mood disorders Flashcards
what is thee clinical picture of depression ?
5 or ore of thee following for a period of 2 weeks
category A and category B symptoms
A - depressed mood
loss of interest
low energy
B -reduced concentration
reduced self esteem
ideas of guilt
change in appetite
sleep disturbances
ideas off self harm
what are the criteria for the diagnosis of mild, moderate or severe depression ?
mild 2 A + 2 B
moderate 2 A + 4 B
severe all of A and 5 of B
what is cotrads syndrome ?
patient has a delusional belief that they are dead and is ususally associated with severe depression
chronic depression that is not fulfilling the criteria for major depression ?
dysthymia
what is adjustment disorder with depressed mood ?
mild to moderate symptoms off depression
occurred and disappeared within 6 months of significant stressor
what is the first line treatment for mild to moderate depression that has failed intial interventions ?
SSRI
or
CBT
or
IPT
what is the first line management for moderate to severe depression ?
SSRRI and CBT or IPT
what type of patients are likely to benefit from ECT ?
severe depression with life threatening
what is the difference between bipolar 1 and 2 ?
1 - mania has occurred on at least one occasion
2 - hypomania has occurred on at least one occasion
what is hypomania ?
elevated or irritable state sustained for at least 4 days
what is mania ?
elevated or irritable sustained for 1 week
what are the variants of bipolar disorder ?
rapid cycling - 4 or more episodes per year
cyclothymia - milder form of bipolar , doesn’t meet the criteria
what is the kindling effect ?
initial episodes of a mood disorder are more likely to be influenced by psychosocial stressors compared to later episodes
what is thee treatment for an acute episode of mania or hypomania ?
lithium
valproate
antipsychotics
what is thee treatment of bipolar depression in the acute setting ?
valproate
quetiapine
lamotrigine
lithium
