Depression

Question 1

What is depression?

Answer 1

depression can describe both a mood and an illness

Question 2

What is major depressive disorder?

Answer 2

clinical syndrome involving mood, neurovegetative functions, cognition, and behaviour

Question 3

How common is depression?

Answer 3

affects 5% to 10% of patients in the primary care setting

Question 4

What are RF for depression?

Answer 4

1. prior depression
2. family history of depression
3. recent bereavement
4. stress
5. medical illness

Question 5

What does positive screening trigger?

Answer 5

trigger full history, mental status examination, treatment, and follow-up

Question 6

What Ix are done for depression?

Answer 6

1. Clinical Diagnosis
2. Metabolic panel
3. FBC
4. TFTs
5. PHQ – 2
6. PHQ – 9
7. Edinborough Postnatal Depression Scale
8. Geriatric Depression Scale
9. Cornell Scale for depression in Dementia

Question 7

What DDx for depression?

Answer 7

1. Bipolar
2. PMDD
3. Grief reaction

Question 8

What is the management for depression?

Answer 8

Psychiatric referral + hospitalisation + antidepressant