MSRA: Mood Disorders Flashcards

1
Q

What is the treatment of ‘less severe’ depression?

A

Psychological interventions alone recommended:

  • Individual guided self-help
  • Computerised CBT
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2
Q

What are the features of mania?

A

7 days
Severe functional impairment
Psychotic symptoms

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3
Q

What are the features of hypomania?

A

Less than 7 days, typically 3-4
Does not impair functioning
No psychotic symptoms

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4
Q

What is the treatment of ‘more severe’ depression?

A

Psychological interventions and/or anti-depressants

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5
Q

What is meant by flight of ideas?

A

Rapid speech with frequent changes in topic based on association, distraction or word play

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6
Q

What monitoring is required for patients taking Lithium?

A

Lithium levels: weekly until stable level, then every 3 months
Thyroid + renal function every 6 months

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7
Q

What are the side effects of Lithium?

A

Fine tremor
NVD
Weight gain
Hypothyroidism
Hypercalcaemia
Nephrogenic diabetes insipidus

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8
Q

What are the features of lithium toxicity?

A

Confusion
Drowsiness
Ataxia, dizziness
Coarse tremor

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9
Q

Which drugs precipitate lithium toxicity?

A

Diuretics
NSAIDs
ACEI/ARBs

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