Depression and anxiety Flashcards
what are the core clinical features of depression
depressed mood - being bothered by feeling down, depressed or hopeless
anhedonia - little interest or pleasure in doing things
criteria for moderate depressive eopisode
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
what are common symptoms of a depressive episode
anhedonia
hopelessness
difficulty concentrating
low energy and fatigue
appetite or sleep disturbance
worthlessness or inappropriate guilt
what is the treatment for a depressive episode
social support
professional follow up
cognitive behavioural therapy
pharmacological treatment
what are the types of anxiety disorders
generalised anxiety
panic disorder
agorophobia
specific phobia
social anxiety disorder
separation anxiety disorder
selective mutism
diagnostic criteria for anxiety
excessive anxiety about a number of events or activities
difficulty controlling the worry
present for the majority of days for at least 6 months
common symptoms of anxiety
restlessness
disturbed sleep
being easily fatigued
difficulty concentrating
muscle tension
irritability
treatment of generalised anxiety disorder
stepped initiation of treatment
support from GP > self-help tools > CBT and medication > CBT, medication and therapy
pharmacological development for depression and anxiety
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)