Affective disorders Flashcards
What are the essentials for diagnosis of depression?
Lasts for at least 2 weeks
No hypomanic or manic episodes in life
Not atributable to psychoactive substance use or organic mental disorder
Exclude other psychotic illness if symptoms presents
What are the general criteria for depression?
Depressed mood that is abnormal for most of the day, almost every day for the last 2 weeks, largely uninfluenced by circumstances
Loss of interest or pleasure
Decreased energy or increased fatiguability
What are the additional criteria for depression?
Loss of confidence excessive guilt recurrent suicidal thoughts or behaviour Decreased concentration Agitation or retardation Sleep disturbance Change in appetite
What is the diagnostic criteria for mild depression?
At least 2 general features
Additional features to give at least 4
What is the diagnostic criteria for moderate depression?
At least 2 of general
Additional to give at least 6
What is the diagnostic criteria for severe depression?
All of general
Additional to give at least 8
OR psychotic symptoms
What are the 3 categories of treatment options for depression?
Antidepressants
Psychological
Physical
What are the types of antidepressants??
SSRIs
TCAs
MAOIs
Novel
What are the options for psychological therapy in depression?
CBT
IPT
Individual dynamic psychotherapy
Family therapy
What are the physical treatment options for depression?
ECT
Psychosurgery
Deep brain stimulation
Vagus nerve stimulation
What is hypomania?
Lesser degree mania, no psychosis
Mild elevation of mood for several days
Increased energy and activity, marked feeling of wellbeing
Increased sociability, talkativeness, overfamiliarity, increased sexual energy, decreased need for sleep
Irritable
Concentration reduced, new interests, mild overspending
What is mania?
1 week Severe enough to disrupt ordinary activities Elevated mood, increased energy, overactivity, pressure of speech, decreased need for sleep Disinhibition Grandiosity Alteration of senses Extravagant spending Can be irritable
What are the treatment options for mania?
Antipsychotics
Mood stabilisers
Lithium
ECT
What are the antipsychotic options for mania?
Olanzapine
Risiperidone
Quetiapine
What are th moos stabiliser options for mania?
Sodium valproate
Lamotrigene
Carbamazepine
