Depression

Question 1

True or False: PTs can diagnose a patient with depression

Answer 1

False, we cannot diagnose it but we can screen for it

Question 2

What is the definition of a major depressive episode?

Answer 2

depressed mood or loss of pleasure in all activities AND at least 5 associated symptoms for at least 2 weeks that impact function, social, or occupational endeavors

Question 3

What are the associated symptoms of Depression?

Answer 3

weight loss, insomnia, hypersomnia, decreased or hyperactive motor activity, fatigue, loss of energy, feelings of worthlisness, excessive inappropriate guilt, diminished ability to think or concentrate, recurrent thoughts of death, suicide ideation or attempt

Question 4

What is “Adjustment disorder with depressed mood”?

what are the symptoms?

Answer 4

maladaptive reactions to identifiable psychosocial stressors that occur withing 3 months of onset of stressors-impairs social or occupational function

symptoms: depressed mood, tearfulness, and feelings of hopelessness

Question 5

What are the two screening questions for depression?

Answer 5

“Over the past two weeks, have you ever felt down, depressed, or hopeless??

“have you felt little interest or pleasure i doing things?”

If they answer yes to both questions that is a sign that they should be referred out for depression

Question 6

True or False: Suicide is more prevalent in the teenage population than in the aging population

Answer 6

False, the greatest suicide rates are in the 65+ age group

Question 7

Why is it so important to screen for depression?

Answer 7

Not only do we want our patients to be happy but also depression can lead to further reduction in functional capacity and increase the risk of developing new illnesses

Question 8

What are 3 ways patients can manage depression?

Answer 8

Pharmacotherapy- be aware that patients on anti-depressants may experience hypotensive side effects

Psychotherapy-aging adults are less likely to seek this option

Exercise and physical activity- reduces depressive symptoms and improves function

Question 9

True or False: a cheerful approach to PT is more effective than being ‘Matter of Fact’ with therapy for depressed patients

Answer 9

False: a matter of fact approach is better