Medical history (history of illness) represents an important component in the diagnosis of winter depression/depression. Family history
- What is the general health of your family members?
- Are there any common mental disorders in your family?
- Is there a history of bipolar or depressive disorders in the family?
- Is there suicide attempt (attempted suicide) in the family history?
Social history
- Is there any evidence of psychosocial stress or strain due to your family situation?
- Is there evidence of a lack of social support?
Current medical history/systemic history (somatic and psychological complaints).
- “Two-question test”:
- In the past month, have you often felt down, sadly depressed, or hopeless?
- In the past month, have you had significantly less desire and pleasure in doing things you usually enjoy?
- Wg. depressed mood:
- Have you felt down or sad in the last two weeks?
- Were there times when your mood was better or worse?
- Wg loss of interest and joylessness:
- Have you recently lost interest or joy in important activities (job, hobby, family)?
- In the last two weeks, have you almost constantly felt like you don’t want to do anything?
- Wg. increased fatigue and lack of drive:
- Have you lost your energy?
- Do you feel tired and fatigued all the time?
- Do you find it difficult to accomplish everyday tasks as usual?
- Additional symptoms::
- Decreased concentration and attention:
- Do you have difficulty concentrating?
- Do you have trouble reading the newspaper, watching TV, or following a conversation?
- Decreased self-esteem and self-confidence:
- Do you suffer from a lack of self-confidence and/or self-esteem?
- Do you feel as confident as usual?
- Feelings of guilt and worthlessness:
- Do you often blame yourself?
- Do you often feel guilty for everything that happens?
- Negative and pessimistic outlook on the future:
- Do you see the future as blacker than usual?
- Do you have plans for the future?
- Suicidal thoughts/actions:
- Are you feeling so bad that you are thinking about death or thinking that it would be better to be dead? *
- Have you had or do you have specific plans to harm yourself? *
- Have you tried to do anything to yourself? *
- Is there anything that keeps you alive?
- Sleep disturbances:
- Has anything changed about your sleep?
- Are you sleeping more/less than usual?
Decreased appetite:
- Have you had more/less appetite recently?
- Have they lost weight unintentionally?
- Decreased concentration and attention:
Vegetative anamnesis including nutritional anamnesis.
- Are you overweight? Please tell us your body weight (in kg) and height (in cm).
- Has your weight changed unintentionally?
- Has your appetite changed?
- Do you eat a balanced diet?
- Do you suffer from sleep disorders?
- Do you suffer from constipation?
- Do you smoke? If so, how many cigarettes, cigars or pipes per day?
- Do you drink alcohol? If yes, what drink(s) and how many glasses per day?
- Do you use drugs? If yes, what drugs (amphetamines) and how often per day or per week?
Self history incl. drug history.
- Pre-existing conditions (mental disorders/suicide attempts (attempt to commit suicide), metabolic disorders).
- Operations
- Allergies
- Medication history
Medication history
- Antiarrhythmic drugs
- Class Ic antiarrhythmics (flecainide).
- Mexiletine
- Antibiotics
- Aminoglycosides (amikacin, gentamicin, netilmicin, sisomicin, tobramycin).
- Quinolones (ciprofloxacin, enoxacin, fleroxacin, grepafloxacin, levofloxacin, lomefloxacin, ofloxacin, rosoxacin, sparfloxacin, temafloxacin).
- Antiepileptic drugs (felbamate, gabapentin, lamotrigine, tiagabine, topiramate, valproic acid/valproate).
- Antiparkinsonian drugs
- Anticholinergic (benzatropine, biperidine, bornaprine, metixene, orphenadrine, pridinol, procyclidine, trihexyphenidyl )
- Dopaminergic (amantadine, cabergoline, dihydroergocryptine mesilate, levodopa, pergolide).
- Antipsychotics (neuroleptics) – chlorpromazine, chlorprothixene, clopenthixol, clozapine, benperidol, bromperidol, butyrophenone, dixyrazine, decanoate, fluanisone, flupentixol, fluphenazine, fluspirilene, haloperidol/decanoate, levomepromazine, melperone, metofenazate, neuroleptics, Olanzapine, oxypertine, perazine, periciacin, perphenazine/enantate, phenothiazines, pimozide, pipamperone, promazine, promethazine, prothipendyl, reserpine, risperidone, sulforidazine, thioridazine, tiotixene, trifluoperazine, trifluperidol, triflupromazine, zotepine, zuclopenthixol/acetate/decanoate.
- Beta-blockers (propranolol, rare!).
- Hormones
- Antiandrogens (bicalutamide, cyproterone acetate, flutamide).
- Antiestrogens (tamoxifen)
- Aromatase inhibitors (anastrozole)
- Progestogens (levonorgestrel, lynestrenol, medroxyprogesterone acetate, norethisterone).
- GnRH analogues (goserelin).
- Glucocorticoids (cortisone, prednisolone).
- Estrogens
- H2 antihistamines (cimetidine, ranitidine).
- Immunomodulators (interferon α2, interferon 2β).
- Local anesthetics (lidocaine, mepivacaine, procaine).
- Non-nucleoside reverse transcriptase inhibitors (NNRTIs) (efavirenz, nevirapine).
- Nucleoside analogues (abacavir, didanosine, lamivudine, stavudine, zidovudine).
- Opioids (oxycodone)
- Retinoids (acitretin, isotretinoin)
- Antivirals (didanosine, ganciclovir, lamivudine, riabvirine, ritonavir, stavudine, zalcitabine).
- Cytokines (interferon ß-1a, interferon ß-1b, glatiramer acetate).
- Cytostatic drugs (pentostatin)
* If this question has been answered with “Yes”, an immediate visit to the doctor is required! (Information without guarantee)