Depression and anxiety Flashcards

1
Q

what are the core clinical features of depression

A

depressed mood - being bothered by feeling down, depressed or hopeless
anhedonia - little interest or pleasure in doing things

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2
Q

criteria for moderate depressive eopisode

A

symptoms persisting for most days for more than 2 weeks
considerable difficulty in continuing with work or domestic areas but still able to function in some areas
several symptoms of a depressive episode to a marked degree

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3
Q

what are common symptoms of a depressive episode

A

anhedonia
hopelessness
difficulty concentrating
low energy and fatigue
appetite or sleep disturbance
worthlessness or inappropriate guilt

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4
Q

what is the treatment for a depressive episode

A

social support
professional follow up
cognitive behavioural therapy
pharmacological treatment

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5
Q

what are the types of anxiety disorders

A

generalised anxiety
panic disorder
agorophobia
specific phobia
social anxiety disorder
separation anxiety disorder
selective mutism

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6
Q

diagnostic criteria for anxiety

A

excessive anxiety about a number of events or activities
difficulty controlling the worry
present for the majority of days for at least 6 months

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7
Q

common symptoms of anxiety

A

restlessness
disturbed sleep
being easily fatigued
difficulty concentrating
muscle tension
irritability

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8
Q

treatment of generalised anxiety disorder

A

stepped initiation of treatment
support from GP > self-help tools > CBT and medication > CBT, medication and therapy

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9
Q

pharmacological development for depression and anxiety

A

sertraline (not suitable for everyone, drug decided by adverse effect profile and efficacy)
acts at the synapse by binding and blocking serotonin reuptake transporters (these reabsorb serotonin from the synaptic cleft)

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