Mood Disorders Flashcards
What are the core symptoms of depression?
Continuous Low Mood >2/52
Lack of Energy
Anhedonia
What are Biological Symptoms of depression?
Sleep, appetite and weight changes
Diurnal mood variation
Psychomotor changes
What are Cognitive symptoms of depression?
Low self-esteem Guilt/Self-Blame Hopelessness Hypochondriacal thoughts Poor concentration Suicidal ideation
How is Mild Depression classified?
2 Core symptoms + 2 other symptoms
How is Moderate Depression classified?
2 Core symptoms + 3-4 others
How is Severe Depression classified?
3 Core symptoms + >4 other
How does Severe Depression with Psychosis present?
Hallucinations and Delusions
What is Cyclothymia?
Mood characterised by periods of Mild Elevation/Depression with an early onset and a Chronic course
What is Dysthmia?
Mood characterised by Chronic low mood not fulfilling criteria for depression
What is a Mixed-Affective State?
Mixture or Rapid Alteration of Hypomania, Manic and Depressive Episodes
What management options are available for Depression?
Pharmacological - SSRI, SNRI ECT CBT Psychotherapy Mindfulness
What is Bipolar Disorder?
Chronic mental health disorder with episodes of Mania/Hypomania and depression
What are some symptoms of Bipolar disorder?
Mood - Elevated, irritable
Speech and Thought - Pressured, Flight of Ideas, Poor Attention
Behaviour - Insomnia, Disinhibition, Increased Appetite
How does Hypomania present?
A 3-4 day spell of symptoms that are not limiting, with the patient remaining high-functioning and able to continue life as normal
How does Mania present?
A 7+ day spell of manic symptoms significant enough to impair social and work function. Can also present with psychotic features
What characterises Type 1 Bipolar?
Mania and Depression
What characterises Type 2 Bipolar
Hypomania and Depression
What is Psychosis?
Patient experiences are different to those around them
What are some features of Psychosis?
Hallucinations
Delusions
Thought disorganisation
What are some associated features of Psychosis?
Agitation Aggression Neurocognitive impairment Depression Thoughts of DSH
What are some conditions that can present with Psychosis?
Schizophrenia Depression Bipolar Puerperal Psychosis Brief Psychotic Disorder Parkinsons Huntingdons Corticosteroid and Illicit drug use Delirium Delirium Tremens Hyperthyroidism Encephalitis Cerebral Lupus
What is Schizophrenia?
A group of disorders presenting with Psychotic episodes and negative symptoms
What are Schneider’ First rank symptoms of Schizophrenia?
Auditory Hallucinations
Thought Disorder
Passivisity Phenomena
Delusional Perceptions
What are some common negative symptoms of Schizophrenia?
Incongruity Blunting of Affect Anhedonia Avolution Poor Motivation Alogia - Poverty of Speech
