Depression

Question 1

Diagnostic Criteria

Answer 1

sige caps

suicidal
interests reduced
guilt / worthlessness
energy reduced fatigue
concentration 
appetite changes (weight loss or gain)
psychomotor retardation or agitation 
sleep disturbance (insomnia or hypersomnia)

4 or more symptoms for 2 or more weeks plus depressed mood OR anhedonia

Question 2

Specifier

Answer 2

No past mania should be ruled out

1. Anxious Distress; common, involves a lot of worrying/anxiety.
2. Mixed Features; minor displays of mania/hypomania.
3. Melancholic Features; very severe depression, no joy for anything.
4. Atypical Features; mood reactivity to environmental events.
5. Psychotic Features; hallucinations, etc.
6. Catatonia; no speaking/responding to things for a prolonged period.
7. Peripartum Onset; depression experienced due to pregnancy/birth.
8. Seasonal Pattern (SAD); mood reacting to weather/seasons.

Question 3

onset

Answer 3

3-6% women in pregnancy (due to hormones and lifestyle changes)

First between 15 and 29 years and half these will have multiple episodes

Question 4

Epidemiology

Answer 4

Lifetime 17%
20 to 25% for women
9 to 12% for men
Women 2x more likely from teen years but similar at 65 years