depression psychoses and personality disorders Flashcards
common symptoms of depression
low mood
reduced interest and motivation
lethargy and tiredness
sleep disturbance
appetite disturbance
poor concentration
loss of confidence and self esteem
recurrent thoughts of suicide or death
any form of anxiety
bipolar - mania and hypomania symptoms
increased productivity and feeling of wellbeing
reduced need for sleep
gradual reduction in social and occupational functioning
increase in reckless behaviour
followed by period of depression
mood disorders - treatment
psychological
- cognitive therapy
- interpersonal psychotherapies
drug treatment
- antidepressants
- mood stabilising
physical
- exercise
- ECT
- phototherapy
Drugs used in mood disorders
acute phase antidepressants
- SSRI
- Mirtazapine
- Tricyclic antidepressants
- MAOI
mood stabilising drugs
- lithium
- carbamazepine
uses for antidepressants
treating depression
treating anxiety disorders
- including OCD and panic attacks
- pain relief
- help psychological treatments
Tricyclic antidepressants - side effects
dry mouth
sedation
weight gain
give an example of a tricyclic antidepressant
amitriptyline
nortriptyline
imipramine
SSRI examples
fluoxetine
sertraline
SSRIs - side effects
acute anxiety disorders
sedation
dry mouth
GI upset
psychoses - features
perceptual abnormalities
- manic depression
- Schizophrenia
- Korsakoff’s psychosis - alcohol induced brain degeneration
difficult to treat during acute episodes
drug effects
- dry mouth
- drug interactions
schizophrenia characteristics
thought disorder
fundamental and characteristic disorders of thinking and perception
various types of delusions
auditory hallucinations - often threatening or derogatory
Schizophrenia prevalence
1-2%
Schizophrenia management
psychological therapy
drug therapy
Psychological therapy in schizophrenia
CBT
cognitive remediation
family intervention
drug therapy to treat schizophrenia
- oral or depot IM injection
- dopamine antagonist drugs
- atypical antipsychotics
