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Psychiatry > Depression > Flashcards

Depression Flashcards

1
Q

What is depression?

A

An affective mood disorder characterised by a persistent low mood, loss of pleasure and lack of energy

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2
Q

What are the core symptoms of depression?

A

Low mood >2 weeks
Anhedonia
Decreased energy

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3
Q

What is anhedonia?

A

Lack of enjoyment/interest

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4
Q

What are biological/somatic symptoms of depression?

A 
Sleep disturbances
Change in appetite/weight 
Diurnal variation of mood
Change in psychomotor activity
Loss of libido
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5
Q

What are cognitive symptoms of depression?

A 
Loss of self esteem 
Self-reproach/guilt 
Suicidal thoughts
Loss of concentration 
Hopelessness
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6
Q

How is the severity of depression measured?

A

Mild
Moderate
Severe
Severe with psychotic symptoms

Using number of symptoms

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7
Q

How is mild depression defined?

A

2 core symptoms + 2 other

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8
Q

How is moderate depression defined?

A

2 core symptoms + 3/4 other

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9
Q

How is severe depression defined?

A

3 core symptoms + 4/5 other

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10
Q

How is depression managed biologically?

A

Anti-depressant
Mood stabiliser
Anti-psychotics
ECT

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11
Q

What is ECT?

A

Electroconvulsive therapy - passage of a small electrical current through the brain

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12
Q

How is ECT done?

A

Under GA

Twice a week

6-12 sessions

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13
Q

What are the indications for ECT?

A

Severe depression

  • treatment resistant
  • suicidal ideation
  • life-threatening

Prolonged/severe mania

Catatonia

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14
Q

What are short term side effects of ECT?

A 
Peripheral nerve palsies
Cardiac arrhythymias
Confusion 
Dental/oral trauma 
Muscular aches 
Status epilepticus
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15
Q

What are long term side effects of ECT?

A

Anterograde + retrograde amnesia

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16
Q

How is depression managed psychologically?

A

Psychoeducation
CBT
Interpersonal therapy
Psychodynamic psychotherapy

17
Q

How is depression managed socially?

A

Family
Housing
Finance

18
Q

How is mild depression managed?

A

Anti-depressants
Self-help programs
CBT

19
Q

How is moderate-severe depression managed?

A 
Risk assessment 
Anti-depressants
Psychotherapy 
Social support
ECT

Psychiatry (22 decks)

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