Psych Affective Disorders Flashcards
Core sx of depression
Low mood
Low energy
Anhedonia
Cognitive sx of depression
Worthlessness Pessimism Loss of confidence Suicidal thoughts Poor concentration Poor memory
Biological sx of depression
Altered sleep
Loss of appetite
Low libido
Psychotic sx of depression
Auditory hallucinations
Nihilistic delusions
Ddx for depression
Physical (hypothyroidism, head injury)
Adjustment disorder
Normal sadness
Bereavement
CBT in lay terms
Talking therapy based on the principle that thoughts, mood and behavior are interlinked
SSRI side effects
N&V Weight gain Blurred vision Anxiety Insomnia Tremor Dizziness Headache Sweating
SSRIs
Sertraline
Fluoxetine
Paroxetine
Citalopram
SNRIs
Venlafaxine
Duloxetine
NASSAs
Mirtazapine
TCAs
Amitriptyline
Clomipramine
Imipramine
MSE
Appearance and Behavior Speech (rate, volume, tone and flow) Mood Thoughts Delusions Perceptions Cognition Insight
Lithium monitoring
Measure 12h post dose
One week post starting or dose change
Weekly until stable
3 monthly when stable
U&E and TFTs 6 monthly