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Mock Patient > Diabetes Low Mood > Flashcards

Diabetes Low Mood Flashcards

1
Q

Questions at 8 minute mark (4)

A
  • Do you think there is anything wrong with my mental health?
  • What is my diagnosis?
  • You mentioned depression, but could my symptoms just be a normal reaction to the diabetes?
  • If I don’t have treatment could depression affect my diabetic control?
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2
Q

Name

A

Bilal Aziz

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3
Q

Age

A

34

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4
Q

DOB

A

4/12/1989

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5
Q

Job (5)

A
  • University Lecturer, Sports Science
  • Concentration worse
  • Missing meetings
  • Finding it harder to motivate myself to write grants
  • Still meeting teaching and research requirements
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6
Q

Long term diagnosis (3)

A
  • Type 1 Diabetes
  • Since age 14
  • Always attend annual screenings
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7
Q

Eye problem (2)

A
  • Background retinopathy has progressed to stage 2 non-proliferative retinopathy
  • Learned this four months ago
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8
Q

Why I’m here (3)

A
  • Low mood since retinopathy diagnosis
  • Reported low mood it at annual diabetes review today
  • Practise nurse suggested speaking to someone about my mental health
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9
Q

Mood and enjoyment in things (3)

A
  • Mood has got worse over the last four months
  • Feel this way most days
  • Moments of happiness, eg when kids say something funny, but doesn’t bring as much pleasure as it used to.
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10
Q

Fatigue (2)

A
  • Tired much of the time
  • Not sleeping well
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11
Q

Concentration (2)

A
  • Struggling to concentrate at work
  • No one has expressed any concerns
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12
Q

Sleep (4)

A
  • Never used to wake before 7am
  • Now wake about 4am
  • Struggle to get back to sleep
  • Lie in bed for about an hour and then get up and start the day
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13
Q

Food (2)

A
  • Have not noticed a change in appetite or weight.
  • Practise nurse confirmed that diabetes remains well controlled.
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14
Q

Sex (4)

A
  • Less interested
  • Once a month
  • Wife has commented on this
  • No problems with erectile dysfunction
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15
Q

Suicidality (6)

A
  • Fleeting thoughts that my family would be better of if I were did
  • But realise my family need me and I don’t feel like a burden to them.
  • Have never planned to hurt myself and would never act on these thoughts
  • Want to see my children grow up, and be there for my family.
  • Consider suicide to be against my Muslim religion.
  • Have not disclosed these thoughts to my wife.
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16
Q

Psychosis (3)

A
  • Have never seen or heard thing that weren’t there.
  • Do not believe any one is trying to harm me.
  • Do not believe I have any special powers or talents.
17
Q

Past mental and physical health (3)

A
  • Have never had any problems with mental health in the past
  • No attempts to self-harm in the past
  • No long periods of feeling low or elated in mood.
18
Q

Diabetes Management (4)

A
  • Slightly worse since birth of daughter (two years ago)
  • Led to changes in diet and exercise
  • Over last year have worked to rectify this.
  • Other than retinopathy, no other consequences of diabetes.
19
Q

Medication (2)

A
  • Long acting insulin 20 units twice daily
  • Rapid Acting Insulin before meals
20
Q

Family History

A
  • No family history of mental health problems
21
Q

Drink? Smoke? Drugs?

A

No

22
Q

Faith

A

Practising Muslim

23
Q

Family (2)

A

Wife
Two children (4&2)

24
Q

Wife concerns (3)

A
  • I seem tired.
  • I seem irritable.
  • Worried she will get fed up about how much more she is doing around the house.
25
Q

Home routines (3)

A
  • I’m contributing less around the house.
  • Wife usually cooks, which I used to do.
  • Don’t have energy to play with the kids as much, preferring to watch TV with them instead
26
Q

Exercise (2)

A
  • Member of local tennis club, but haven’t been playing much recently.
  • Still run regularly, but finding it difficult to motivate myself.
27
Q

What do I think is going on? (3)

A
  • Thought I was low in mood but didn’t think I was depressed.
  • Aren’t these symptoms just a reaction to the eye diagnosis?
  • Accept a diagnosis of depression once it’s explained to me.
28
Q

What am I most worried about? (2)

A
  • Will depression have an affect on my diabetes?
  • Is it treatable?
29
Q

What expecting to happen next? (2)

A
  • To understand my symptoms and whether it is treatable.
  • Time to think about treatment options.

Mock Patient (17 decks)

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