Affective Disorders Flashcards
Core symptoms of depression? (3)
- Depressed mood that is abnormal for most of the day
- Anhedonia
- Decreased energy or increased fatigability
Additional symptoms of depression? (7)
- loss of confidence or self esteem
- unreasonable feelings of guilt
- recurrent thoughts of death by suicide
- decreased concentration
- agitation or retardation
- sleep disturbance of any sort
- change in appetite
Additional symptoms required for mild, moderate and severe depression?
Mild 4
Moderate 6
Severe 8
Depression differentials?
Normal reaction to life event Seasonal Affective Disorder Bipolar Dysthymia Cyclothymia Stroke, tumour, dementia Infections Drugs
Treatment for depression?
Anti-depressants
Psychological treatments
Physical treatments
Measurement tools for depression?
BDI- II (Beck Depression Inventory - II)
MADRS (Montgomery-Åsberg Depression Rating Scale)
HDRS (Hamilton Depression Rating Scale)
Hypomania?
Lesser degree of mania, no psychosis Less severe disruption of work Mild elevation of mood for several days with increased energy Decreased need for sleep Concentration reduced Mild overspending
Mania (with or without psychosis) symptoms? (8)
At least 1 week of Disruption of ordinary work and social life Elevated mood Increased energy Pressure of speech Decreased need for sleep Disinhibition Extravagant spending Can be irritable rather than elated
Mania differentials? (Psychiatric)
Mixed affective state Schizoaffective disorder Schizophrenia Cyclothymia ADHD Drugs and Alcohol
Mania differentials? (Medical)
Head injury
Tumour
HIV/AIDS
Stroke
Treatments for mania?
Antipsychotics
Mood stabilisers
ECT
Bipolar affective disorder
Repeated episodes of depression and mania or hypomania
Recurrent depression if no mania
Hypomania or bipolar disorder if no depression
Mean age of onset for bipolar disorder?
21 (unusual over 30)
Earlier if family history
Mean age of onset for depression?
27
Higher rates in females
