Mood disorders lecture Flashcards

1
Q

What are the learning points from this lecture?

A
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2
Q

How many australians everyday take their own lifes?

Why is it important?

What are the leading causes of disability amongst the 15-44 years of age?

A
  • Every day 7 Australians take their own lifes

Because mental health conditions cost 10.9 billion dollars annually

  • From being absent from work
  • From being at work underfunctioning
  • Compensation claims
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3
Q

Some important statistics about depression in the youth males vs females

A
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4
Q

What is the omnibus model?

What does it try explain?

A

That multiple factors, (individual, family factors) affect a persons ability to combat crisis and depression

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5
Q

What is an ACE (adverse child event)? What are the 10 most important adverse events that directly influence developing depression in life?

A

Three major ares

1) Abuse
2) Neglect
3) Household dysfunction

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6
Q

What is DSM V criteria for Major depressive disorder?

A
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7
Q

What is PDD Persistent depressive disroder?

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8
Q

What is Bipolar 1 (what is the DSM crtieria)

A
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9
Q

What is bipolar 2 (what is DSM V criteria for diagnosis)

A
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10
Q

What questions do you need to cover when askingn about depression? (how to recognise depression)

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11
Q

What do relatives and friends see in a depressed person?

A
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12
Q

What is the difference between ‘Suicide intent”, and ‘Suicide risk”?

How do we ask about this? what are important things

SADPERSONS

A
  • With things going so poorly in your life i was wondering if your willing to go on?
  • What sort of ways have you thought about hurting yourself? (e.g pills, hanging, firearms) (you need to work out level of lethality patient has been thinking about)
  • What has stopped you from doing it? Is there someone in your life that makes you not want to?
  • Have you let anyone know what your thinking?
  • If you were feeling more suicidal in the next few days is their anyone you can reach out to?

SADPERSONS

Calculation

The score is calculated from ten yes/no questions, with one point for each affirmative answer:

S: Male sex

A: Age (<19 or >45 years)

D: Depression

P: Previous attempt

E: Excess alcohol or substance use

R: Rational thinking loss

S: Social supports lacking

O: Organized plan

N: No spouse

S: Sickness

This score is then mapped onto a risk assessment scale as follows:

0–4: Low

5–6: Medium

7–10: High

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13
Q

Clinical descisons regarding management of suicide, based on risk assessment (Intent+risk)

A
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14
Q

Conclusion Depression

A
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15
Q

Treatment of mood disorder and presentation overview

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16
Q

What is the difference in outcomes in pharmocotherapies vs psychotherapy in different MH conditions?

A
17
Q

What is NHMRC is?

A

Australias, National health medical reseach

18
Q

What is meant by a step model of care? (prevention, mild, mod, severe)

A
19
Q

In step 1, or prevention of depression, what good resources, self help can facilitate psychoeducation?

A

–> beyond blue, online resources.

20
Q

Whats some advice on reducing stress, when dealing with a depressive episode?

A
21
Q

What is some important advice for sleeping well during a depressive episode? What is sleep hygeine?

A
22
Q

How to over come long term sleep problems?

A
23
Q

How to decrease alcohol and other drugs?

A
24
Q

What is some advice for keeping active during a depressive episode?

A
25
Q

What are other services for preventing and treating depression?

A
  • Desk online
  • Mens sheds
  • Womens groups
26
Q

How does low intensity CBT look?

What about problem solving skills?

A
  • Online CBT-
27
Q

CBT vs DBT what are they for? what is the process of each?

A

What are the 5 steps of CBT?

5 Easy Steps to Changing Your Thinking Using Cognitive Behavioral Therapy (CBT)

Step One – Make A List.

Step Two – Record Unproductive Thoughts.

Step Three – Create Replacement Thoughts.

Step Four – Read Your List Often.

Step Five – Notice And Replace.

28
Q

What is IPT?

A

Interpersonal psychotherapy (IPT) is a brief therapy based on attachment and interpersonal theories. It focuses on resolving interpersonal issues that are causing mental health difficulties, like depression.

29
Q

What is best treatment in mild/mod depression in adolescent/adult? (go for therapies first)

A
30
Q
A
31
Q

What is fluoxetine, what is SE, interactions, precautions and starting dose for this medication?

What is emergent suicidal thinking?

What do you need to tell all patients when prescribing antidepressants?

What do you need to screen for in all patients? (think switching) what questions do you need to ask?

When treating a bipolar patient in a depressive illness what do you need to prescribe first before antidepressants (never prescribe these patients unnopposed antidepressants)

A
32
Q

What is IPT role in depression?

A

IPT focuses on stressful life events of grief, interpersonal disputes, life transitions, or social isolation or deficits that are associated with the onset, exacerbation, or perpetuation of current symptoms, while helping patients to connect with social supports and to improve the quality of their relationships (13, 14).

The beginning phase tasks include the forming of a therapeutic alliance, conducting a psychiatric assessment with an extended social history and interpersonal inventory, providing psychoeducation, instilling hope, and choosing an interpersonal focus.

During the middle phase, interpersonal problem-specific therapeutic guidelines are applied.

In the concluding phase, gains are consolidated, and adaptive interpersonal strategies and contingency plans in the event of relapse are reviewed.

33
Q

What is the treatment of acute mania?

A
34
Q

What is the treatment for bipolar depression?

What is maintenance therapy?

A

Maintence therapy: attempt montherapy with: Lithium, valporate, quietapine, lamotrigine.

35
Q

What are the features of each mood disorder and how can we differentiate them basically?

A
36
Q
A