Depression

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Screening

Quick

  • Over the past 2 weeks, have you felt little pleasure in doing things?
  • Over the past 2 weeks, have you felt down, depressed or hopeless?
  • Positive screen is a yes answer to one or both questions

Detailed

  • Mneumonic: In SAD CAGES
  • Interests
  • Sleep
  • Appetite
  • Depressed mood
  • Concentration
  • Psychomotor agitation/retardation
  • Guilt
  • Decreased Energy
  • Suicidal Ideation


Subtypes

With/without psychotic features:

  • Chronic (see page 417)
  • With Catatonic Features (see page 417)
  • With Melancholic Features (see page 419)
  • With Atypical Features (see page 420)
  • With Postpartum Onset (see page 422)
  • Vascular
  • With psychotic features
  • with Anhedonia
  • with atypical features
  • Seasonal affective

Therapy side effects

  • See NEJM antidepressant side effects.jpg


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