Mental health Flashcards
what are some sx of depression normally?
depressed mood + loss of pleasure*
sleep change
appetite change
psychomotor change
loss of energy
feeling worthless or guilty
difficulty concentrating
thoughts of suicide/death
how might depression be different in elderly?
more often report somatic sx
less often report depressed mood or guilt
depression may be “masked” by preoccupation with physical concerns
what are the 2 tests to screen for depression?
Geriatric depression scale (GDS)
Patient Health Questionaire 9 (PHQ9)
which screening test checks for suicidal ideation?
PHQ9
which depression screening test can be used to assess response to treatment?
PHQ9
is there an increased risk of suicide in the elderly?
yes
what are the steps to treating depression?
treat acute episode
prevent a relapse
revent recurrence
what are the 3 types of therapy for depression in elderly?
psychotherapy
meds
ECT
which med is most often used for depression?
SSRI
are elderly more or less likely to have panic attacks?
less
are elderly more or less likely to show avoidance as a sign of anxiety?
less
what are signs of social phobia?
trembling, blushing, sweating profusely
what might cause an elderly person to get social phobia?
falling********
going pee in public
eating in public
giving speeches
what are the distinctive sx of generalized anxiety disorder?
feeling easily tired
muscle tension
trouble sleeping thru the night
difficulty concentrating
feeling irritable
which of the following antidepressants should you not use for anxiety?
a) benzodiazepines
b) buspirone
c) antihistamines
d) 2nd gen antipsychotics
e) all of the above
all of the above
