The Management of Mood Disorders Flashcards
when is the inventory of depressive symptomatology - self report 30 (IDS-30-SR) often used?
treatment resistant illness
bipolar depression
motivated patients who have energy to fill it in
what does IDS-30-SR ask about?
energy levels
what does quick inventory or depressive symptomatology self report 16 (QIDS) ask about?
sleep sadness appetite weight concentration view of self suicidal thoughts general interest energy
who often uses hospital anxiety and depression scale?
nurses
who is montgomery-aberg rating scale (MADRS) useful for?
those who cant communicate or too unwell to communicate
what is thought to be the best all round SSRI?
escitalopram
what antidepressant has good cardiac safety profile and allows easy dose titration?
sertraline
what antidepressant promotes sleep and appetite / weight gain?
mirtazapine
what antidepressant is associated with a higher rate of adverse effects but shows a dose-response relationship and may be slightly more effective?
venlafaxine
first episode - how long should you continue antidepressant for after full recovery without reducing dose?
6 months
second episode - how long should you continue antidepressant for after full recovery without reducing dose?
1-2 years
mania vs hypomania?
hypomania - mania without psychotic symptoms
can also have mania without psychotic symptoms if complete loss of function
what are first line antipsychotic medications for acute mania?
olanzapine
quetiapine
risperidone
what are other options for acute mania?
lithium
valproate
carbamazepine
ECT
medication for acute mania should be oral if possible but what method of administration may be needed?
IM
what symptoms in acute mania can benzodiazepines or Z-drugs control?
agitation
insomnia