Depression & Schizophrenia

Question 1

why do psychiatrist do home visits

Answer 1

More efficient (they may not show up at a clinic)
patient won’t have to travel
look at them in their own environment

Question 2

what is delusion

Answer 2

a belief that is totally fixed and unbeatable

Question 3

what are the core features in depression (3)

Answer 3

Pervasive low (overwhelming) mood/sadness
Loss of energy (anergia)
Loss of enjoyment (anhedonia)

Question 4

what is the term used to describe the loss in enjoyment in life

Answer 4

anhedonia

Question 5

Examples of physical symptoms (7)

Answer 5

Loss of appetite
Weight loss
Diurnal variation of mood
Poor sleep
Loss of libido
Constipation
Psychomotor slowing or agitation

Question 6

when will someone with depression feel the worst

Answer 6

in the mornings

Question 7

what causes diurnal variation of mood

Answer 7

Waking up earlier than usual
lying in bed dreading the day ahead
When you get out of bed, you’d feel miserable
but you’d feel better by the evening

Question 8

Examples of psychological symptoms (7)

Answer 8

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

Question 9

what is the biggest risk factor for depression in the elderly

Answer 9

social isolation

Question 10

consequences of depression

Answer 10

increase physical health morbidity, social morbidity

and increase in mortality

Question 11

which gender is most likely to be diagnosed by depression

Answer 11

Women are twice as likely to be diagnosed than men.

Question 12

is their a correlation between depression and unemployment

Answer 12

Depression represents the largest group of people claiming health-related benefits in England – indicating high levels of unemployment

Question 13

are men more or less likely to commit suicide compared to females

Answer 13

more likely

Male to female ratio of 3:1

Question 14

what medication used to treat depression

Answer 14

Antidepressants

Question 15

when do the effects of the medication show

Answer 15

Usually a response after 2-3 weeks

Question 16

An example of psychological therapies to treat depression

Answer 16

cognitive behavioural therapy

-12 sessions

Question 17

a benefit to the treatment

Answer 17

it has a long lasting effect

Question 18

what is social prescribing

Answer 18

getting people to exercise

or getting people to socialise

Question 19

can people recover from depression

Answer 19

yes, 90% of patients make a full recovery

Question 20

what is bipolar disorder

Answer 20

NHS definition

Bipolar disorder is a mental health condition that affects your moods, which can swing from 1 extreme to another.

Question 21

what two extremes do they switch between

Answer 21

depression and mania

Question 22

symptoms of mania (9)

Answer 22

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

Question 23

what is grandiose

Answer 23

is an exaggerated sense of one’s importance, power, knowledge, or identity, even if there is little evidence to support the beliefs.

Question 24

extracampine hallucinations

Answer 24

a hallucination arising from outside the normal field of perception

Question 25

symptoms of schizophrenia (5)

Answer 25

Hallucination
Delusion 
Abnormal Behaviour 
Disorganised speech 
Disturbances of emotions

Question 26

What is meant by Hallucination

Answer 26

hearing, seeing or feeling things that are not there.

Question 27

What is meant by Delusion

Answer 27

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.

Question 28

What is meant by abnormal Behaviour

Answer 28

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

Question 29

What is meant by Disorganised speech

Answer 29

incoherent or irrelevant speech

Question 30

Disturbances of emotions

Answer 30

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

Question 31

what are delusion of Passivity

Answer 31

believing people will control their body and their mind

Question 32

what is meant by affect

Answer 32

subjective emotional expression

Question 33

what is the formal thought disorder

Answer 33

Failing to follow the semantic and syntactic rules of language
(although you’re speaking words, the words aren’t formed in sentences which are meaningful)

Question 34

what is a major inequality for people with SMI (severe mental illness)

Answer 34

Life expectancy is reduced by 15-20 years in patients with SMI.

Question 35

why

Answer 35

access to healthcare
unhealthy living
medications
risk taking

Question 36

what are the treatments/therapies for Schizophrenia? (4)

Answer 36

Antipsychotics
Psychological therapies
Family therapy
Arts therapies

Question 37

Example:
“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”

Answer 37

Adults with SMI are twice as likely to have long term conditions, and poorer health outcomes because of this.
Strongly associated with smoking, alcohol and substance misuse: psychosis is associated with cannabis consumption.