Psychiatry

Question 1

Define affect

Answer 1

Pattern of observable behaviours. Variable over time – in response to changing emotional state(like the weather)

Question 2

Define mood

Answer 2

Pervasive sustained emotions. Colours perception of world (like the climate)

Question 3

Screening questions for depression

Answer 3

1. During the last month, have you felt down, depressed or hopeless?
2. During the last month, have you had little interest or pleasure in doing things you normally would?

Question 4

Diagnostic criteria for depression?

Answer 4

3 core + 2 other sx of (DEAD SWAMP):
Depressed mood
Energy loss/fatigue
Anhedonia

Death thoughts
Sleep disturbance
Worthlessness
Appetite/weight change
Mentation (concentration) decreased
Pychomotor agitation or retardation

Question 5

Duration of sx to diagnose depression? Classification?

Answer 5

2 wk duration.
<5 sx = sub-threshold depressive symptoms
>5 + minor func. impairment = mild - moderate
Most sx on list, marked impact on ADL’s +/- psychotic sx = severe

Question 6

Treatment of depression?

Answer 6

CBT
1st line drug = SSRI: fluoxetine (citalopram, paroxetine, sertraline (best in past hx of CVD))
Side effects: GI disturbance, increased risk of suicide in <30 yrs