Chapter 14: Depressive Disorders Flashcards
depression is closely diagnosed with
anxitey
disruptive mood dysregulation disorder
diagnosed when
childhood
disruptive mood dysregulation disorder
symptoms
irratibility
anger
temper tantrums
disruptive mood dysregulation disorder
where does the child have to exhibit these behaviors
in at least 2 settings
- home, school, peers
persistent depressive disorder
symptoms
low-level depressive feelings through most of each day, for the majority of days
persistent depressive disorder
must have two or more of the following
decreased appetite/overeating
insomnia/hypersomina
low energy
poor self esteem
difficulty thinking
hopelessness
premenstrual dysphoric disorder
symptom cluster in last week prior to onset of a woman’s period
premenstrual dysphoric disorder
treatment
birth control
major depressive disorder
time frame
2 weeks
anhedonia
loss of interest or pleasure
major depressive disorder
persistent
2 weeks-6 months
major depressive disorder
chronic
longer than 2 years
major depressive disorder
make sure ____________ issues are causing depression
physical (ex: cancer)
major depressive disorder
what do we need absence of
manic/hypomanic
(this is bipolar)
first degreee genetic
parent or sibling
depression can also be associated with
substance use disorder
becks cognitive triad
negative views about the world
negative views about the future
negative views about oneself
depression assessment
SIG E CAPS
sleep disturbances
interest decreased in pleasure activities and sex
guilty feeling
energy decreased
concentration
appetite
psychomotor function
suicidal ideations
affect
objective
outward representation of internal state
thought processes
assessment of suicidal ideation
mood
subjective, patient reporting emotions
feelings
more specific than mood
mood
euthymic
normal
affect
congruent
sad face-depressed mood
affect
incongruent
smiling despite depressed mood
physical behavior
anergia
lack of energy
T/F depression is a normal part of aging
false
what is first and ongoing
self assessment
nursing diagnosis
risk for suicide
what is always the highest priority
safety
SMART goals
short/long term
measurable
attainable/realistic
timed
3 phases in treatment and recovery from major depression are
1st stage
acute phase (6-12weeks) psychiatric management and initial treatment
3 phases in treatment and recovery from major depression are
2nd stage
continuation phase (4-9mo) treatment continues to prevent relapse
3 phases in treatment and recovery from major depression are
3rd stage
maintence stage (1+ year) continuation of antidepressants and therapy to prevent relapse
what does sitting in silence communicate
caring
other treatments for depression
ECT
repetitive transcrainal magnetic stimulation
vagus nerve stimulation
deep brain stimulation
light therapy
light therapy is first line treatment for
season affective disorder
what is the gold standard of psychotherapy
CBT