Adjustment and Depressive Disorder

Question 1

What are some risk factors of depression?

Answer 1

family history
female gender
childbirth
stressful life events
poor social support
serious medical illness
substance abuse

Question 2

What is the PHQ-9?

Answer 2

a Depression Questionnaire

Question 3

what is the pneumonic used in primary care settings to screen for depression when the PHQ-9 is not available?

Answer 3

SIGECAPS

Question 4

What does SIGECAPS stand for?

Answer 4

Sleep changes
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor agitation
Suicide/death preoccupation

Question 5

What is the most feared and important complication of depression?

Answer 5

suicide

Question 6

what are the basic lab evaluations for new onset depression

Answer 6

CBC, Chemistry, UA, thyroid function test, urine HCG

Question 7

What are the mainstays of treatment for depression?

Answer 7

psychotherapy, pharmacotherapy, or both

Question 8

what are the two classes of medications used for in treating depression?

Answer 8

SSRI
SNRI

Question 9

examples of SSRI

Answer 9

Fluoxetine, Paroxetine, Setraline, Escitalopram, Citalopram

Question 10

examples of SNRI

Answer 10

Venlafaxine, duloxetine

Question 11

Common side effects of SSRI and SNRI’s (VERY COMMON, up to 55% of patients will experience)

Answer 11

Sexual Dysfunction
Drowsiness
Weight Gain
Insomnia
Anxiety
Dizziness
Headache
Dry Mouth
Blurred Vision
Nausea
Rash
Tremor
Constipation
Abdominal pain/stomach upset