ANTIDEPRESSANT AND MOOD STABILIZERS Flashcards
Major depressive disorder
Depression
A mood disorder that causes a persistent feeling of sadness and loss of interest
Depression
Depression is the most common mental health disorder of elderly adults, encompassing a variety of
physical, emotional, cognitive and social considerations
- Lack of energy, extremely tired
- Abnormal eating patterns, feeling of despair
-Guiltiness and hopelessness and misery - Sleep disturbance like difficulty sleeping or too much sleep
- Vague physical symptoms (Gl pain, joint/muscles pains or headaches)
- Obsessed with death (expressing a wish to die or to commit suicide)
- Lack of interest in personal appearance or sex Delusion or hallucinations
S/Sx associated w/ depression
Sudden onset after the precipitating event
Reactive depression
Sometimes called manic depression, has mood episodes that range from extreme of high energy with an “up” mood to low “depressive” periods. Swings between two moods - euphoric and dysphoric
Bipolar disorder
Loss of interest to work and even at home and inability to complete tasks. Difficult to study, sleep, eat and enjoy friends and activities
Major depression
help clients gain insight into and resolves their problems through verbal “give - and - take” with the therapy’s Interpersonal therapies
Counseling therapies
help the client change the negative styles of thought and behavior that are often associated with their depression
Cognitive behavioral therapies
focuses on the clients disturbed personal relationship that both cause and exacerbate the depression
Interpersonal therapies
focus on resolving the client’s internal conflicts
Psychodynamic therapies
A medical treatment for clients with serious and life-threatening mood disorders that are unresponsive to pharmacotherapy and often used treatment for depression that is hard to treat.
ELECTROCONVULSIVE THERAPY (ECT)
Effective somatic treatment for major depression
REPETITIVE TRANSCRANIAL MAGNETIC STIMULATION (RTMS)
Treat major depression by enhancing mood
ANTIDEPRESSANT
Antidepressant is often prescribe to
phobia, OCD, panic, and anxiety
Beneficial in treating psychological and physical signs of pain, especially in clients without major depressive disorder
Antidepressant
the most important warning about antidepressants. This should be included at the beginning of drug package inserts and drug information sheets. This warning to applies to children who are at risk for suicidal ideation.
Black box warning
WHAT ARE THE FOUR PRIMARY CLASSES OF ANTIDEPRESSANT DRUGS?
- Tricyclic antidepressants (TCAs)
- Selective serotonin reuptake inhibitors (SSRIs)
- Monoamine oxidase inhibitors (MAOIs)
- Atypical antidepressants including the serotonin norepinephrine reuptake inhibitors (SNRIs) and other atypical antidepressants
They inhibit the reabsorption of serotonin and norepinephrine and elevate mood by increasing the level of serotonin, norepinephrine, and dopamine in the central nervous system
Duloxetine (Cymbalta)
Venlafaxine (Effexor)
Inhibit the reuptake of both norepinephrine and serotonin into presynaptic nerve terminals and is used mainly for major depression and occasionally for milder situational depression
TRICYCLIC ANTIDEPRESSANTS
Example of TCAs
Amitriptyline (Elavil)
Amoxapine (Asendin)
Imipramine (Tofranil)
Used for treatment of childhood enuresis
CLOMIPRAMINE (ANAFRANIL)
What is enuresis
Bedwetting
CLOMIPRAMINE (ANAFRANIL) is approved treatment for ______
OCD
