Depression Flashcards
What is the commonest mood disorder?
Depression
Which medical treatment can lead to depression?
Steroids
What two classification symptoms can be used in Depression?
ICD-10 and DSM-5
What can depression be defined as?
Form of sadness, not just absence of happiness
Psychological Symptoms of Depression? (5)
Anxiety Perplexity Anhedonia Agitation Apathy
What is Anhedonia?
Inability to experience pleasure in things normally enjoy
What physical symptoms can depression present with? (6)
Lack of Energy Too Much/Too Little Sleep Appetite Changes Weight Changes Libido Changes Constipation/Pain
What is Stupor?
Extreme retardation in which consciousness is intact
What happens during stupor?
Patient may stop eating, speaking, drinking
What three core symptoms present in depression?
Low Mood
Anhedonia
Low Energy
If delusions present in depression how do they usually present?
Negative or Guilty in Nature
If hallucinations present in depression how do they usually present?
Usually Auditory second person
What is a tactile hallucination?
eg feeling things crawling on skin
What medical conditions can depression be linked to? (2)
Thyroid
Chronic Illness/Pain
What medication can cause depression? (1)
Beta Blockers
How long does depression need to last in ICD Classification?
At least 2 Weeks
How does Depression Somatic Syndrome present? (5)
Waking 2 hours before normal time Depression worse in morning Marked loss of episode Weight Loss Marked loss of libido
By what percentage does a person lose or gain weight in Depression Somatic Syndrome?
5%
Lifetime prevalence rate of Depression?
2.9-12
Point prevalence rate of Depression?
3.7-7.7
Rates for Females of Depression?
2:1
Highest risk of depression for what age?
18-44
Median Risk of Depression age?
25
Mean age risk of depression?
27
When is there increased risk of psychiatric admission following childbirth?
30 days following Childbirth
How long does the risk of postnatal depression following childbirth last?
24 Months
What percentage of women experience blues within 2 weeks of giving birth?
75%
What Endocrine conditions are differential diagnosis for Dementia? (3)
Hypothyrodism
Addisons
Hyperparathyrodism
First Line Treatment for Depression?
Antidepressants
- SSRI
Name 3 classes of Antidepressants?
SSRI
TCA
Monoamine Oxidase Inhibitions
How long should antidepressants be continued for in Depression?
Six to Twelve Months
What Psychological Treatments can be used for Depression? (4)
CBT
Interpersonal
Psychotherapy
Family Therapy
What physical treatments can be used for Depression? (4)
ECT
Psychotherapy
DBS
VNS
ECT can be used for Depression when?
Severe Treatment Resistant
How to measure Depression? (5)
SCID SCAN BDI-II HADS PHQ-9
How long does a Typical Episode of Depression last?
4-6 Months
What percentage of people with depression die by suicide?
15%
How long does untreated Depression usually last?
Six to Twelve Months
Complications of untreated suicide? (3)
Suicide
Psychosis
Dysfunction
