How can you phrase a question about decreased Do you think your concentration has been better or worse than normal over the
concentration without suggesting a malingering patient? past 2 weeks?
Screening question examples for depression? - Are you depressed?
- How has your mood been recently?
- Have you ever felt very down or depressed, so depressed that your whole life
was affected by it for at least 2 weeks?
SIGECAPS: Sleep disorder questions - Have you been sleeping normally?
- What has your sleep pattern been like lately?
SIGECAPS: Diagnose frequent awakenings questions Do you sleep through the night, or do you wake up often during the night?
SIGECAPS: Diagnose early morning awakening and - What time do you usually wake up in the morning?
diurnal variation in mood questions - Do you generally feel rested when you wake up?
- Do you feel more or less depressed when you wake up?
- How does your mood change as the day goes on?
SIGECAPS: Difficulty falling asleep diagnosis questions - What time do you lie down to fall asleep?
- What time do you actually fall asleep?
SIGECAPS: Interest deficit questions BASELINE
- Before you felt really sad, what sorts of things would you do for fun or
relaxation?
- What sorts of hobbies did you have? (reading, sports, movies)
- Did you go out with friends?
ANHEDONIA
- Since you have felt depressed, have you noticed that you've been any less
interested in these pursuits?
- Have you been able to enjoy things that you used to enjoy?
- Have you given up doing anything that you normally like to do?
Which class of medication can cause a side effect that SSRI's an cause apathy syndrome in 20-30% of patients due to decreased
that mimics anhedonia? dopamine levels
SIGECAPS: Guilt, worthlessness, hopelessness, questions ASSESS SELF WORTH
- How have you been feeling about yourself in terms of self-esteem, since you've
been depressed?
- Do you feel that you are essentially a good person, or do you have doubts?
- Have you felt critical of yourself lately?
HOPLESSNESS
- How do you see your future?
- Do you have the hope that things will get better, or does it look pretty bleak?
- Do you feel helpless to change your situation?
- Guilt about things you have or haven't done/ productiveness?
, SIGECAPS: Energy deficit questions - How has your energy level been over the past couple weeks?
IF YES
- Is that a change for you?
- Did you feel significantly more energetic before your depression? (energy and
depression start should coincide)
- Differentiate from medical illness (often best in AM then declines), depression
(worst in AM, then improves)
SIGECAPS: concentration deficit questions - Have you been able to focus on things well?
- How has your concentration been?
- Have you had problems making decisions? (can be first indicator)
- Read article start to finish without rereading a sentence?
- Watch a half hour TV show without losing focus?
- Haven't been able to get as much done at work as before?
Pseudodementia in depression - Have you felt more absentminded than usual?
- Have you noticed nay changes in your memory?
SIGECAPS: appetite questions - Since you've been depressed have you noticed that your appetite has
increased, decreased, or stayed about the same?
- Have you lost or gained weight since you've been depressed?
- Do your clothes fit you differently?
- How many meals a day do you eat?
- Does food taste good to you?
CAN SEGWAY INTO EATING DISORDERS
SIGECAPS: psychomotor agitation and retardation DSM 5 specifies that psychomotor agitation and retardation should be diagnosed
based on observation.
- Sometime when people get depressed they notice that their movements really
slow down, almost like their limbs are made of lead. Has this happened to you?
(retardation)
- Have you been more restless than normal?
- Have you been pacing, wringing hands, unable to sit down for long? (agitation)
SIGECAPS: Suicidality - Have you felt suicidal?
- Have you had thoughts of wanting to hurt yourself?
Seasonal Affective Disorder Diagnosis Establish major depression first
- Have you noticed that your depressions consistently come or get worse in the
winter and then go away when the weather improves?
- Does your mood dramatically improve during vacation to sunny places? (will last
several weeks after return)
Symptoms similar to atypical depression involve carb cravings and hypersomnia.
Which class of medication works best for those with MAOIs
atypical depression?
not test material
concentration without suggesting a malingering patient? past 2 weeks?
Screening question examples for depression? - Are you depressed?
- How has your mood been recently?
- Have you ever felt very down or depressed, so depressed that your whole life
was affected by it for at least 2 weeks?
SIGECAPS: Sleep disorder questions - Have you been sleeping normally?
- What has your sleep pattern been like lately?
SIGECAPS: Diagnose frequent awakenings questions Do you sleep through the night, or do you wake up often during the night?
SIGECAPS: Diagnose early morning awakening and - What time do you usually wake up in the morning?
diurnal variation in mood questions - Do you generally feel rested when you wake up?
- Do you feel more or less depressed when you wake up?
- How does your mood change as the day goes on?
SIGECAPS: Difficulty falling asleep diagnosis questions - What time do you lie down to fall asleep?
- What time do you actually fall asleep?
SIGECAPS: Interest deficit questions BASELINE
- Before you felt really sad, what sorts of things would you do for fun or
relaxation?
- What sorts of hobbies did you have? (reading, sports, movies)
- Did you go out with friends?
ANHEDONIA
- Since you have felt depressed, have you noticed that you've been any less
interested in these pursuits?
- Have you been able to enjoy things that you used to enjoy?
- Have you given up doing anything that you normally like to do?
Which class of medication can cause a side effect that SSRI's an cause apathy syndrome in 20-30% of patients due to decreased
that mimics anhedonia? dopamine levels
SIGECAPS: Guilt, worthlessness, hopelessness, questions ASSESS SELF WORTH
- How have you been feeling about yourself in terms of self-esteem, since you've
been depressed?
- Do you feel that you are essentially a good person, or do you have doubts?
- Have you felt critical of yourself lately?
HOPLESSNESS
- How do you see your future?
- Do you have the hope that things will get better, or does it look pretty bleak?
- Do you feel helpless to change your situation?
- Guilt about things you have or haven't done/ productiveness?
, SIGECAPS: Energy deficit questions - How has your energy level been over the past couple weeks?
IF YES
- Is that a change for you?
- Did you feel significantly more energetic before your depression? (energy and
depression start should coincide)
- Differentiate from medical illness (often best in AM then declines), depression
(worst in AM, then improves)
SIGECAPS: concentration deficit questions - Have you been able to focus on things well?
- How has your concentration been?
- Have you had problems making decisions? (can be first indicator)
- Read article start to finish without rereading a sentence?
- Watch a half hour TV show without losing focus?
- Haven't been able to get as much done at work as before?
Pseudodementia in depression - Have you felt more absentminded than usual?
- Have you noticed nay changes in your memory?
SIGECAPS: appetite questions - Since you've been depressed have you noticed that your appetite has
increased, decreased, or stayed about the same?
- Have you lost or gained weight since you've been depressed?
- Do your clothes fit you differently?
- How many meals a day do you eat?
- Does food taste good to you?
CAN SEGWAY INTO EATING DISORDERS
SIGECAPS: psychomotor agitation and retardation DSM 5 specifies that psychomotor agitation and retardation should be diagnosed
based on observation.
- Sometime when people get depressed they notice that their movements really
slow down, almost like their limbs are made of lead. Has this happened to you?
(retardation)
- Have you been more restless than normal?
- Have you been pacing, wringing hands, unable to sit down for long? (agitation)
SIGECAPS: Suicidality - Have you felt suicidal?
- Have you had thoughts of wanting to hurt yourself?
Seasonal Affective Disorder Diagnosis Establish major depression first
- Have you noticed that your depressions consistently come or get worse in the
winter and then go away when the weather improves?
- Does your mood dramatically improve during vacation to sunny places? (will last
several weeks after return)
Symptoms similar to atypical depression involve carb cravings and hypersomnia.
Which class of medication works best for those with MAOIs
atypical depression?
not test material
