Abnormal mood: Depression

Question 1

Anhedonia

Answer 1

Loss of enjoyment/pleasure

Question 2

Anergia

Answer 2

Lack of energy

Question 3

Amotivation

Answer 3

Lack of motivation

Question 4

Diurnal variation?

Answer 4

Mood varies over the day

Question 5

Early morning wakening

Answer 5

Waking at least 2 hours before expected/normal

Question 6

Psychomotor retardation

Answer 6

Subjective or objective sslowing of thoughts and or movement.

Question 7

Stupor

Answer 7

The absence of relational functions i.e. action and speech

Question 8

Euthymia

Answer 8

Normal mood

Question 9

Appearance and behaviour in depression?

Answer 9

Reduced facial expression

Classic furrowed brow

Reduce eye contact

Limited gesturing

Rapport difficult to establish

Question 10

Speech in depression

Answer 10

Reduce rate

Lower pitch

Reduce volume

Reduce intonation

Increased latencies

Limited content

Question 11

Definition of mood?

Answer 11

Prolonged prevailing state or disposition, typically associated with what the patient describes (i.e subjective)

Question 12

Definition of affect?

Answer 12

How someone’s feeling change in relation to their surroundings and the context

Question 13

Three aspects of thought that can be assessed?

Answer 13

Form

Flow

Content

Question 14

What is paranoia?

Answer 14

Self referential thinking (eg they’re talking about me)

Question 15

Features of hallucinations in depression?

Answer 15

Almost always auditory

Usually 2nd person

Negative and depressive themes.

Question 16

Cognition in depression

Answer 16

Slow + poor memory (Pseudo dementia)

Question 17

Insight in depression

Answer 17

Typically preserved, people usually aware of symptoms

Question 18

Difference between schizophrenia and Schizoaffecive disorder?

Answer 18

Schizoaffective disorder has psychosis with a mood fluctuation

Schizophrenia does not tend to have mood symptoms.

Question 19

Core diagnostic features of depression?

Answer 19

Depressed mood at least 2 weeks

Loss of interest or pleasure

Decreased energy

Question 20

What is atypical depression?

Answer 20

Mood reactivity (Mood brightens in response to actual or potential positive events)

Question 21

Diagnostic features of atypical depression

Answer 21

Significant wt gain or increase in appetite

Hypersomnia

Leaden paralysis

Interpersonal rejection sensitivity

Question 22

5 R’s of depression?

Answer 22

Response
Remission
Relapse
Recovery
Recurrence