Depression & Schizophrenia Flashcards

1
Q

why do psychiatrist do home visits

A

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

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2
Q

what is delusion

A

a belief that is totally fixed and unbeatable

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3
Q

what are the core features in depression (3)

A
Pervasive low (overwhelming) mood/sadness
Loss of energy (anergia)
Loss of enjoyment (anhedonia)
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4
Q

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

A

anhedonia

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5
Q

Examples of physical symptoms (7)

A
Loss of appetite
Weight loss
Diurnal variation of mood
Poor sleep
Loss of libido
Constipation
Psychomotor slowing or agitation
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6
Q

when will someone with depression feel the worst

A

in the mornings

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7
Q

what causes diurnal variation of mood

A

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

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8
Q

Examples of psychological symptoms (7)

A
Poor concentration
Feelings of guilt
Feelings of hopelessness
Low self-esteem
Indecisive
Suicidal ideation
Delusions
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9
Q

what is the biggest risk factor for depression in the elderly

A

social isolation

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10
Q

consequences of depression

A

increase physical health morbidity, social morbidity

and increase in mortality

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11
Q

which gender is most likely to be diagnosed by depression

A

Women are twice as likely to be diagnosed than men.

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12
Q

is their a correlation between depression and unemployment

A

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

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13
Q

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

A

more likely

Male to female ratio of 3:1

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14
Q

what medication used to treat depression

A

Antidepressants

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15
Q

when do the effects of the medication show

A

Usually a response after 2-3 weeks

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16
Q

An example of psychological therapies to treat depression

A

cognitive behavioural therapy

-12 sessions

17
Q

a benefit to the treatment

A

it has a long lasting effect

18
Q

what is social prescribing

A

getting people to exercise

or getting people to socialise

19
Q

can people recover from depression

A

yes, 90% of patients make a full recovery

20
Q

what is bipolar disorder

A

NHS definition

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

21
Q

what two extremes do they switch between

A

depression and mania

22
Q

symptoms of mania (9)

A
Elated mood
Irritability
Over-energized
Grandiose
Little need for sleep
Poor concentration
Poor judgement
Over-spending
Rapid speech
23
Q

what is grandiose

A

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

24
Q

extracampine hallucinations

A

a hallucination arising from outside the normal field of perception

25
symptoms of schizophrenia (5)
``` Hallucination Delusion Abnormal Behaviour Disorganised speech Disturbances of emotions ```
26
What is meant by Hallucination
hearing, seeing or feeling things that are not there.
27
What is meant by 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.
28
What is meant by abnormal Behaviour
disorganised behavior such as wandering aimlessly, mumbling or laughing to self, strange appearance, self-neglect or appearing unkempt
29
What is meant by Disorganised speech
incoherent or irrelevant speech
30
Disturbances of emotions
marked apathy or disconnect between reported emotion and what is observed such as facial expression or body language
31
what are delusion of Passivity
believing people will control their body and their mind
32
what is meant by affect
subjective emotional expression
33
what is the formal thought disorder
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)
34
what is a major inequality for people with SMI (severe mental illness)
Life expectancy is reduced by 15-20 years in patients with SMI.
35
why
access to healthcare unhealthy living medications risk taking
36
what are the treatments/therapies for Schizophrenia? (4)
Antipsychotics Psychological therapies Family therapy Arts therapies
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”
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.