Week 12 - Mood Disorders Flashcards
1
Q
What is the leading cause of disability worldwide?
A
Major depressive disorder
2
Q
- 2 week history of depressed mood
- At least 5 of the following:
>Depressed mood all day everyday
>Loss of interest or pleasure
>Significant weight change
>Significant increase of decrease in sleep
>Fatigue or loss of energy
A
Major depressive episode
3
Q
SAD-A-FACES
A
- Sleep
- Appetite (weight)
- Dysphoria (low mood)
- Anhedonia (inability to experience pleasure)
- Fatigue
- Agitation
- Concentration reduced
- Esteem low
- Suicidal thoughts
4
Q
If depressive symptoms occur within the first two months of bereavement, does the person have depression?
A
No
5
Q
If depressive symptoms occur after the first two months of bereavement, does the person have depression?
A
Yes
6
Q
- Emotional or behavioural symptoms in response to an identifiable stressor (within 3 months of onset of stressor)
- Distress
- Impairment
A
Adjustment disorder
7
Q
Treatment for all types of depression
A
- Psychoeducation
- Identify stressors
- Mobilise support
8
Q
Treatment for mild MDD
A
- GP management
- Problem solving or CBT
- Medication (anti-depressants)
9
Q
Treatment for moderate MDD
A
- Medication
- CBT
- Review weekly
10
Q
Treatment for severe MDD
A
- Medication
- ECT
- Psychotic anti-depressant
11
Q
Other things that may help MDD
A
- Exercise
- Bright lights
- Structured activities
- Sensory modulation
- Sleep deprivation
12
Q
Effectiveness of ECT
A
70%
13
Q
Use of ECT
A
- Depressed patients who are suicidal
- Delusions or hallucinations
- Stopped eating or drinking
14
Q
How long should someone stay on medication if they only have one episode?
A
- 12-18 months
15
Q
How long should someone stay on medication if they have more than one episode?
A
- 3 years
