Affective disorders

Question 1

affective disorders are otherwise known as

Answer 1

mood disorders

Question 2

common affective disorders:

Answer 2

anxiety disorder

depression

bipolar disorder

Question 3

depression and states of elevated mood is:

Answer 3

mania

Question 4

classification system for psychiatric disorders

Answer 4

ICD 10

Question 5

anhedonia

Answer 5

no longer experiencing pleasure from things that usually interest you

Question 6

apathy

Answer 6

loss of interest in own surroundings

Question 7

stupor

Answer 7

state of extreme retardation in which consciousness is intact

Question 8

depression symptoms (general others/ random)

Answer 8

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

Question 9

GENERAL CRITERIA (ICD10) of depression (3)

(used when diagnosing mild, moderate and severe depression)

‘at least 2 of the following’

Answer 9

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

Question 10

GENERAL CRITERIA (ICD10) of depression (7)

(used when diagnosing mild, moderate and severe depression)

‘additional from this list’

Answer 10

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

Question 11

What ICD10 general criteria must be met when diagnosing mild depression?

Answer 11

at least 2 of the first symptoms

at least 2 of the second symptoms

Question 12

What ICD10 general criteria must be met when diagnosing moderate depression?

Answer 12

at least 2 of the first symptoms

at least 4 of the second symptoms

Question 13

What ICD10 general criteria must be met when diagnosing severe depression?

Answer 13

at least 2 of the first symptoms

at least 6 of the second symptoms

Question 14

when does post natal depression occur?

Answer 14

the first 2 weeks after childbirth

Question 15

how do you treat depression?

Answer 15

antidepressents

psychological treatments

psychological treatment

Question 16

name some anti depressants

Answer 16

SSRI (selective serotonin reuptake inhibitor) (eg fluoxetine)

TCA (tricyclic antidepressants)

Monoamine oxidase inhibitors

Question 17

name some psychological treatments for depression

Answer 17

CBT (cognitive behavioural therapy)

IPT (interpersonal therapy)

family therapy

Question 18

name some physical treatments for depression

Answer 18

ECT (electroconvulsive therapy)

psychosurgery

Question 19

Mania

Answer 19

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

Question 20

agoraphobia

Answer 20

avoiding places or situation that might cause you to panic

Question 21

what are measurement tools to dictate how severe/ stage of depression/ mental health disorder?

Answer 21

SCID (structured clinical interview for DSM disorders)

PHQ -9 (patient health questionnaire)

Question 22

if it is mania - it must have been going on for how long?

Answer 22

1 week

Question 23

differential diagnosis for mania:

Answer 23

ADHD

schizophrenia

alcohol and drugs

schizoaffective disorder

cyclothymia

hyperthyroid

tumour/ stroke

Question 24

bipolar disorder consists of what?

Answer 24

2 or more episodes of depression and mania or hypomania

Question 25

if a patient has depression but there is no signs of hypomania or mania - the patient cannot have what?

and therefore has?

Answer 25

bipolar affective disorder

recurrent depression

Question 26

how long does a typical manic episode last?

Answer 26

1-3 months

Question 27

define depression

Answer 27

recurrent depressive disorder

symptoms must be present everyday most of the day for 2 weeks without significant changes

represent a change from their normal personality