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)

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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
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3
Q

increased irritability presentations

A
  • withdrawal
  • anger/lashing out
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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
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5
Q

types of depression

A
  • mild depression
  • moderate depression
  • severe depression
  • depression with psychotic features
  • post-natal depression
  • seasonal affective disorder (SAD)
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6
Q

how to determine severity of depression

A
  • use ICD-11/DSM-V criteria
  • how much it interferes with daily life
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7
Q

depression with psychotic features

A
  • typical depression symptoms
  • delusions and/or hallucinations usually with themes of guilt and worthlessness
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8
Q

post-natal depression

A

typically birth to 3 months postpartum

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9
Q

challenge to treating post-natal depression

A

medications can interfere with breast feeding

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10
Q

depression treatment

A
  • biological (antidepressants)
  • psychotherapy (CBT has the most evidence)
  • mindfulness
  • counseling
  • self help
  • social supports
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11
Q

depression social supports

A
  • patient-specific referrals/interventions
  • support groups, financial assistance, housing assistance
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12
Q

depression prognosis

A
  • less severe recover in ~3 months
  • hospitalized recover between 5 months - 1 year
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13
Q

primary treater of people with depression

A
  • most treated by GP
  • 10% referred to a psychiatrist
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14
Q

depression is chronic if it lasts for….

A

2+ years

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15
Q

?% of people with a depression diagnosis have more than 1 episode

A

85%

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