Depression Flashcards
Core symptoms of depression - ICD 10
minimum duration of 2 weeks and occur most days
- low mood - varies littel day to day, unresponsive to circustances
- anhedonia
- increased fatigue on minimal exrtion
biological somatic depression symps
early morning wakening depression worse in morning loss of appetite w wweight loss psychomotor retardation or agitation loss of libido
atypical depression
where a person eats or sleeps more
cognitive depression symptoms
poor conc/ memoery poor self esteem guilt hopelessness suicide or self harm
depression psychotic symps
delusions - usually mood congruent - nihilistic!!!
hallucinations
catatonia - very sever psychomotor retardtaion
severe episode of depression
7 or more symps
extreme impact on aspects of daily living
dysthymia
chornically depressed but not sever enough to be depression
pathophysiology of depression
early life experiences - parental seprartion, abuse, maternal postnatal depression.
personality - neruoticisim, personality disorders.
- acute stress
- chornic stress
- neurobiology
schizoaffective disorder
psychotic symps alongside mood that is not mood congruent
physical conditions thatcan cause low mood
hypothyroid, addisons
drugs that can cause low mood
high dose steroids
low mood red flags screening
self harm, suicidality, mania
low mood exam and investigations
neuro and endocrine exam.
FBC, Us and Es, LFTs , TFTs!!!, Ca
3 pillars f depression management
self care, talking therapy and medication
mild depression/ persistent sub thresholg
low intensity online CBT
