Depression Flashcards
1
Q
what is the risk of completed suicide for depression?
A
10% risk of completed suicide
2
Q
what is the the lifetime risk of depression?
A
16-17% lifetime risk
3
Q
What is the criteria for a major depressive episode?
A
within 2 weeks at least 5 of:
MUST HAVE dysthymia and anhedonia
“SADAFACES”
- S - sleep disturbance
- A - appetitie/weigth change
- D - dysthymia for most of the day
- A - anhedonia
- F - fatigue
- A - agitation (psychomotor)
- C - concentration difficulty/indecisiveness
- E - excessive guilt/hopelessness
- S - suicidal ideation/attempts/plans
4
Q
what are the risk factors for completed suicide in depression?
A
- being an older man
- previous suicide attempt
- alcohol
- loss of job
- relationship breakdown
5
Q
how effective is the first line treatment of major depressive disorder?
A
60% improve, also 30% on placebo improve
6
Q
What are some organic causes of depression?
A
- hypothyroidism
- anaemia (Fe, B12, flate, alcoholism)
- hypercalcaeia
- syphilis
- hyponatraemia
- dementia
- cancer
7
Q
what is the first line treatment of depression?
A
SSRIs
- sertraline 5 - 15mg
- escitalopram 10-20 mg
8
Q
What are the features of melancholic depression?
A
“MELANcholic”
- Morning worsening of symptoms, psychoMotor agitation/retardation, early Morning wakening
- Excessive guilt
- Loss of emotional reactivity
- ANorexic
- ANhedonia
