1. Depression Flashcards
1
Q
How common is it?
A
Very common globally
1 in 4
2
Q
Who does it affect?
A
F>M (debatable)
3
Q
What causes it?
A
Complex interaction of social, psychological and biological factors
Relationship to physical health also
4
Q
What risk factors are there?
A
People who have gone through adverse life events (eg psychological trauma)
5
Q
How does it present?
A
Low mood Anhedonia Lethargy / fatigue Suicidal ideation Anxiety, insomnia, low self-worth, poor concentration, early morning waking
6
Q
What signs may the patient have on examination?
A
Psychomotor retardation
Slowed, monotone speech
Impaired cognition
Paranoid thoughts
7
Q
What other conditions might present similarly?
A
Chronic fatigue Anxiety disorder Premenstrual dysphoric disorder Parkinson's, dementia Substance misuse Hypothyroidism OSAS
8
Q
How would you investigate?
A
FBC
TFTs
9
Q
What treatments are there?
A
Bio = manage comorbidities eg alcohol, offer antidepressant Psycho = CBT, counselling Social = manage safeguarding, support groups, exercise
10
Q
What complications are there?
A
Suicide
Self-harm
Reduced functioning
