Affective Disorders

Question 1

what are mood disorders

Answer 1

disorders of mental status ad function where altered mood is the core feature
refers to states of depression and of elevated mood
can be primary of a result of another illness

Question 2

what are the classification systems

Answer 2

ICD10 international classification fo disease 10th edition

DSM5- diagnostic and statistical manual of disorders 5th edition

Question 3

when does depression become abnormal

Answer 3

persistence of symptoms
pervasiveness of symptoms
degree of impairment
presence of specific of symptoms

Question 4

what are psychological symptoms

Answer 4

change in mood 
anxiety 
anhedonia 
guilt 
hopelessnss
worthlessness
ideas of reference

Question 5

what are physical symptoms

Answer 5

change in bodily function
lack of energy
early morning wakefullness
initial insomnia
loss of appetite 
fatigue 
pain 
agitation
reatrdation

Question 6

what are social symptoms

Answer 6

loss of interests
irritability
withdrawal
loss of concentration

Question 7

what is the criteria for depression

Answer 7

last or 2 weeks

no hypomanic or manic episodes in life

Question 8

what is mild depression

Answer 8

2 of 
depressed mood that is abnormal almost everyday
loss of interest
decrease energy
4 of 
loss of confidence 
unreasonable guilt
decreased concentration
agitation or retardation

Question 9

what is moderate depression

Answer 9

2 of
then 6 
loss of confidence 
guilt
decreased concentration
agitation
change in appetite 
recurrent suicidal thogutha

Question 10

what is severe depression

Answer 10

all 
depressed mood
loss of interest
decreased energy
loss of confidence
guilt 
decreased concentration
agiation
change in appetite 
suicial thoughts 
sleep disturbance 
psychotic symptoms

Question 11

what is post natal depression

Answer 11

increased risk the first 30 days following brith
baby blues in first 2 weeks
develops 3-6 months after

Question 12

what are differentials to depression

Answer 12

seasonal affective disorder
bipolar 
normal reaction to life event 
stroke
tumour 
depression

Question 13

what are the antidepressants

Answer 13

SSRI
tricyclic antidepressants
monamine oxidase inhibitors
up to 6 months after response

Question 14

what are psychological treatments

Answer 14

CBT
IPT
family therapy

Question 15

what are physical treatments

Answer 15

ECT

Question 16

what is mania

Answer 16

describe a state of feeling or mood than can range from near normal to severe
mania- for a week with large impact
hypomania- 4 days with no impact

Question 17

what is hypomania

Answer 17

lesser depress of mania
no psychosis 
elevation of mood for several days 
increased energy 
increase  sociability  
concentrations reduce 
over familiar

Question 18

what is mania without or without psychotic symptoms

Answer 18

1 week severe 
elevate mood 
increased energy
disibhibtion
pressure of speech
alteration of senses
extravagant spening
poor sleep
increase libido 
grandiosity

Question 19

what are differentials

Answer 19

shiziophrenic 
drugs and alcohol
ADHD
stroke
MS 
tumour

Question 20

what are antisychtocis

Answer 20

olanzapine
risperidone
quetapine

Question 21

what are mood stabiliser

Answer 21

sodium valproate
lamotrigine
carbamazepine
lithium

Question 22

what is bipolar affective disorder

Answer 22

2 or more episodes of depression an mania or hypomania

Question 23

what is the epidemiology of bipolar

Answer 23

males=females

mean age 21

Question 24

what is the epidemiology of depression

Answer 24

more common in females
mean age 27
less common in those employed
less common in those financially independent