Home' Australian Pharmacist : Australian Pharmacist February 2016 Contents Australian Pharmacist February 2016 I ©Pharmaceutical Society of Australia Ltd.
CONTINUING PROFESSIONAL DEVELOPMENT
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1. Which ONE of the following
conditions is NOT associated with the
development of depression?
a) Uncomplicated grief.
b) Complicated grief.
2. Which ONE of the following options
is INCORRECT? Depression:
a) Can be associated with seizure phobia.
b) Is not generally responsive to any
c) May be caused by adverse effects of
d) Occurs in around 55% of patients with
3. Which ONE of the following options
is INCORRECT? Stress:
a) Can be associated with the onset of
b) Causes symptoms such as yearning and
c) Is described as a physical, mental or
emotional response to a difficult life
d) Is not always related to depression.
4. The most common form of depression
associated with epilepsy is:
a) Post-ictal depression.
b) Pre-ictal depression.
c) Major depression.
d) Inter-ictal depression.
5. Which ONE of the following
medicines is the PREFERRED
treatment option for depression
associated with epilepsy?
KEY LEARNING POINTS
There are various potential causes of insomnia, low mood and lack of motivation.
Symptoms of stress and grief may result in symptoms of sadness, anxiety
Various medicines can cause depression and insomnia.
Patients with epilepsy can often experience a low mood and associated anxiety.
This can be caused by seizure phobia, side effects of some antiepileptic medicines,
or depression associated with epilepsy.
Depression associated with epilepsy can be pre-ictal (in the hours before a seizure),
post-ictal (in the hours/days after a seizure) or inter-ictal (when not experiencing
Inter-ictal depression is the most common form of depression associated
Primary healthcare providers and a psychiatrist should manage the treatment of
depression in patients with epilepsy. It appears that SSRIs are the treatment of
choice, as they are effective at controlling symptoms, and do not appear to worsen
Other lifestyle measures may also help patients to manage depression associated
with epilepsy, such as exercise, daily routine and joining an interest group.
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