Affective disorders Flashcards
affective disorders are otherwise known as
mood disorders
common affective disorders:
anxiety disorder
depression
bipolar disorder
depression and states of elevated mood is:
mania
classification system for psychiatric disorders
ICD 10
anhedonia
no longer experiencing pleasure from things that usually interest you
apathy
loss of interest in own surroundings
stupor
state of extreme retardation in which consciousness is intact
depression symptoms (general others/ random)
anhedonia
lack of emotional reactions to events/activities that normally produce an emotional response
waking 2 hours before the normal time
depression worse in the morning
psychomotor agitation/ retardation
marked loss of appetite
weight loss
loss of libido
GENERAL CRITERIA (ICD10) of depression (3)
(used when diagnosing mild, moderate and severe depression)
‘at least 2 of the following’
depressed mood that is abnormal for most of the day almost everyday for the past 2 weeks - largely influences by circumstances
loss of interest or pleasure
decreased energy or fatigue
GENERAL CRITERIA (ICD10) of depression (7)
(used when diagnosing mild, moderate and severe depression)
‘additional from this list’
loss of confidence or self esteem
unreasonable feelings of guilt or self reproach or excessive guilt
recurrent thoughts of death by suicide or any suicidal behaviour
decreased concentration
agitation or retardation
sleep disturbance of any sort
change in appetite
What ICD10 general criteria must be met when diagnosing mild depression?
at least 2 of the first symptoms
at least 2 of the second symptoms
What ICD10 general criteria must be met when diagnosing moderate depression?
at least 2 of the first symptoms
at least 4 of the second symptoms
What ICD10 general criteria must be met when diagnosing severe depression?
at least 2 of the first symptoms
at least 6 of the second symptoms
when does post natal depression occur?
the first 2 weeks after childbirth
how do you treat depression?
antidepressents
psychological treatments
psychological treatment
name some anti depressants
SSRI (selective serotonin reuptake inhibitor) (eg fluoxetine)
TCA (tricyclic antidepressants)
Monoamine oxidase inhibitors
name some psychological treatments for depression
CBT (cognitive behavioural therapy)
IPT (interpersonal therapy)
family therapy
name some physical treatments for depression
ECT (electroconvulsive therapy)
psychosurgery
Mania
a state of feeling, or mood, that can range from near-normal experience to severe, threatening illness
(not really a symptom - associated with grandiose ideas, disinhibition, loss of judgement, similarities to stimulant drugs!!)
must last one week and effect day to day life
agoraphobia
avoiding places or situation that might cause you to panic
what are measurement tools to dictate how severe/ stage of depression/ mental health disorder?
SCID (structured clinical interview for DSM disorders)
PHQ -9 (patient health questionnaire)
if it is mania - it must have been going on for how long?
1 week
differential diagnosis for mania:
ADHD
schizophrenia
alcohol and drugs
schizoaffective disorder
cyclothymia
hyperthyroid
tumour/ stroke
bipolar disorder consists of what?
2 or more episodes of depression and mania or hypomania
