Low mood Flashcards
1
Q
Core features of low mood
A
Mood
Anhedonia
Poor sleep/fatigue
2
Q
Non core features of low mood
A
- Lack of energy
- Outlook: hopelessness/worthlessness
- Poor memory and concentration
- Poor self esteem
- Guilt
- Tearfullness
- Agitation
3
Q
How long does low mood have to continue before it can be considered depression
A
> 2 weeks
4
Q
Physical symptoms of anxiety
A
- Palpitations
- SOB
- tight chest
- Sweating
- dizziness
5
Q
What must you ask about the timing of anxiety
A
- When did it start
- Is it episodic vs constant
- Any trigger
- Impact on life
- Frequency
- Avoidance
6
Q
what other psychological problems can be associated with anxiety
A
- Low mood - depression screen
- Stress
- Worry
- Avoidance
7
Q
Anxiety differential diagnoses
A
- obsessions,
- compulsions
- PTSD Sx
- Panic attack
- Phobia
- General anxiety disorder
- hyperthyroidism
- ACS
8
Q
Features of PTSD
A
- psychological trauma
- flashbacks
- nightmares
- hyperarousal
9
Q
What questions should you ask regarding hallucinations
A
- Voice detail: male/female, recognize, always same - Real/pseudo: internal/external - 2nd/3rd person: to you/about you, comments - What they say: commands
10
Q
What should you ask about when discussing memory loss
A
● Short/long term ● Insight and concerns ● Functional levels (washing, dressing) ● Forgotten things that may put people at risk e.g. gas stove ● Perform MMSE
11
Q
Differentials of low mood
A
- depression
- hypothyroid
- bipolar
- schizoaffective disorder
- anxiety
- psychosis
12
Q
Differentials of Psychosis
A
- schizophrenia
- drug-induced
- delirium
- depression with
psychosis - mania
- electrolytes imbalances, endocrine, metabolic.
13
Q
Somtaic symptos of depression
A
- Weight Changes
- Appetite changes
- Insomnia
- Loss of libido
14
Q
What features suggest depression over dementia
A
- short history, rapid onset
- biological symptoms e.g. weight loss, sleep disturbance
- patient worried about poor memory
- reluctant to take tests, disappointed with results
- mini-mental test score: variable
- global memory loss (dementia characteristically causes recent memory loss)
15
Q
Short term Side effects of ECT
A
headache nausea short term memory impairment memory loss of events prior to ECT cardiac arrhythmia
