Depressed Mood

Question 1

define anhedonia

Answer 1

loss of enjoyement/pleasure in activities

Question 1

define anergia and amotivation

Answer 1

lack of energy/motivation

Question 2

what is the term used to describe the slowing of peoples thoughts/movements

Answer 2

psychomotor retardation

Question 3

what is stupor?

Answer 3

extreme shutdown of a person- absence of relational functions i.e. eatign/speaking

Question 4

who would a depressed person usually blame for their mood?

Answer 4

themselves

Question 5

what is it termed when someone actually belives their low mood is their fault?

Answer 5

delusion

Question 6

how can perception change in someone with depression?

Answer 6

can report people talking about them and auditory halluciantions

(not common but can happen)

Question 7

how is cognition affected in someone who is depressed?

Answer 7

slowed with complaints of memeroy problems- inattention

Question 8

what is ‘early mornign awakening’?

Answer 8

waking at least 2 hours before normal/expected time

Question 9

insomnia is split into three categories, what are they?

Answer 9

Initial- trouble getting to sleep

Middle- wakenign multiple times during night

Latent- early morning awakening

Question 10

depression is almost always accompanied by what other mental disorder?

Answer 10

anxiety

Question 11

what is dysthymia?

Answer 11

chronic persistent low grade depression

people tend to be able to wrok but low mood +/- sleep distrubances

Question 12

when someone with dysthmia experiences an episode of major depression on top of this what is this calleed?

Answer 12

‘double depression’

Question 13

what are the general criteria fro depression?

Answer 13

episode lasting >2weeks

no hypomanic/manic episodes

Question 14

what are the three core features of depresion?

Answer 14

depressed mood

lossof enjoyment

decreased energy

Question 15

what are some additional (somatic) features of depresison?

Answer 15

loss of confidence

guilt

suicidal behaviour

inability to concentrate

psychomotor activity /retardation

sleep distrubance

change in appetite

Question 16

how do you asses risk in someone with suicidal thoughts?

Answer 16

always ask- have they ever taken any action to end their life? normalise it by saying this happens to other people and other people have felt that way.

Question 17

how is depression graded?

Answer 17

mild to moderate to severe

Question 18

how is moderate depression diagnosed?

Answer 18

2 core + 4 additional (6 total)

Question 19

how is severe depression diagnosed?

Answer 19

all 3 core + 5 additional (8 total)

Question 20

what are the three scalesused to measure depression?

Answer 20

hamilton rating

montgomery-asperg

beck

Question 21

what are the two subtypes of depression?

Answer 21

psychotic

cotard’s

Question 22

who tends to get cotards?

Answer 22

elderly- nihilistic delusions ‘can’t eat becasue my bowels have turned to dust’

Question 23

how might somone with psychotic depression think?

Answer 23

occasionalluy paranoid

‘people are out to get them’