Depression Flashcards
1
Q
Core symptoms of depression
A
Anhedonia
Anergia
Low Mood
2
Q
What is somatic syndrome and what sx does it include
A
Somatic syndrome is the biological sx of depression. The sx overlap with core and addition sx of depression
- Reduced appetite
- Wgt loss
- Early morning wakening
- Diurnal mood variation (worse in morning better in evening)
- Psychomotor retardation/agitation
- Loss of libido
- Anehdonia
- Lack of emotional reactivity
3
Q
List addition symptoms of depression
A
- Reduced concentration
- Low confidence and sel esteem
- Ideas of guilt and worthlessness
- Pessimism about the future
- Ideas/acts of self harm/suicide
- Disturbed sleep
- Changes in appetite
4
Q
List 4 severities of depression and what they consist of
A
Mild
- 2/3 core sx
- Additional sx totalling at least 4 w/ core sx
- W/ or w/out somatic syndrome
Moderate
- 2/3 core sx
- Additional sx totalling at least 6 w/ core sx
- W/ or w/out somatic syndrome
Severe
- 3/3 core sx
- Additional sx totalling at least 8 w/ core sx
Severe with psychotic symptoms
- 3/3 core sx
- Additional sx totalling at least 8 w/ core sx
- Delusions, hallucinations or depressive stupor
5
Q
List 4 NICE steps in caring for depression
A
All presentations
- Assess
- Psychoeducation
- The basics
- computerised CBT
- Sleep hygiene
- Active monitoring
- Guided self-help
Mild/Moderate
- Low intensity psychological intervention
- SSRI
Moderate/Severe/Not responded to previous treatment
- High intensity psychological intervention
- Appropriate meds
- Consider 2ary care referal
Severe w/ psychosis/life-threatening
- High intensity psychological intervention
- Appropriate meds
- ECT
- MDT involvement
- Decision on where care will be
- Crisis team at home
- In patient
6
Q
To prevent relapse how long should someone be on anti-depressants for a single episode and recurrent depression
A
- Single episode: 6 months after sx stop
- Recurrent: 2 years after sx stop
