depression Flashcards
1
Q
are women or men more likely to be diagnosed with depression
A
women (however statistically women are more likely to seek help)
2
Q
depression symptoms
A
- dysthymia (low mood)
- anhedonia (loss of interest/enjoyment)
- anergia (fatigue/reduced energy)
- poor motivation
- feelings of worthlessness
- excessive guilt
- poor concentration
- increased irritability
- psychomotor agitation or retardation (excessive movement or lack thereof)
- hopelessness
- suicidal ideation
- insomnia or hypersomnia
- anorexia (loss of appetite) or increased appetite
- weight gain or loss
- reduced libido
3
Q
increased irritability presentations
A
- withdrawal
- anger/lashing out
4
Q
depression causes
A
- reaction to life events (bereavement, job loss, trauma)
- genetic factors
- social adversity
- hormonal factors (post natal, menopause)
- physical illness (childbirth, cardiac)
- alcohol/drug factors
- ideopathic
- multifactorial
5
Q
types of depression
A
- mild depression
- moderate depression
- severe depression
- depression with psychotic features
- post-natal depression
- seasonal affective disorder (SAD)
6
Q
how to determine severity of depression
A
- use ICD-11/DSM-V criteria
- how much it interferes with daily life
7
Q
depression with psychotic features
A
- typical depression symptoms
- delusions and/or hallucinations usually with themes of guilt and worthlessness
8
Q
post-natal depression
A
typically birth to 3 months postpartum
9
Q
challenge to treating post-natal depression
A
medications can interfere with breast feeding
10
Q
depression treatment
A
- biological (antidepressants)
- psychotherapy (CBT has the most evidence)
- mindfulness
- counseling
- self help
- social supports
11
Q
depression social supports
A
- patient-specific referrals/interventions
- support groups, financial assistance, housing assistance
12
Q
depression prognosis
A
- less severe recover in ~3 months
- hospitalized recover between 5 months - 1 year
13
Q
primary treater of people with depression
A
- most treated by GP
- 10% referred to a psychiatrist
14
Q
depression is chronic if it lasts for….
A
2+ years
15
Q
?% of people with a depression diagnosis have more than 1 episode
A
85%