Depression and Schizophrenia Flashcards

1
Q

What are the core features of depression?

A

Pervasive low mood/sadness
Anergia
Anhedoina

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2
Q

What are some physical symptoms of depression? 7

A
Diurnal variation of mood
poor sleep
loss of libido
constipation
loss of appetite
weight loss
Psychomotor slowing or agitation
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3
Q

What are some Psychological symptoms of depression?

A
Poor concentration
Feelings of guilt
Feelings of hopelessness
Low self-esteem
Indecisive
Suicidal ideation
Delusions
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4
Q

What are some suicide statistics?

A
Leading cause of death men 18 - 35
6000+ suicides annual
male to female 3:1
hanging is most common 
most common association depression , drugs/alcohol
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5
Q

What is the treatment for depression?

A

Antidepressants - 2-3 weeks response

Psychological therapies, 12 sessions CBT

Social prescribing - exercise and company.

90% make full recovery

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6
Q

What is Venlafaxine?

A

A serotonin and noradrenergic re-uptake inhibitor, good second-line treatment

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7
Q

Symptoms of Mania?

A
Elated mood
Irritability
Over-energized
Grandiose
Little need for sleep
Poor concentration
Poor judgement
Over-spending
Rapid speech
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8
Q

What is Extracampine hallucination?

A

A hallucination that arises from outside the normal sensory field or range, as people having the sensation of seeing something behind them

Symptom suggestive of schitzophrenia

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9
Q

What are the symptoms of Schizophrenia?

A
Hallucinations
Delusions
Abnormal behaviour
Disorganised speech
Disturbances of emotions
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10
Q

What are Delusions?

A

Fixed false beliefs which are not shared by others and to which they hold firmly when there is evidence to the contrary.
Passivity
Though alienation

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11
Q

What is considered to be Abnormal behaviour?|

A

: disorganised behavior such as wandering aimlessly, mumbling or laughing to self, strange appearance, self-neglect or appearing unkempt

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12
Q

What is meant by Disturbances of emotions?

A

marked apathy or disconnect between reported emotion and what is observed such as facial expression or body language

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13
Q

What is Formal thought disorder?

A

Failing to follow the semantic and syntactic rules of language. may be saying meaningful words but the other person could not recount what was being said.

E.g.
“The imaginary isn’t as we know forever illness partakes us to terrible gains and losses because idols are false and God is great minded besides forever I have sent to the West”

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14
Q

How to treat Schizophrenia?

A

Antipsychotics
Psychological therapies
Family therapy
Arts therapies

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15
Q

What is Depression?

A

Depression can also be conceptualised as a self-perpetuating network of positive feedback loops arising from normally adaptive responses.

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16
Q

A 37 year old woman presents to her GP with repetitive, circular bizarre ruminations, which make you consider whether they are of delusional nature. However, upon further examination you conclude that these thoughts are ego-dystonic and that her insight is intact.
What term best describes her symptom?

A

Obsessions

Obsessional thoughts

17
Q

Why may people start self harming?

A

‘I hate myself’
‘I deserve to be punished’
‘I am afraid of punishment I can’t control’

Can provide temporary relief from anxiety as you feel control of punishment- feel safer

Injury response and it becoming compulsive