Mood Disorders - Depression, Bipolar, Mania Flashcards Preview

Psychiatry > Mood Disorders - Depression, Bipolar, Mania > Flashcards

Flashcards in Mood Disorders - Depression, Bipolar, Mania Deck (14):
1

What are the core symptoms of depression?

Persistent low mood
Anhedonia
Low energy
Have to have at least 1 for >2wk duration

2

List 4 other symptoms of depression

disturbed sleep
poor concentration or indecisiveness
low self-confidence
poor or increased appetite
suicidal thoughts or acts
agitation or slowing of movements
guilt or self-blame

3

Define mild, moderate and severe depression

Mild: 4 symptoms
Moderate: 5-6 symptoms
Severe: >6 symptoms, with or without psychotic symptoms. Symptoms should be present for >month and every symptom should be present for most of every day

4

What does SADPERSONS stand for? (Risk assessment tool)

SADPERSONS
S: Sex - male
A: Age <19, >45
D: Depression
P: Previous attempted suicide
E: Excessive alcohol
R: Rational thinking loss
S: Loss off SUPPORT
O: Organised plan for suicide
N: No significant other
S: Sickness

5

What is the Stepped Care Model?

Treat Depression:
Step 1: Assessment, support, psychoeducation, monitoring and referral
Step 2: Low intensity psychosocial interventions and medication
Step 3: Medication, high intensity psychosocial intervention
Step 4: Medication, high intensity psychosocial intervention, ECT, crisis service, inpatient management

6

Name 3 SSRIs

Sertraline, Citalopram, Fluoxetine

7

Name 2 SNRIs

Venlafaxine, Duloxetine

8

Name a TCA

Amitriptyline

9

Side effects of SSRIs

Nausea/vomiting, diarrhoea/constipation, weight loss, sleeping problems, low sex drive/reduced orgasms

10

Define Bipolar disorder

2 or more episodes of which the patients mood and activity levels are significantly disturbed

11

Name 3 symptoms during the manic phase of bipolar disorder

Grandiose speech
Increased energy levels
Racing thoughts
Needing little sleep
Reckless with money
Sexual disinhibition

12

How many symptoms do you need to confirm mania?

3.

(Grandiose speech
Increased energy levels
Racing thoughts
Needing little sleep
Reckless with money
Sexual disinhibition)

13

Pharmacological management of mania in Bipolar

Stop antidepressants
Common drugs - Haloperidol, Olanzepine, Quetiapine, Risperidone
If at maximum dose - add lithium or valproate

14

Pharmacological management of depression in Bipolar

Quetiapine, or both fluoxetine and olanzapine
If no response, lamotrigene