Depression

Question 1

What must you ask in a depression Hx

Answer 1

SUICIDE // or u will #fail

Question 2

the 3 most important hallmarks of depression

Answer 2

1. anhedonia
2. low mood
3. decreased energy

Question 3

Unipolar depression

Answer 3

dexamethasone no effect on cortisol levels (?)

Question 4

how long should the depressive symptoms the patient complains of be present for to be classed as depression

Answer 4

2 WEEKS

Question 5

What other things should you ask about in a Hx for depression other than the 3 core symptoms

Answer 5

sleep
loss of confidence/self-esteem 
guilt 
cant concentrate 
change in appetite 
hopelessness 
self-contempt 
suicide 
libido 
manic episodes 
atypicals - hallucinations/delusions

Question 6

How best to assess depression using a categorical system

Answer 6

ICD-10

Question 7

Mild depression Tx

Answer 7

nothing

Question 8

Mild/moderate Tx

Answer 8

first line - SSRI - escitalopram

consider talking therapies/MTD

Question 9

When to use ECT in therapy

Answer 9

really severe depression or if 2 antidepressants fail

Question 10

the 5 R’s of depression over time

Answer 10

Response 
Remission 
Relapse 
Recovery 
Recurrence

Question 11

What system can you use to assess chronic depression

Answer 11

DSM - IV

- not covered in ICD-10

Question 12

Criteria for chronic depressive disorder

Answer 12

full criteria for a MDD has been met continuously for at least 2 years