What is dysthymic disorder?
A persistent depressed mood lasting two years or more, milder than major depressive disorder.
What types of antidepressants are mentioned for biological treatment?
SSRIs (sertraline, fluoxetine), SNRIs (venlafaxine), TCAs (nortriptyline), and mood stabilizers (lithium).
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Differential Diagnosis for Depression

What is dysthymic disorder?

A persistent depressed mood lasting two years or more, milder than major depressive disorder.

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Management and Treatment Approaches

What types of antidepressants are mentioned for biological treatment?

SSRIs (sertraline, fluoxetine), SNRIs (venlafaxine), TCAs (nortriptyline), and mood stabilizers (lithium).

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Risk Factors and Comorbidities

Which neurological conditions are associated with mood disorders?

Stroke, Parkinson’s disease, multiple sclerosis, and frontal lobe brain tumors.

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Assessment Tools and Scales

What is the difference between BDI and Hamilton Rating Scale?

BDI is self-rated, while Hamilton is observer-rated.

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Risk Factors and Comorbidities

What substances are known to affect mood?

Cocaine, amphetamines, and alcohol.

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Risk Factors and Comorbidities

What metabolic deficiencies can lead to mood disorders?

Iron deficiency, B12 deficiency, hypercalcemia, hyponatremia, and hypomagnesemia.

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Postnatal Depression Considerations

What is the Edinburgh Postnatal Depression Scale used for?

To assess postnatal depression.

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Differential Diagnosis for Depression

What are the key features of dysthymic disorder?

More mild symptoms, no history of mania, and no prolonged symptom-free periods.

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Grief vs. Depression

What is the main difference between grief and depression?

Grief is based on the loss of a person, while depression is a broader mental health issue.

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Grief vs. Depression

What are the three stages of grief?

Shock/disbelief, mourning, and acceptance.

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Postnatal Depression Considerations

What are some risk factors for postnatal depression?

Pregnancy complications, baby health issues, history of PMS, past family history of depression, and traumatic events.

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Mental State Examination (MSE)

What does SIGECAPS stand for in assessing depression?

Sleep, Interests, Guilt/self-esteem, Energy, Concentration, Appetite/Libido, Psychomotor agitation, Suicidal ideation.

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Assessment Tools and Scales

What social investigations can assist in understanding a patient's condition?

Collateral information from friends, family members, or the GP.

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Differential Diagnosis for Depression

What is recurrent depressive disorder?

A type of depression that recurs over time.

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Management and Treatment Approaches

What social support options are suggested?

Support groups, social work for housing or financial issues, and occupational therapy.

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Risk Factors and Comorbidities

What are some medications that can contribute to mood disorders?

Steroids, beta blockers, and estrogen.

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Assessment Tools and Scales

What psychological investigations can be used for assessing depression?

Beck Depression Inventory and Hamilton Rating Scale for Depression.

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Grief vs. Depression

How long does grief typically last?

6 to 12 months.

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Risk Factors and Comorbidities

What infections can contribute to mood disorders?

Mononucleosis, viral hepatitis, and encephalitis.

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Management and Treatment Approaches

What initial steps should be taken in managing a patient with depression?

Conduct a thorough risk assessment and gather personal and medical history.

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Management and Treatment Approaches

What psychological therapies are recommended?

Psychoeducation, CBT, mindfulness, and family therapy.

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Assessment Tools and Scales

What biological investigations are recommended for mood disorders?

Blood tests, brain CT/MRI, and ECG.

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Postnatal Depression Considerations

What is the difference between baby blues and postpartum depression?

Baby blues start a few days after birth and last about 2 weeks, while postpartum depression lasts longer.

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What are the ICD-11 diagnostic criteria for depression?

<p>At least FIVE symptoms (at least ONE from the affective cluster) occurring most of the day, nearly every day, for at least TWO WEEKS </p><p>Affective cluster </p><ul class="tight" data-tight="true"><li><p>depressed mood </p></li><li><p>reduced interest in activities </p></li></ul><p>Cognitive-behavioural cluster </p><ul class="tight" data-tight="true"><li><p>reduced concentration </p></li><li><p>low self-worth, self guilt </p></li><li><p>hopelessness about the future </p></li><li><p>recurrent thoughts of death, suicidal ideation or attempted suicide </p></li></ul><p>Neurovegetative cluster </p><ul class="tight" data-tight="true"><li><p>disrupted or excessive sleep </p></li><li><p>reduced or increased appetite or weight change </p></li><li><p>psychomotor agitation or retardation </p></li><li><p>reduced energy, fatigue or tiredness after minimal effort</p></li></ul><p></p>

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