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Phase 3A HH > Psychiatry > Flashcards

Flashcards in Psychiatry Deck (6)
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1

Define affect

Pattern of observable behaviours. Variable over time – in response to changing emotional state(like the weather)

2

Define mood

Pervasive sustained emotions. Colours perception of world (like the climate)

3

Screening questions for depression

1. During the last month, have you felt down, depressed or hopeless?
2. During the last month, have you had little interest or pleasure in doing things you normally would?

4

Diagnostic criteria for depression?

3 core + 2 other sx of (DEAD SWAMP):
Depressed mood
Energy loss/fatigue
Anhedonia

Death thoughts
Sleep disturbance
Worthlessness
Appetite/weight change
Mentation (concentration) decreased
Pychomotor agitation or retardation

5

Duration of sx to diagnose depression? Classification?

2 wk duration.
<5 sx = sub-threshold depressive symptoms
>5 + minor func. impairment = mild - moderate
Most sx on list, marked impact on ADL's +/- psychotic sx = severe

6

Treatment of depression?

CBT
1st line drug = SSRI: fluoxetine (citalopram, paroxetine, sertraline (best in past hx of CVD))
Side effects: GI disturbance, increased risk of suicide in <30 yrs