depression

Question 1

what type of disorders are depression and that

Answer 1

mood disorders

Question 2

one of what two things must be present for it to be depression

Answer 2

depressed mood symptoms or anhedonia

Question 3

for it to be depression there needs to be 4 what other feelings

Answer 3

worthlessness or guilt, suicidal ideation or attempt, fatigue, loos of sleep, loss of energy, sleep up or down, weight or appetite go up or down, decreased ability to concentrate, psychomotor retardation or agitation

Question 4

besides the mood criteria, what are other requirements of diagnosis for depression

Answer 4

clinically significant distress or impairment in social, occupational, or other important areas of function
episode is not attributable to the physiological effects of a substance or other medication
not explained by different forms of schizophrenic disorders
there has NEVER been a manic/hypnomanic episode.
must be cumilative functional impairment.

Question 5

whats an issue with diagnosing depression

Answer 5

all these things must be present and have 5 of the mood symptoms, whys it 5. that feels arbitrary.

Question 6

sadness vs major depressive disorder

Answer 6

healthy emotional reaction, maybe a sign of loss only lasting a short period normally, no impact on a persons ability to function productively, is realistic in thought pattern.
MDD involves hopeless and helpless feelings, is negatively biased towards negative thoughts, involves a complex pattern of physiological and psychological symptoms

Question 7

grief vs MDD

Answer 7

grief is feeling empty and loss, the dysphoria will decrease over days and weeks, often the dysphoria occurs in waves when prompted by reminders, may also be accompanied by happy memories, self derogatory thoughts are related to the dead
MDD: persistent depressed mood, inability to anticipate hapiness or pleasure, mood is not tied to specific preoccupations, suicidal thoughts because of feeling worthless or undeserving of life.

Question 8

what are two key questions to ask to try screen for depression

Answer 8

as many disorders have symptoms which overlap with depression we must screen carefully. two helpful questions are
“during the past month have you often been bothered by little interest or pleasure in doing things.” “during the past month have you often been bothered by feeling down, depressed or hopeless.”

Question 9

biological factors of depression

Answer 9

genetic vulnerability, physical health, disability

Question 10

social factors of depression

Answer 10

loneliness, isolation, lack of social support, family issues, relationship issues, adverse childhood events

Question 11

psychological factors of depression

Answer 11

low self esteem, sensitivity to rejection, rumination, coping skills, hopelessness, negative interpretation bias

Question 12

when further assessing depression, what is the acronym i use

Answer 12

FID Is So On

Question 13

what does FID Is So On mean

Answer 13

Frequency of symptoms
Intensity of symptoms
Duration of Symptoms
Impact of symptoms
suicidal ideation
Onset

Question 14

pros and cons of antidepressants, mood stabilisers as treatment

Answer 14

low cost, fast, convienient - pros
cons: side effects, addiction risk, symptom relief isnt always enought

Question 15

pros and cons of pyschotherapy as treatment

Answer 15

better than medication, more long term changes, manage other areas of life, limited side effects.
cons duration, cost, patient motivation.