Behavourial Sciences - 3rd Year MBBS UQ

1. MIXED ANXIETY AND
DEPRESSION
NAME: HAMZA DAR
ROLL # 15024

2. ANXIETY
ANXIETY IS A GENERAL TERM FOR SEVERAL DISORDERS THAT CAUSE
NERVOUSNESS, FEAR, APPREHENSION, AND WORRYING. THESE
DISORDERS AFFECT HOW WE FEEL AND BEHAVE AND CAN CAUSE
PHYSICAL SYMPTOMS.
ANXIETY LEADS TO DEPRESSION

3. DEPRESSION
DEPRESSION IS A MOOD DISORDER THAT
CAUSES A PERSISTENT FEELING OF SADNESS
AND LOSS OF INTEREST
DEPRESSION LEADS TO SUICIDE

5. MIXED ANXIETY AND
DEPRESSION
WHEN SYMPTOMS ARE NOT SEVERE ENOUGH TO BE DIAGNOSED WITH EITHER AN
ANXIETY DISORDER OR A DEPRESSIVE DISORDER ,
A DIAGNOSIS OF MIXED ANXIETY AND DEPRESSION CAN BE MADE

6. MIXED ANXIETY AND
DEPRESSION
IT MAY PRESENT INITIALLY WITH PHYSICAL SYMPTOMS
SUCH AS FATIGUE AND PAIN FROM 2-4 WEEKS
FURTHER INQUIRY WILL REVEAL DEPRESSED MOOD AND
FEELING OF FEAR, APPREHENSION OR STATE OF GLOOM

7. DIAGNOSTIC FEATURES
• LOW OR SAD MOOD
• LOSS OF INTEREST IN ACTIVITIES
• LOSS OF PLEASURE IN THINGS PREVIOUSLY FOUND ENJOYABLE
• INABILITY TO COPE WITH ROUTINES/DUTIES
• DISTURBED SLEEP
• POOR CONCENTRATION
• DRY MOUTH
• TREMOR
• DIZZINESS
• SUICIDAL THOUGHTS

8. DIFFERENTIAL DIAGNOSIS
• IF EITHER DEPRESSION OR ANXIETY IS SEVERE, CONSIDER THEM AS AN
INDEPENDENT CONDITION
• IF HALLUCINATIONS OR DELUSIONS ARE PRESENT CONSIDER ACUTE
PSYCHOTIC DISORDER
• IF EXCITEMENT, ELEVATED MOOD, RAPID SPEECH IS PRESENT , CONSIDER
BIPOLAR DISORDER

9. MANAGEMENT
1. INFORMATIONAL CARE
2. COUNSELLING
3. MEDICATION
4. SPECIALIST CONSULTATION

10. INFORMATIONAL CARE
• STRESS OR ANXIETY HAS MANY PHYSICAL AND MENTAL
SYMPTOMS WHICH ARE REAL AND UNDERSTANDABLE, THEY CAN
BE MANAGED
• DO NOT BLAME THE PATIENT FOR NOT TRYING
• DON’T TELL THE PATIENT TO GO ON HOLIDAYS, CHANGE JOBS
ETC. TO GET BETTER

11. COUNSELLING
• TEACH THE PATIENT RELAXATION TECHNIQUES
• ASK ABOUT RISK OF SUICIDE IN EXPLICIT TERMS
• HELP THE PATIENT BUILD CONFIDENCE

12. MEDICATION
• ANTIDEPRESSANTS
• MEDICATION MUST BE TAKEN EVERYDAY
• IMPROVEMENT WILL BUILD OVER 2-3 WEEKS
• CONTINUE FOR 6-8 MONTHS

13. REFERRAL
IF SUICIDE RISK IS SEVERE, CONSIDER URGENT REFERRAL
TO NEAREST PSYCHIATRIC FACILITY