Depressed Mood

Question 1

What is anhedonia?

Answer 1

loss of enjoyment

Question 2

What is anergia>

Answer 2

lack of energy

Question 3

What is early morning wakening?

Answer 3

waking at least 2 hours before expected/normal waking time

Question 4

What is stupor?

Answer 4

absence of relational functions eg speech and action

Question 5

What is typical appearnace and behaviour of depression?

Answer 5

reduced facial expression; furrowed brwo; limited eye contact; limited gesturing; difficult to establish rapport

Question 6

What is seen in speech in depression?

Answer 6

reduced rate, volume and intonation; lowerd pitch; increased latencies; limited content

Question 7

What is affect?

Answer 7

mood applied to things eg events; people- objective

Question 8

What is the mood in depression?

Answer 8

low. miserable, “flat”; empty , black

Question 9

What is affect in dpression?

Answer 9

dpression; reduced range; limited reactivity

Question 10

What ist he form of thought in depression?

Answer 10

slow, pondering

Question 11

What is teh thought content in depression?

Answer 11

negative, self-accusatory, failure, guilt low self esteem, pessimism

Question 12

What are the hallucinations seen in depression?

Answer 12

almost always auditory; second person and derogatory; reflect depression

Question 13

What is seen in cognition with depression?

Answer 13

slow and poor memory (probably to do with inattention); working memory; attention and planning

Question 14

What is seen in insight with depression?

Answer 14

preserved- aware of symptoms

Question 15

What are the general criteria for diagnosis of depression?

Answer 15

should last at least 2 weeks; no hypomanic or manic symptoms sufficient to meet the criterai at any time in the individuals life

Question 16

What are the 3 core features of depression?

Answer 16

depressed mood; loss of interest or pleasure; decreased energy

Question 17

What are the additional symptoms of depression?

Answer 17

loss of confidence or self-esteem; unreasonable feeling of guilt; suicidal behaviour; enability to concentrate; changei npsychomotor activty- agitation or retardation; sleep disturbance; change in appetite

Question 18

How many symptoms is needed for a diagnosis of moderate depression?

Answer 18

2/3 core symptoms and 4 additional symptoms

Question 19

How many symptoms are needed for a diagnosis of severe depression?

Answer 19

3 core symptoms; 5 additional symptoms

Question 20

What are the symptoms of somatic syndrome?

Answer 20

loss of pleasure; lack of emotional reactions; early morning wakening; worse in morning; psychomotor retardation/agitation; marked loss of appetite and weight loss; loss of libido

Question 21

What is atypical depression?

Answer 21

mood reactivity; signif weight gain; hypersomnia; leaden paralysis; long-standing pattern of interpersonal rejection sensitivity

Question 22

What is Cotard’s syndrome?

Answer 22

psychotic depression- often nihilistic delusions where think are dead or have lost organs - mre common in the elderly