Mood Disorders

Question 1

What are the main risks we assess for in mood disorders

Answer 1

Self-harm
Harm from/to others
Relapse
Neglect
Abuse (financial included)
Falls
Developing other conditions

Question 2

Types of Mood disorders

Answer 2

Depression (mild, moderate, severe, psychotic, anti/post-natal)
Anxiety
Bipolar 1 or 2
Cyclothymia
Stress

Question 3

Interventions for Mood disorders

Answer 3

Psycho-education
Medication
DBT
Remove stressors
Sensory Modulation
Family interventions

Question 4

What is Anxiety

Answer 4

A mental illness characterised by feelings of worry, anxiety or fear that are strong enough to interfere with daily living

Question 5

Types of anxiety

Answer 5

Generalised anxiety
OCD
PTSD
Panic disorder
Phobias

Question 6

What is OCD

Answer 6

When a person has persistent, intrusive thoughts and obsessions that cause anxiety.

Question 7

What is PTSD

Answer 7

A reaction to a highly stressful event outside the range of everyday experience, where a person feels unsafe or threatened. Usually accompanied with flashbacks, or repeated nightmares

Question 8

What is panic disorder

Answer 8

A disorder where a person has panic attacks, these are intense feelings of anxiety along with physical symptoms.

Question 9

What are phobias

Answer 9

Irrational and extreme fears of particular things

Question 10

What is depression

Answer 10

Mental illness where mood is considered low, lasts for weeks to years

Question 11

Symptoms of Depression

Answer 11

Fatigue
Too much or too little sleep
Feelings of worthlessness
No energy
Low self esteem
Loss of appetite or over-eating
Thinking about death or irrational crying

Question 12

Common age range for depression to begin

Answer 12

25-45 (although can occur at any age)

Question 13

Suicide assessment and inteventions

Answer 13

1. Establish rapport
2. Assess MSE, Past HX (including attempts) and current risk
3. Assess level of observations
4. Consult Psychiatrist
5. Evaluate with Pt and family

Question 14

Risk Levels (inpatient) of observation

Answer 14

1. Hourly obs - every inpatient must be sighted every hour
2. Significant risk - those with risk to self/others, sighted every 10 min
3. High risk - expressing suicidal or aggressive behaviour, kept in same room and within eyesight
4. Extreme high risk - Impulsive and imminent risk of violence, within eyesight and arms reach

Question 15

Purpose of risk assessment

Answer 15

To keep the person and others around them, safe

Question 16

What are the 4 ‘P’ factors

Answer 16

Precipitating: factors causing person to present now
Predisposing: factors that have occurred previously to increase susceptibility
Perpetuating: factors that cause the continuation of problems
Protective: factors that mitigate or reduce risk

Question 17

Common mood stabilisers

Answer 17

Lithium
Carbamazepine
Valproate
Clonazepam

Question 18

Common Antidepressants

Answer 18

SSRI - selective serotonin reuptake inihibiters:
Citalopram
Fluoxetine
Sertraline
Paroxetine

Question 19

What is our body’s main stress hormone

Answer 19

Cortisol - a steroid hormone responsible for mood, motivation and fear

Question 20

What role does cortisol play in our body

Answer 20

-Increases body’s metabolism of glucose, carbs, fats and proteins
- Regulates BP
-Weight gain / hair loss
- Manages body’s use of carbs, fats, proteins
-Controls sleep and wake cycles

Question 21

What is adrenaline responsible for

Answer 21

-It is the immediate stress hormone
-Fight or flight mode

Question 22

‘Eustress’ is

Answer 22

A positive response to a stressor

Question 23

Panic attack physical symptoms

Answer 23

Sweating
N+V
Blurred vision
Tachycardia
Shaking