Depression and Schizophrenia Flashcards
What are the core features of depression?
Pervasive low mood/sadness
Anergia
Anhedoina
What are some physical symptoms of depression? 7
Diurnal variation of mood poor sleep loss of libido constipation loss of appetite weight loss Psychomotor slowing or agitation
What are some Psychological symptoms of depression?
Poor concentration Feelings of guilt Feelings of hopelessness Low self-esteem Indecisive Suicidal ideation Delusions
What are some suicide statistics?
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
What is the treatment for depression?
Antidepressants - 2-3 weeks response
Psychological therapies, 12 sessions CBT
Social prescribing - exercise and company.
90% make full recovery
What is Venlafaxine?
A serotonin and noradrenergic re-uptake inhibitor, good second-line treatment
Symptoms of Mania?
Elated mood Irritability Over-energized Grandiose Little need for sleep Poor concentration Poor judgement Over-spending Rapid speech
What is Extracampine hallucination?
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
What are the symptoms of Schizophrenia?
Hallucinations Delusions Abnormal behaviour Disorganised speech Disturbances of emotions
What are Delusions?
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
What is considered to be Abnormal behaviour?|
: disorganised behavior such as wandering aimlessly, mumbling or laughing to self, strange appearance, self-neglect or appearing unkempt
What is meant by Disturbances of emotions?
marked apathy or disconnect between reported emotion and what is observed such as facial expression or body language
What is Formal thought disorder?
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”
How to treat Schizophrenia?
Antipsychotics
Psychological therapies
Family therapy
Arts therapies
What is Depression?
Depression can also be conceptualised as a self-perpetuating network of positive feedback loops arising from normally adaptive responses.