Depression Flashcards
1
Q
depression
A
mental health disorder causing low mood
2
Q
risk factors
A
female FH stress traumatic events socio-economic
3
Q
signs
A
core symptoms:
depressed mood that is abnormal for most of the day for at least two weeks
loss of interest
decreased energy
other symptoms: loss of confidence unreasonable feeling of guilt suicide thoughts decreased concentration agitated sleep disturbance change in appetite
4
Q
investigations
A
history
5
Q
management
A
talking therapies
medication
ECT
6
Q
what talking therapies are offered
A
CBT
severe:
behavioural action
interpersonal therapy
7
Q
what medications are offered
A
SSRI - sertraline, fluoxetine
SNRI - venlafaxine, duloxetine
tricyclic antidepressants
lithium
8
Q
what criteria does NICE use
A
DSM-IV
9
Q
switching anti-depressant methods
A
switching between SSRI:
first one should be withdrawn before starting next one
switching from SSRI to tricyclic antidepressants:
cross taper them
10
Q
when should ECT be considered
A
severe depression that doesn’t respond to medications
