Depression Flashcards
symptoms:A SAD FACES
Appetite change (inc/dec)
Sleep changes (insomnia/hypersomnia)
*early morning awakening
Anhedonia- loss of interest in previously pleasurable activity including sex
Dysphoric mood with diurnal variation (pervasive/prolonged sadness)
Fatigue,unusual tiredness,lethargy,lack of motivation
Agitation(irritability),pschosocial retardation/social withdrawal
Concentration impaired
Esteem low (worthless), n other depressive thoughts (helpless.hopeless,guilt)
Suicidal thought/plan/attempts or death wish which are recurrent
duration
symptoms is present for most of the time and most days for at least two weeks
- can use 10-point Likert scale to score depression
*elicit core symptoms first
elicit dysphoric mood with diurnal variation
-how have u been feeling
- have u ever had a period of 2 week when your are unable to feel normal or happy,where u felt miserable and felt like crying?
-is the sadness cont
-is the sadness same throughout the day
*elicit core symptoms first
elicit Anhedonia
-what are your usual hobbies?
-have u ever had a period of 2 weeks or so when u lose interest in all your hobbies and pleasurable activities?
-what are your usual sexual pracices?
-was there a change in sexual activities when you lose interest in your hobbies?
elicit sleep changes
-during this period of sadness,how was your sleep?
elicit appetite changes
during this period of sadness,how was your appetite?explain
elicit fatigue/anergia
-during this period of sadness,how was your energy level?
- were u feeling unusually tired,like lying down most of the time and lack drive or motivation to do a task.explain.
agitation/psychosocial retardation/social withdrawal
-during this period of sadness,were u restless and irritable and tend to lose your temper often?
-were u disturbed by noise?
-did u avoid meeting others and prefer to be alone?
-is there slowing of your speech and movements.if yes,explain
elicit concentration impaired
-during this period of sadness,were u able to focus on a task?
-can u read/watch TV?
-were u having problems with memory
-if yes,explain
elicit esteem-low and other depressive thoughts
during this period of sadness,were u having thoughts that u were useless(worthless), a burden to others,disliked by all,no one can help u(helpless),that u have committed a sin (guilt) and there is no future for u (hopeless)
elicit suicidal thoughts/death wish
during this period of sadness,were u having recurrent thoughts that life is not worth living,it is better to be dead or wished to die?
if yes: have u tried to harm yourself (suicide attempt)
biological symptoms of depression
sleep changes
appetite changes
loss of libido,ED,frigidity
constipation
amenorrhea
anergia
comorbid psychiatric disorders
1)psychotic symptoms:
-Delusion of nihilism: do u believe that u have disappeared fr this world and no longer exist/body parts rotting away/world is coming to an end?
-Delusion of sin/guilt:do u believe that u are responsible for the suffering of others,that u have commited a sin and have to be punished
-Delusion of poverty: do u believe that all your wealth and property is lost
-hallucination:do u see things/hear voices that other people cant see or hear
2)manic symptoms of NMD mixed phase
3)anxiety disorder: when u were sad, did u also feel scared?
4) substance use disorder
what to elicit in past psychiatric history
-prev episodes of similar symptoms,single or recurrent?
-prev manic episodes?
-look for prev history of anxiety disorder
-look for past history of post partum disorder in female
diagnosis
-BMD stuff
- MDD w/x psychosis,single/recurrent episode
-MDD w/x psychosis,single/recurrent episode in remission
- mention any comorbidity
