Affective Disorders

Question 1

4 things when depression becomes abnormal?

Answer 1

persistence of symptoms

pervasiveness of symptoms

degree of impairment

presence of specific symptoms or signs

Question 2

psychological symptoms? (2)

Answer 2

change in mood

change in thought content

Question 3

what is anhedonia?

Answer 3

lack of interest

Question 4

physical symptoms? (2)

Answer 4

change in bodily function

change in psychomotor functioning

Question 5

what does ICD-10 say about depression? (3)

Answer 5

last for at least 2 weeks
no manic episodes in life
no psychoactive substances

Question 6

what is the major diagnostic criteria for depression? (3)

Answer 6

any two of:

depressed mood that is abnormal for most of the day almost everyday for 2w uninfluenced by circumstances

anhedonia

energy loss

Question 7

what are the additional criteria for depression? (7)

Answer 7

2mild/4mod/6severe

• loss of confidence/self-esteem
• unreasonable feelings of guilt
• recurrent thoughts of suicide
• decreased concentration
• agitation or retardation
• sleep disturbance
• change in appetite

Question 8

when is post-natal depression most at risk of admission?

Answer 8

first 30 days following childbirth

Question 9

what is mania?

Answer 9

a term used to describe a state of feeling or mood that can range from near-normal experience to severe, life threatening illness

Question 10

what is SCID?

Answer 10

structured clinical interview for DSM-IV

Question 11

how long before its classed as mania?

Answer 11

1 week of symptoms that affects a person’s normal activities

Question 12

treatment for depression? (3)

Answer 12

antidepressants
psychological
physical

Question 13

treatment for mania? (4)

Answer 13

antipsychotics
mood stabilisers
lithium
ECT

Question 14

what does bipolar disorder consist of?

Answer 14

repeated (2+) episodes of depression and mania or hypomania

Question 15

how long does the major depression and mania last in bipolar?

Answer 15

depression 4-6m

mania 1-3m