Affective Disorders Flashcards
List some mood changes in depression?
Depression (w/wo diurnal variation)
Anxiety
Perplexity
Anhedonia
List some changes in thought content in depression?
- Guilt
- Hopelessness
- Worthlessness
- Any neurotic symptomatology
- Ideas of reference
- Delusions and Hallucinations in severe
List some physical changes in depression?
- Lack/increased sleep
- Fatigue
- Appetite change
- Reduced libido
- Constipation
- Pain
- Agitation
- Psychomotor retardation
List some social changes in depression?
- Loss of interests
- Irritability
- Apathy
- Withdrawal, loss of confidence. indecision,
- Loss of conc, registration and memory
What are two classification systems used in affective disorders?
ICD-10
DSM-5
List some symptoms suggestive of somatic syndrome in depression?
Anhedonia Lack of emotional reactions Early wakening Depression worse in the morning Psychomotor agitation or retardation Loss of appetite Weight loss Loss of libido
What is mania?
Pathological, inappropriate elevated mood
Similar to the effects of stimulant drugs
What four factors are emphasis placed on in the diagnosis of affective disorder?
- Persistence of symptoms
- Pervasiveness of symptoms
- Degree of impairment
- Presence of specific symptoms or signs
What are some symptoms of hypomania?
- Mild elevation of mood
- Increased energy and activity
- Increased sociability, talkativeness, overfamiliarity, increased sexual energy, decreased need for sleep
- May be irritable
- Concentration reduced, new interests, mild overspending
- Not to the extent of severe disruption of work or social rejection
What is the lifetime prevalence rate for bipolar disorder?
Roughly 1%
In what social situations is major depressive disorder less common?
Employment
Financial independence
Stable Marriage
Higher educational attainment