Kap 6: Stemningslidelser Flashcards
Why should you not treat bipolar depression with antidepressants?
Because they can trigger a (hypo-) manic or mixed episode
What is the Life time prevalence of Bipolar disorder?
2%
What is the Life time prevalence of unipolar Depression?
18%
What is the 12 Month prevalence of Bipolar?
1%
What is the 12 Month prevalence of Depression?
7%
3 fun age related depression facts?
Half of people with depression get it before 20 years of age
It is also part of the DC 0-3
It is the most common disorder for people under 18
What is the definition of a mood disorder?
A qualitative change in mood, that influences thoughts, behavior and feelings.
What does diagnostic priority mean?
That this diagnosis has to be given over others unless their symptoms were present before
What is a Manic episode?
An episode with a lot of Energy, a psychotic state with grandios goals and skills
What is the 12 Month comorbidity of depression?
64% (57,5% are anxiety)
What is the life time comorbidity of depression?
What are typical comorbid disorders?
72%
Anxiety, Impulse control disorders, Drug abuse
What is needed for Depression diagnosis?
Having low mood for most of the day, for nearly every day for at least 2 weeks
What is needed for Bipolar depression diagnosis?
A manic phase of at least 4 days, unless stopped by medication/hospitalization
What is diagnostic priority and why is it important with Depression?
It means that no other diagnosis can be given, unless the symptoms were there before.
It is important, because Depression can give so many symptoms that are similar to other disorders
What are the types of depression?
- Single episode depressive disorder
- Recurrent depressive disorder (which includes Dysthymic disorder)
What is Dysthymic disorder?
When a person does not meet all criteria for recurrent depression, but it lasts for 2 years, or 1 year for children
What are the levels of depression
- mild
- moderate, w/ or w/o psychosis
- serious, w/ or w/o psychosis
What is depressive psychosis?
A delusion of shame or guilt, that one has done something terribly wrong
What is a manic episode?
A episode with lots of energy, a psychotic state with grandios goals and skills
What are the different ways of treating mood disorders?
No treatment (spontaneous remission)
Biological treatment (ECT and Medication)
Talk therapies (CBT or Interpersonal therapy)
What is ECT?
Electro Convulsive Therapy
It can be used for treating severe depression and psychosis
It works by inducing seizures by giving electric shocks while under anesthesia and muscle relaxants
What is the effect size of ECT?
0.91
It works fast, but relapse is likely after 6 months
What are the biological treatments of Depression?
Antidepressiva such as
TCAs - Tricyclic Antidepr.
SSRIs - Selective Serotonin Reuptake Inhibitors
SNRIs - Serotonin and Noradrenaline Reauptake Inhibitors
ECT - Electro convulsive therapy
Sleep deprivation
Sport
How long do Antidepressants usually take to function?
2-4 Weeks
