Depression and MSE Flashcards
what are the core features of depression
depressed mood
loss of interest
decreased energy
(MEE0 mood, enjoyment, energy)
what are the additional symptoms required for a diagnosis of depression
loss of confidence
guilt, suicidal thoughts
diminished concentration, sleep disturbance
change in psychomotor activity with agitation/retardation
change in appetite + weight gain
how does the ICD-10 define a moderate depressive episode
2 core and 4 additional symptoms present
total 6
how does the ICD-10 define a severe depressive episode
3 core and 5 additional symptoms present
total 8
what is the pharmacological therapy for depression
1st- SSRi- fluoxitine
2nd- different SSRI- citalopram, sertraline
3rd- mirtazepine, venalfaxine or antispychotic
what are the non-pharmacological treatments for depression
cognitive behavioural therapy
1st line overall treatment for depression
cognitive behavioural therapy
what is the 2nd and 3rd line treatment for depression
2nd- fluoxitine and 3rd- sertraline or citalopram
what are the 9 sections of the mental state examination
appearance, behaviour, speech, mood, affect, thoughts, perception, cognition and insight
what are the 4A’s of insight?
awareness of problem
attribution to a mental condition
appraisal
acceptance of treatment
In MSE what are you looking for when examining appearance?
grooming, attire, posture, evidence of self-harm, smell- alcohol, urine or vomit
In MSE what are you looking for when examining behaviour?
eye contact, rapport, agitation, motor retardation, dishinhibition
In MSE what are you looking for when examining speech?
latency, rate, volume, sudden silences, dysarthria
under which section of the MSE would you inquire about suicide?
mood or thoughts
List some forms of halluinations
auditory, visual, olfactory, gustatory, tactile
