depression and anxiety W5 Flashcards
core clinical features of depression?
depressed mood
anhedonia (little interest or pleasure in doing things)
neurochemical theory of depression
decreased noradrenaline
decreased serotonin
decreased dopamine
treatment of moderate depression?
social support and professional follow up
CBT
pharmacological treatment - sertraline
anxiety diagnosis
excessive anxiety about a number of events or activities
difficulty controlling the worry
majority of days for at least 6 months
6 symptoms of anxiety
restlessness
disturbed sleep
being easily fatigued
muscle tension
difficulty concentrating
irritability
stepped initiation of treatment for generalized anxiety disorder
1- educate about anxiety and how to manage symptoms
2- online programmes (daylight)
3- CBT, pharma (sertraline)
4- escalate pharma treatment, help from specialist teams, more intense CBT
sertraline action?
sertraline is an SSRI - selective serotonin reuptake inhibitor.
It blocks reuptake of serotonin in synapses.