
Define Mood
Patient’s sustained emotional state over a period of time
Can be Dysthymic (Low), Euthymic (Normal) or Elevated
Define Affect
Transient flow of emotion in response to a particular stimulus
Define Mood Disorder
Condition characterised by distorted/excessive/inappropriate moods for a sustained period of time
State the ICD10 class 1-7 for mood disorders
1 - Manic Episode (inc Hypomania)
2 - BPAD
3 - Depressive Episode
4 - Recurrent Depressive Episode
5 - Persistent Mood Disorders (Dysthymia, Cyclothymia)
6 - Other Mood Disorders
7 - Unspecified Mood Disorders
State the two classifications of Mood Disorder and give example
Unipolar - Depressive Disorders, Dysthymia
Bipolar - Cyclothymia, BPAD
State three causes of Secondary Mood Disorders
Physical Disorders (Hypothyroid, Cushing)
Psychiatric Disorders (Schizophrenia, Dementia)
Drug Induced
Define Depressive Disorder
Affective mood disorder characterised by persistent low mood, loss of pleasure and lack of energy
Give a Bio, Psycho, and Social PREDISPOSING factor for Depressive Disorder
Bio - Female
Psycho - Failure of effective stress control
Social - Lack of support
Other than the three core symptoms, give two cognitive symptoms of Depressive Disorder
Lack of conc. and decision making
Excessive guilt
Other than the three core symptoms, give two biological symptoms of Depressive Disorder
Diurnal Variation
Loss of Appetite
What is Becks Triad?
Negative thoughts about Self, World and Future
State the ICD10 classification of Mild, Moderate and Severe Depressive Disorder respectively
Mild - 2 core symptoms and 2 other symptoms
Mod - 2 core symptoms and 3-4 other symptoms
Severe - 3 core symptoms and >4 other symptoms
Name three diagnostic questionnaires for Depressive Disorder
PHQ9
HADS
Other than questionnaires, name two other investigations you could do for Depressive Disorder
Bloods (fbcs, tfts, glucose)
Head CT/MRI (sol)
What is Seasonal Affective Disorder?
Where mood is severely affected by change in seasons
Mood normally lowest in Winter months
What is Masked Depression
Depressed mood not prominent, but other features of depression are
What is Atypical Depression?
Presenting with the opposite of the typical features - such as Overeating and Hypersomnia
Define Dysthymia and Cyclothymia
Dysthymia - Depressive state for two years not meeting threshold
Cyclothymia - Chronic Mood Fluctuation for two years, insufficient to meet threshold
Give four non Pharmacological mainstay treatments of Depression
Self Help Programmes
CBT
Physical Activity Programmes
Psychotherapies
When would you use Antidepressants in Mild to Mod Depression?
Lasted a long time
History of Mod - Severe
Failure of other interventions
What is the first step in management of a Mod to Severe depressed patient?
Suicide risk assessment
When would you refer a Depressed patient to Psychiatry?
Suicide Risk High
Severe Depression
Recurrent Depression
Unresponsive to Initial Meds
Describe the pharmacological therapy of Mod to Severe Depression
SSRIs first line (continued for 5m after symptom resolution for first episode, reducing dose slowly in last month or 2y if second)
Adjuvants with Lithium or Antipsychotics
