affective disorders Flashcards
what are general criteria of depression ?
depressed mood >2 weeks
energy decrease
anhedonia
what are additional criteria for depression ?
suicidal thoughts sleep disturbance - early morning weight/appetite change concentration decrease psychomotor retardation guilt loss of confidence
what are treatments for depression ?
SSRIs - sertraline
TCA - amitripyline
MAOI - selegeline
CBT, IPT, family therapy
physical - ECT, psychotherapy
what are measurement tools for mental health disorders ?
SCID - clinical interview
SCAN - clinical assessment
HDRS - depression scale
BDI-II beck depression
HADS - hospital anxiety, depr
PHQ-9 - patient health Q
what are symptoms of mania ?
1 week lasting, disrupts ordinary work or social stuff elevated mood increased energy overactivity pressure of speech decreased need for sleep disinhibition grandiosity alteration of senses extravagant spending irritable
how do you treat mania ?
antipsychotics - olanzapine, risperidone
mood stabilisers - sodium valproate, lamotrigine
lithium
ECT
what is bipolar disorder ?
repeated 2+ episodes of depression and mania/hypomania