Depression Flashcards
What is the lifetime prevelance of depression?
14-18%
What age do 50% of depressive cases present?
before the age of 14
What is the core criteria for depression?
depressed mood
lack of energy
lack of enjoyment
What are the associated symptoms of depression?
loss of confidence guilt suicidal ideas/behaviours poor concentration agitation/retardation sleep disturbances - early morning waking changes in appetite dirunal variation - worse in the morning
How long must a depressive episode last for it to be diagnosed as depression?
2 weeks
What is the criteria for mild depression?
2 core and 2 associated symptoms
What is the criteria for moderate depression?
2 core and 4 associated symptoms
What is the criteria for severe depression?
3 core and 5 associated symptoms
What is the best treatment for mild depression?
CBT
What is psychotic depression?
get hallucinations and delusions alongside depression
What is Cotards syndrome?
most common in elderly
often get nihilistic delusions eg cant eat because bowels have turned to dust
What is the role of electroconvulsive therapy?
modulates monoamines and reduces hyper connectivity in the frontal and limbic circuts
What can ECT treat?
depression
mania
catatonia
What are contraindications of ECT?
recent MI
phaeochromocytoma
intracranial mass lesion
recent cerebrovascular incident
What are the side effects of ECT?
1 in 80,000 die
short term memory impairment
