Mood disorders MRCPsych course

MRCPsych course

Major Depressive Disorder (DSM-IV-TR)
(5 symptoms or more including at least 1 core symptom)


MI SAG SPECS

1. Mood low (core symptom)
2. Interest/Pleasure loss (core symptom)
3. Sleep decreased/increased
4. Appetite decreased/increased
5. Guilt - excessive/inappropriate
6. Suicidal thoughts
7. Psychomotor retardation/agitation
8. Energy low
9. Concentration low/indecisiveness

Dysthymia

HE'S 2 SAD

• Hopelessness
• Energy low
• Sleep decreased/increased

• 2 years minimum of depressed mood, most of the day for more days than not  + 2 symptoms at least + not symptom-free period > 2 months

• Self-esteem low
• Appetite reduced/increased
• Decision/Concentration reduced 

Suicidal risk

SADPERSON SD

Sex - male
Age - <19, >45
Depression*
Past suicide attempt
Ethanol/drug abuse
Rational thinking loss (e.g. psychosis)*
Separated/Divorced/Widowed
Organised plan/serious attempt*
No social support
Sickness (chronic e.g. Cancer, HIV)
Determined to repeat/ Ambivalent*

*2 score (others 1 score)

Suicidal risk score:
1 -2 : low risk
3 - 5: moderate risk
7 or more : high risk 

MRCPsych course