Depression and Schizophrenia Flashcards
Why is a home visit preferred when it comes to psychiatry patients?
More efficient
Easier for patients as they’re not having to go to a psychiatric hospital
More useful for practitioner; allows them to see the living state of the patient.
What can retirement lead to?
Less money, less social interaction with colleagues
Is sadness universal in depression?
No
Core features of depression?
Pervasive low mood/sadness
Loss of energy (anergia)
Loss of enjoyment (anhedonia)
Physical symptoms of depression?
Loss of appetite Weight loss Diurnal variation of mood Poor sleep Constipation Psychomotor slowing or agitation
Psychological symptoms of depression?
Poor concentration Feelings of guilt and hopelessness Low self-esteem Indecisive (sometimes saves people from suicide) Suicidal ideation Delusions
What can you do to treat depression?
Medication - anti-depressants > see response after 2-3 weeks
Psychological therapies - 12 session CBT (cognitive behavioural therapy)
Social prescribing - Exercise, company
Roughly what percentage of patients with depression make a recovery?
90% of patients
Give 1 example of antidepressant (given in lecture)
Venlafaxine
List the symptoms of manic depression (Mania) - Bipolar disorder
Elated mood Irritability Over-energized Grandioses Little need for sleep Poor concentration Poor judgement Over-spending Rapid speech
What is an extracampine hallucination?
A hallucination that arises from outside the normal sensory field or range, as people having the sensation of seeing something behind them (HEAR VOICES).
List the symptoms of schizophrenia
Hallucination - hearing, seeing or feeling things that aren’t there.
Delusion - fixed false beliefs not shared by others in the person’s culture and that are firmly held even when there is evidence to the contrary
Abnormal behaviours - disorganised behaviour such as wandering aimlessly, mumbling or laughing to self, strange appearance, self-neglect
Disorganised speech
Disturbances of emotions - marked apathy or disconnect between reported emotion and what is observed such as facial expression or body language
Definition schizophrenia
Formal thought disorder.
Failing to follow the semantic and syntactic rules of language.
Treatment for schizophrenia?
Antipsychotics
Psychological therapies
Family therapy
Arts therapies
