Mood Disorders Flashcards Preview

Phase 2- Mental Health > Mood Disorders > Flashcards

Flashcards in Mood Disorders Deck (21):
1

Give 5 potential causes of mood disorders

Genetics
Brain disorders (focal lesions of subcortical white matter)
Physical illness
Childhood experiences
View of yourself and the world
Personality traits
Work
Housing
Finace
Poor relationships

2

What is the lifetime prevalence for depression?

10-20%

3

Why is depression more common in women?

Genetic predisposition
Sex hormone influences
Social pressures
More likely to accept feelings and symptoms
Comorbid conditions

4

What are the 3 core symptoms of depression?

Low mood for 2 weeks
Lack of energy
Lack of enjoyment (anhedonia)

5

What non-core cognitive symptoms may be present in depression?

Decreased self esteem
Guilt and self blame
Hopelessness
Poor concentration/attendance
Suicidal thoughts

6

What non-core somatic symptoms may be present in depression?

Early morning wakening
Increased sleep
Decreased appetite

Weight loss
Loss of libido
Psychomotor retardation

7

What is the ICD-10 classification of mild depression?

2 core symptoms and 2 others but able to function normally

8

What is the ICD-10 classification of moderate depression?

2 or 3 core symptoms and 3 or 4 others

9

What is the ICD-10 classification of severe depression?

3 core symptoms and at least 4 others

10

When is a psychiatric referral for depression needed?

Not responding to multiple treatments
Risk of harm to self or others
Need 2nd opinion
To access specialist therapies
Severely unwell so may need ECT

11

What is psychotic depression?

Hallucinations and delusions associated with depression. When the depression is worse the psychosis is also worse. The hallucinations are often a 2nd person auditory hallucination where the voice abuses the patient so they are at a high suicide risk

12

What is dysthymia?

Chronic low mood which does not fit the criteria of depression

13

What is bipolar disorder?

Episodes of mania or hypomania and episodes of depression.

14

What is the epidemiology of bipolar disorder?

Around 25 years of age onset
Men and women equally

15

Give 5 symptoms of hypomania

Mildly elevated
Expansive or irritable mood
Increased energy
Increased self esteem
Sociability
Talkativeness
Increased sex drive
Reduced need for sleep
Cannot concentrate
Lose social inhibition

16

Give 5 symptoms of mania

Elevated, expansive or irritable mood
Increased energy
Increased self esteem
Grandiosity
Pressure of speech
Flight of ideas
Distractible
Increased libido
Psychotic symptoms
Spend lots of money
Act recklessly

17

What is Bipolar I?

Manic episode longer than a week +/- depressive episode

18

What is Bipolar II?

Severe depressive episode and a hypomanic episode

19

What is cyclothymia?

Both hypomanic and depressive states over a long period of time but symptoms are not enough to meet bipolar criteria

20

Give 3 potential causes of bipolar disorder

Childhood trauma
Stressful life events
Self-esteem problems
Genetic inheritance

21

How is Bipolar disorder treated?

Antipsychotics
Mood stabilisers (Quetiapine, Lithium)
CBT
Group psychoeducation
ECT if severe