Depression

General

100

The most common psychiatric disorder in the general population

What is depression?

200

In the absence of screening this percentage of patients with major depressive disorder go undiagnosed. 

What is 50%. 

300

The age when the diagnosis of depression is most common

What is 30s? (But may occur at any time and does)

400

Depression can commonly present as these type of symptoms, which makes it especially difficult to diagnose.

What are somatic symptoms?

Bonus: Name up to three somatic symptoms that depression can present with. (1 extra point for each symptom)

500

Name 2 symptoms of atypical depression.

What are reactive to positive stimuli, increased appetite/weight gain, hypersomnia, heavy feelings in limbs, pattern of interpersonal rejection sensitivity?

Screening

100

All depressed patients must also be screened for this.

What is suicidal ideation?

200

Name 5 risk factors for clinical depression.

Prior depressive episode, family history, female gender, childbirth, childhood trauma, stressful life event, poor social support, serious medical illness, dementia, and substance abuse

300

When distinguishing bipolar disorder from depression the patient should be asked about episodes of _________. 

What is mania or hypomania. 

Bonus: why would a physician mistake this for depression?

400

Untreated depression is associated with an increased risk for what three major outcomes.

What is mortality, decreased quality of life, and economic burden?

500

Name 2 of the 4 listed depression screening tools.

What are the PHQ-9, PHQ-2, Beck Depression Inventory, or WHO-5 screening tools?

Diagnosis

100

To be diagnosed with clinical depression, depressive symptoms must be present most of the day almost every day for this amount of time

What is two weeks?

Bonus: Name 3 of depressive symptoms from the DSM-5 criteria (1 point for each symptom)

200

To be diagnosed with clinical depression, a patient must present with at least one of these two symptoms.

What is "depressed mood and loss of interest/pleasure"?

300

Outside of unipolar depression, depression can occur in these disorders.

(Name 2 for full credit)

What is bipolar disorder, schizophrenia, substance abuse, or secondary to another medical condition?

400

Most patients fail to report their depressive symptoms in PCP visits for these reasons.

(Name at least 2)

What is fear of stigmatization, belief that depression falls outside of the PCP's role, belief that depression is a personal flaw not an illness, concerns about confidentiality, concerns about being prescribed an antidepressant, or fear of being referred to a psychiatrist?

500

A patient should be referred to a mental health specialist for these reasons. (Name 2 of the 4 for full credit).

Patients with uncertain diagnosis of depression or comorbidities. 

Depression that endangers the patient or others Severe, psychotic, and catatonic depression. Depression in context of bipolar disorder, schizoaffective disorder, or schizophrenia. 

Final Jeopardy

100

Name 4 diagnoses (of the 7 listed in the article) that should be included in your differential diagnosis when assessing a patient for clinical depression.

(Ignore the "for 100", you can bet whatever you would like)

General medical illness, complicated grief, adjustment disorder with depressed mood, sadness, ADHD, bipolar disorder, schizophrenia