Exam #1: Depression & Other Mood Disorders Flashcards
What is the Sig E caps mnemonic?
This is a mnemonic for the symptoms of depression:
- Sleep
- Interest
- Guilt
- Energy
- Concentrate
- Appetite
- Psychomotor: agitation (anxiety) or retardations (lethargic)
- Suicide
**Four or more of these positive for eight weeks= depression
What is a tactful way to ask about suicidal ideation?
“Have you ever felt so sad that you thought about hurting yourself?”
What are the nonpharmacologic interventions for depression?
1) Psychotherapy–cognitive behavioral therapy
2) Exercise
3) Increased socialization
4) Light therapy
5) Pleasurable activities, use of talents
What did Freud say about the human condition & happiness?
Use of talents for self & others (work & love)
How do you pick the SSRI that you put a patient on?
Side effects
What are the SSRIs useful in treating?
Depression
Anxiety
OCD
What class of anti-depressants is associated with higher side effects?
Tricyclic antidepressants
What are the three neurotransmitters that are altered by the antidepressants?
DA
NE
5-HT
What is the mechanism of MOA inhibitors?
Prevent the breakdown of catecholamines
What are SNRIs?
5-HT & NE reuptake inhibitors
List examples of SNRIs.
Effexor (am)
Serozone
Remeron (pm)
What is ECT the treatment of choice for?
Life threatening & psychotic depression
*****Note that this is now done under anesthesiology
