Management of mood disorders

Question 1

How can you monitor mood/response to treatment?

Answer 1

• Beck depression inventory (BDI-II)
• Geriatric depression scale (GDS)
• Patient health questionnaire (PHQ)

Question 2

Treatment for moderate/severe depression

Answer 2

Provide a combination of antidepressant medication and a high-intensoty psychological intervention (CBT or IPT)

Question 3

Overgeneralising

Answer 3

Rules from isolated incidents then applied in all cases

Question 4

Dichotomous thinking

Answer 4

“all or nothing” or “black and white” thinking

Question 5

Selective abstraction

Answer 5

Focus on one -ve detail; colours entire experience

Question 6

Personalisation

Answer 6

Relate external events to self without cause (or little cause)

Question 7

Minimisation or magnification

Answer 7

Overestimate the magnitude of undesirable events (or opposite)

Question 8

Arbitrary evidence

Answer 8

Draw a conclusion in context of no evidence or contrary evidence

Question 9

Emotional reasoning

Answer 9

I feel bad/guilty/therefore I am bad/have something to feel guilty about

Question 10

How do antidepressants work?

Answer 10

• block re-uptake of monoamine neurotransmitters (5-HT, NA, DA)
• prevent breakdown of monoamine neurotransmitters
• as a result there is increased neurotransmitter availibility