Notes in 01_Depression

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Published	02/10/2024	Depression is a medical condition that describes a {{c1::spectrum of symptoms and signs relating to low mood that persist over a period of >2 weeks…
Published	02/10/2024	Typical Depressive Episode lasts for {{c1::4-6 months}}
Published	02/10/2024	Key Symptoms of Depression:  {{c1::Anhedonia; low mood}} {{c1::Reduced interest/pleasure}} {{c1::Reduced energy or fatigue}}
Published	02/10/2024	Associated Symptoms of Depression: (Non-Key) {{c1::Disrupted sleep (Waking up several times, Early waking)}} {{c1::Reduced concentration and attention…
Published	02/10/2024	The diagnosis of Depression should not be attributable to {{c1::psychoactive substance use}} or {{c1::organic mental disorder}}
Published	02/10/2024	Depression does not present with {{c1::hypomanic}} or {{c1::manic}} episodes (if present — consider bipolar disorder)
Published	02/10/2024	If Depression presents with {{c2::psychotic}} symptoms then it is likely considered to be {{c1::Severe Depression}} (Psychosi…
Published	02/10/2024	Features of {{c2::Mild}} Depression {{c1::Four symptoms}} {{c1::Distressed by the symptoms to a mild extent}} {{c1::Difficulty in continuing to functi…
Published	02/10/2024	Features of {{c2::Moderate}} Depression {{c1::Five to six symptoms}} {{c1::Few depressive symptoms present to a marked degree}} {{c1::Many depressive …
Published	02/10/2024	Features of {{c2::Severe}} Depression {{c1::Seven or more symptoms}} {{c1::Many depressive symptoms present to a marked degree}} {{c1::Few depressive …
Published	02/10/2024	Postnatal Depression is an {{c1::affective disorder affecting 10-15% of women presenting with depressive symptoms, often starting within a month or tw…
Published	02/10/2024	Psychiatric Differential Diagnosis of Depression {{c1::Normal reaction to life circumstances}} {{c1::Seasonal Affective Disorder (SAD)}} {{c1::Dysthym…
Published	02/10/2024	Non-Psychiatric Differential Diagnosis of Depression Neurology: {{c1::Stroke}}, {{c1::Tumour}}, {{c1::Dementia}} Endocrinology: {{c1::Hypothyroidism}}…
Published	02/10/2024	Risk Factors of Depression {{c1::Previous depression}} {{c1::History of other mental illness}} {{c1::History of substance misuse}} {{c1::Family histor…
Published	02/10/2024	Measurement Tools or Scores to Assess Depression {{c1::Structured Clinical Interview for DSM Disorders (SCID)}} {{c1::Schedules for Clinical Assessmen…
Published	02/10/2024	Step 1 of Approach to Depression is {{c1::Recognition, Assessment and Advice (Lifestyle, Discussion of Active Monitoring)}}
Published	02/10/2024	Step 2 of Approach to Depression is Depression Severity: {{c1::Subthreshold-Mild-Moderate}}Approach: {{c1::Active Monitoring and Low-Intensity Ps…
Published	02/10/2024	DO NOT routinely use antidepressants for Depression, unless: {{c1::past history of moderate-severe depression}} {{c1::they present with subthreshold s…
Published	02/10/2024	Step 3 of Approach to Depression is Depression Severity: {{c1::Inadequate Response}} OR {{c1::Moderate-Severe Depression}}Approach: {{c…
Published	02/10/2024	Step 4 of Approach to Depression is Depression Severity: {{c1::Severe and Complex}} Approach: {{c1::Referral to multiprofessional …
Published	02/10/2024	Depression patients with the following should be referred to multiprofessional and inpatient care:{{c1::Risk of self-harm due to: Severe and comp…
Published	02/10/2024	While treating Depression, if response to an SSRI is absent or minimal after 3 to 4 weeks, increase dose OR switch to another antidepressant e.g. {{c1…
Published	02/10/2024	While treating Depression, if patient wants to stop or reduce dosage of treatment:To avoid risk of Discontinuation symptoms:{{c1::Gradual Reduction of…
Published	02/10/2024	Follow-up for Depression is at {{c1::2 weeks}} after starting antidepressantsTHEN: intervals of every {{c1::2 to 4 weeks}} for {{c1::3 months}} a…
Published	02/10/2024	Antidepressants used for treatment of Depression:First-line/Second-line: (Switch drug or drug class, Increase dosage, or Combine)[1] {{c1::Selective S…
Published	02/10/2024	Antidepressants used for treatment of Depression:Third-line: For atypical depression or treatment-resistant depression[1] {{c1::Tricyclic Antidepressa…
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