Flashcards in Mood Disorders Deck (21):
Give 5 potential causes of mood disorders
Brain disorders (focal lesions of subcortical white matter)
View of yourself and the world
What is the lifetime prevalence for depression?
Why is depression more common in women?
Sex hormone influences
More likely to accept feelings and symptoms
What are the 3 core symptoms of depression?
Low mood for 2 weeks
Lack of energy
Lack of enjoyment (anhedonia)
What non-core cognitive symptoms may be present in depression?
Decreased self esteem
Guilt and self blame
What non-core somatic symptoms may be present in depression?
Early morning wakening
Loss of libido
What is the ICD-10 classification of mild depression?
2 core symptoms and 2 others but able to function normally
What is the ICD-10 classification of moderate depression?
2 or 3 core symptoms and 3 or 4 others
What is the ICD-10 classification of severe depression?
3 core symptoms and at least 4 others
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
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
What is dysthymia?
Chronic low mood which does not fit the criteria of depression
What is bipolar disorder?
Episodes of mania or hypomania and episodes of depression.
What is the epidemiology of bipolar disorder?
Around 25 years of age onset
Men and women equally
Give 5 symptoms of hypomania
Expansive or irritable mood
Increased self esteem
Increased sex drive
Reduced need for sleep
Lose social inhibition
Give 5 symptoms of mania
Elevated, expansive or irritable mood
Increased self esteem
Pressure of speech
Flight of ideas
Spend lots of money
What is Bipolar I?
Manic episode longer than a week +/- depressive episode
What is Bipolar II?
Severe depressive episode and a hypomanic episode
What is cyclothymia?
Both hypomanic and depressive states over a long period of time but symptoms are not enough to meet bipolar criteria
Give 3 potential causes of bipolar disorder
Stressful life events