Mood Disorders Flashcards
1
Q
What are the core features of Depression
A
- Low mood
- Anhedonia
- Low energy
2
Q
What the cognitive features of Depression
A
- Lack of concentration
- Negative thoughts (hopelessness + helplessness)
- Excessive guilt
- Suicidal ideation
3
Q
What the biological features of Depression
A
- Diurnal variation
- Sleep disturbance
- Loss of libido
- Weight loss/loss of appetite
- Psychomotor retardation
4
Q
What are the Psychotic features of Depression
A
- Hallucinations (second person)
- Delusions (persecutory, nihilistic)
5
Q
How do you rate the severity of Depression
A
Based on symptoms present
- Mild: 2 core + 2 other
- Moderate: 2 core + 3/4 other
- Severe: 3 core + >4 other
- Severe + Psychosis: 3 core + >4 other + psychosis
6
Q
What investigations can you do for Depression
A
Diagnostic questionnaires
- PHQ-9, HADS
Blood tests
- look for biological cause of symptoms (esp endo)
7
Q
What general treatment options are there for depression
A
- Biological: Antidepressants (SSRIs 1st line)
- Psycho: CBT
- Social: Social support groups
8
Q
What is the management Mild-Moderate depression
A
- Watchful waiting
- CBT (first line)
- SSRIs (if long term/PMH of depression)
9
Q
What is the management Moderate-Severe depression
A
- Suicide risk assessment
- SSRIs (first line)
- CBT
- Consider psych referral
10
Q
When is ECT indicated
A
Treatment-resistant, life-threatening Depression
