Depression Flashcards
what are the aspects of the mental state exam?
appearance speech mood and affect thought perception cognition insight
how long should a depressive episode last?
atleast 2 weeks
what do you need to be diagnosed with depression?
2 of
depressed mood
loss of interest in pleasure
decreased energy
what are the 3 categories of depression?
mild (2/3) +2
moderate (3/3) + >6
severe (3/3) + >8
what are psychotic symptoms?
hallucinations
delusions
Tx for mild depression?
sleep hygiene
mindfulness
CBT
what herbal remedy is often used for depression? what interaction does it have?
st john’s wort
upregulates liver enzymes (OCP interaction)
what is a final line Tx for drug resistant depression?
ECT
what is cotard’s syndrome? who gets it?
delusions that person is already dead/meaningless
elderly
additional depression symptoms?
loss of confidence unreasonable guilt recurrent thoughts of death/suicide decreased ability to concentrate change in psychomotor activity sleep disturbance appetite change
what is somatic syndrome?
physical manifestation of depression
what is atypical depression?
mood reactivity
wt gain
leaden paralysis
social impairment
what is psychotic depression?
psychosis with depressive themes
what types of delusions can occur in cotard’s? explain?
nihilistic
belief that life is meaningless
Tx for depression?
SSRi SNRI TCA MAOI CBT ECT
