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?
2
Q
Name
A
Bilal Aziz
3
Q
Age
A
34
4
Q
DOB
A
4/12/1989
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
6
Q
Long term diagnosis (3)
A
- Type 1 Diabetes
- Since age 14
- Always attend annual screenings
7
Q
Eye problem (2)
A
- Background retinopathy has progressed to stage 2 non-proliferative retinopathy
- Learned this four months ago
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
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.
10
Q
Fatigue (2)
A
- Tired much of the time
- Not sleeping well
11
Q
Concentration (2)
A
- Struggling to concentrate at work
- No one has expressed any concerns
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
13
Q
Food (2)
A
- Have not noticed a change in appetite or weight.
- Practise nurse confirmed that diabetes remains well controlled.
14
Q
Sex (4)
A
- Less interested
- Once a month
- Wife has commented on this
- No problems with erectile dysfunction
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.
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.
