MSRA: Mood Disorders Flashcards
What is the treatment of ‘less severe’ depression?
Psychological interventions alone recommended:
- Individual guided self-help
- Computerised CBT
What are the features of mania?
7 days
Severe functional impairment
Psychotic symptoms
What are the features of hypomania?
Less than 7 days, typically 3-4
Does not impair functioning
No psychotic symptoms
What is the treatment of ‘more severe’ depression?
Psychological interventions and/or anti-depressants
What is meant by flight of ideas?
Rapid speech with frequent changes in topic based on association, distraction or word play
What monitoring is required for patients taking Lithium?
Lithium levels: weekly until stable level, then every 3 months
Thyroid + renal function every 6 months
What are the side effects of Lithium?
Fine tremor
NVD
Weight gain
Hypothyroidism
Hypercalcaemia
Nephrogenic diabetes insipidus
What are the features of lithium toxicity?
Confusion
Drowsiness
Ataxia, dizziness
Coarse tremor
Which drugs precipitate lithium toxicity?
Diuretics
NSAIDs
ACEI/ARBs