Depression Flashcards
Define Anhedonia
Loss of enjoyment/pleasure
Define Anergia
Loss of energy
Define Amotivation
Loss of motivation
Define Psychomotor Retardation
Subjective or objective slowing of thoughts/actions
Define Stupor
The absence of relational functions ie. action and speech
Describe the appearance and behaviour of a depressed patient
Reduced facial expression Furrowed brow Reduced eye contact Limited gesturing Hard to establish rapport
Describe speech of a depressed patient
Slowed speech Low pitch Reduced intonation Increased speech latency Limited content
What is the mood in depression?
"low" "down" "miserable" "uhappy" "empty"
What is the affect in depression?
depressed (ie. low)
Reduced range (stays low throughout irrespective of conversation topic)
Emotional paralysis
True or False? - patients do not have insight and are unaware of their symptoms
False - insight is preserved.
List the classification methods of depression (2)
ICD-10 and DSM-5
What is the range of depressive illness? (3)
Mild, moderate and severe
List the general criteria of depressive illness (2)
A. Depressive episode should have lasted at least 2 weeks
B. No manic or hypomanic episodes in the patient’s lifetime.
List the core features of depression(3)
- Low mood (diurnal variation; worse in the morning)
- Anhedonia
- Anergia
List the additional features of depression (7)
a) Loss of confidence/self-esteem
b) Unreasonable feeling of guilt
c) Suicidal thoughts or behaviour
d) Poor concentration and memory
e) Sleep disturbance of any type
f) Psychomotor retardation or activation
g) Change in appetite with corresponding weight change (increase or loss)
