Depression Flashcards
what is an affective cluster
depressed mood
marked diminished interest in activities (those they normally enjoy)
what is a cognitive-behavioural cluster
reduced ability to concentrate
low self esteem
hopelessness
suicidal thoughts
what is a neurovegetative cluster
disrupted sleep
change in appetite
psychomotor agitation
fatigue
who is more at risk of depression
F>M
2:1
what age peaks are more likely to have depression
2-3 decade of life
and another smaller pear 50-60
how do small kids present with depression
headaches, stomach pains, whining, increased separation anxiety or excessive crying.
how do young adults present with depression
pervasive irritability
hypersomnia and hyperphagia
how do elderly patients present with depression
memory and cognition problems
can depression present with delusions and hallucinations
NO
this would be a psychotic disorder
what are the 5 classifications of depression
mild
Moderate without psychotic symptoms
Moderate with psychotic symptoms
Severe depressive episode without psychotic symptoms
Severe depressive episode with psychotic symptoms
what are the 4 comorbidities associated with depression
anxiety
psychosis
mania - mixed
substance abuse
what are some organic causes of depression
hypothyroidism
increased cortisol - blunted CRH
alcohol, cannabis and opioids
how do you screen for an organic cause of depression
bloods and urine tests
what are the 2 types of therapy used to treat depression
CBT
Interpesronal therapy
how long does a depressive episode last
3-6 months
most people recover within 12 months
