Abnormal Mood - Depression Flashcards
Give some examples of appearance seen in depression
Reduced facial expression
Furrowed brow
Give some examples of behaviour seen in depression
Reduced eye contact
Limited gesturing
Poor rapport
How many someone’s speech be in depression?
Slow
Low pitch
Low volume
Monotonous
What is mood?
A subjective experience - how the patient feels
What is affect?
Mood and emotional state applied to things going on around you
How may someone’s thought be in depression?
Absent flow
Negative content
Delusional
What are almost all types of hallucinations in depression?
Auditory
What is pseudo-dementia?
When patients have such marked cognitive impairment due to depression
Patients with depression tend to have sound insight. True/false?
True
Give examples of what may be seen in the mental state examination of a depressed patient
Furrowed brow Tearful Defeated posture Reduced speech Suicidal ideation
What two general criteria should be met to diagnose depression?
Episode lasting 2 weeks
No hypomanic/manic symptoms
Give the core features of depression
Depressed mood
Loss of interest/pleasure
Decreased energy
Give some additional symptoms of depression
Loss of confidence Guilt Suicidal behaviour Loss of concentration Psychomotor agitation/retardation Sleep disturbance Appetite change
How many core symptoms of depression must be present to diagnose a moderate depressive episode?
2/3
How many additional symptoms of depression should be present to diagnose a moderate depressive episode?
4/7
How many core symptoms of depression must be present to diagnose a severe depressive episode?
3/3
How many total (core & additional) symptoms of depression must be present to diagnose a severe depressive episode?
8
Generally, should antidepressants be given for patients with mild depression?
No
Give some subtypes of depression
Somatic syndrome
Atypical depression
Psychotic depression
