Psych - Depression and Schizophrenia Flashcards

1
Q

What are the 3 hallmarks of depression?

A

Low mood/ pervasive sadness
Anhedonia - loss on enjoyment
Anergia - no energy for simple ADLs

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2
Q

What are the physical symptoms of depression?

A
Loss of appetite or weight loss
Slow responses
Diurnal variation of mood 
Constipations
Decrease in libido 
Poor sleep/ fatigue
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3
Q

What are the psychological symptoms of depression?

A
Loss of concentration 
Guilt
Low self esteem
Hopelessness
Indecisiveness
Delusions
Suicidal thoughts
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4
Q

What are the impacts of suicide on society?

A

Devastating social consequences and is a burden on public health.

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5
Q

How common is suicide outside of mental health disorder?

A

10% of suicides exist outside the context of mental health

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6
Q

What are the 3 main methods of treatment for depression?

A

Antidepressants
Psychological therapy
Social therapy

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7
Q

How long do antidepressants take to kick in?

A

2-3 weeks

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8
Q

What kind of psychological therapy is available?

A

12 session CBT program

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9
Q

What kind of social therapy is available?

A

Exercise or company

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10
Q

How many depressed patients make a full recovery?

A

90%

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11
Q

When do we see mania?

A

We can see it in bipolar disorder, where patients experience depression and then mania which is the complete pathological opposite of depression

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12
Q

What are the symptoms of mania?

A
Elated mood
Irritability 
Grandiose 
Over spending 
Lack of sleep 
Rapid speech 
Poor concentration and poor judgement
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13
Q

What are the symptoms of schizophrenia?

A
Hallucinations 
Delusions 
Passivity 
Thought alleviation 
Abnormal behaviour
Disorganised speech 
Disturbance of emotions
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14
Q

What is formal thought disorder?

A

When you produce meaningful words but when put together in a sentence, they don’t make sense

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15
Q

What emotional disturbance may we see in schizophrenia?

A

We may see a lack of empathy (apathy) and a general bland affect.

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16
Q

Schizophrenia treatments?

A

We have antipsychotics
Psychological therapies
Family therapies
Music/art therapy

17
Q

Explain the ‘Rule of thirds’ for schizophrenia patients

A

1/3 of patients make a full recovery
1/3 of patients make a good recovery but relapse later on in life
1/3 of patients are refractory to treatment.