Mood disorders Flashcards
Mild depression
4 symptoms
Moderate depression
5-6 symptoms
Severe depression
7+ symptoms
Core symptoms of depression
Low mood, loss of pleasure (anhedonia) and loss of energy (anergia)
Diagnosing depression
Sx must be present on most days for two weeks
Diagnosing recurrent depression
2+ episodes of depression
treatment for mild depressive episode
Self help, lifestyle adjustments
Treatment for moderate depressive episode
CBT +/- sertraline
treatment for severe depressive episode
Intensive meds, secondary care teams
Treatment for psychosis
Olanzapine
Hypomania
Elevated or irritable mood for 4+ days
Symptoms of hypomania
- Increased actviity
- Restlessness
- Increased talking
- Increased sociability
- Decreased sleep
- Poor concentration
- Mildly reckless behaviour
- Increased sexual energy
It has modest functional impairment
Symptoms of mania
3+ of the following:
- Increased activity
- Increased talking
- Flight of ideas
- Loss of normal social inhibitions
- Decreased need for sleep
- Increased self esteem
- Poor concentration
- Reckless behaviour
- Marked sexual energy
It has severe functional impairment
Bipolar disorder
- One episode of elevated mood and one episode of other affective disorder (depression, mania, hypomania or mixed affective episode)
- Some cycles are predictable but others aren’t
- Manic episode followed by depression
Treating bipolar
Self-care, CBT, mood stabiliser (lithium or olanzapine)
