Mood Disorders

Question 1

Give some sleep disturbances associated with depression.

Answer 1

Early morning waking
Delayed ability to sleep
Excessive sleep

Question 2

What is often seen in moderate depressive disorder?

Answer 2

Psychomotor retardation - slowing of mental and motor activity - restless activity and inability to relax.

Question 3

Give some differences between adjustment and depression.

Answer 3

Fluctuating symptoms vs continous symptoms
Abrupt onset vs gradual onset
Anger/frustration vs low self esteem and guilt
No sleep disturbance vs sleep disturbance
Time limited vs atleast 2 weeks
Anhedonia and low energy in depression

Question 4

Tx for depression

Answer 4

SSRIs (fluoxetine, sertraline, citalopram)
SNRIs (venlaflaxine, duloxetine)
TCAs (amitryptyline, imipramine)

Mood stabilisers - lithium, sodium valproate

ECT

Question 5

Tx bipolar?

Answer 5

Mood stabilisers (lithium, sodium valproate)
Anti-psychotics (quetiapine, ariripiprazole and olanzapine)
ECT uncommon