Mental Health Flashcards
For a diagnosis of major depressive disorder, a patient must at have least one out of two key features. What are these two key features?
- Depressed mood
2. Anhedonia (loss of interest/pleasure)
A patient must demonstrate 5 or more features (including one of the 2 key features) for a diagnosis of major depressive disorder. List as many of the 7 features as you can other than the 2 key features. Note that these features must cause significant distress or impaired functioning
- Appetite/weight change
- Insomnia/hypersomnia
- Psychomotor agitation/retardation
- Fatigue
- Feelings of worthlessness/guilt
- Decrease concentration
- Thought of death/suicide
What time period does a patient need to demonstrate symptoms before a diagnosis of major depressive disorder can be made?
2 weeks
For what period of time does a person need to have symptoms of anxiety and worry about a number of activities or events to be diagnosed with generalised anxiety disorder?
6 months
List as many of the 6 symptoms of generalised anxiety disorder. 3 or more are needed for a diagnosis.
- Restlessness/on edge feeling
- easily fatigued
- difficulty concentrating
- irritability
- muscle tension
- sleep disturbance
How long do manic symptoms need to be present for a diagnosis of mania? Is there another criteria that make the duration of symptoms irrelevant for a diagnosis?
At least one week.
Yes, diagnosis can be made if requiring hospitalisation regardless of the duration of symptoms
List as many of the 7 symptoms of mania which may present alongside the key features of persistently elevated, expansive, or irritable mood and abnormally and persistently goal-directed behavior or energy.
- Inflated self-esteem or grandiosity
Decreased need for sleep - More talkative than usual/pressured speech
- Flight of ideas
- Distractibility
- Increase in goal-directed activity or psychomotor agitation
- Excessive involvement in activities that have a high potential for painful consequences (e.g., engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments).
How recent must a triggering event be for a diagnosis of adjustment disorder?
3 months
Up to how long can symptoms persist for a diagnosis of adjustment disorder to still be applicable?
6 months
What does the H in a HEEADSSSS stand for?
Home and Environment
What do the two Es in a HEEADSSSS stand for?
Education and Employment
Exercise and Eating
What does the A in a HEEADSSSS stand for?
Activities
What does the D in a HEEADSSSS stand for?
Drugs
What do the four Ss in HEADSSSS stand for?
Sexuality
Suicide/mental health
Spirituality
Safety - eg. bullying, online abuse, sexual abuse
What is the K+ level warranting medical admission for eating disorders?
<3
What is the HR warranting medical admission for eating disorders?
50 or less
What is the resting SBP warranting medical admission for eating disorders?
80 or less
What is the postural SBP drop warranting medical admission for eating disorders?
20 or more
What is the postural HR inrcrease warranting medical admission for eating disorders?
30 or more
What is the temperature warranting medical admission for eating disorders?
<35.5
At what percentage of expected body weight would a medical admission be indicated for a pt with an eating disorder?
<75%
What is the minimum timeframe patients would need to show signs for a diagnosis of hypomania?
4 days
List 3 potentially deadly complications of clozapine use
- Agranulocytosis - why we measure FBE
- Mycocarditis - early in treatment. Hence troponins
- Cardiomyopathy - later in treatment. Hence TTE
- Seizures
- Gastric hypomobility - can result in ileus
