Depression Flashcards
what psychiatric disorder has the highest lifetime prevalence?
MDD Major Depressive Disorder
what is the difference between grief and Major depressive episode?
Grief: predominant affect is feeling of emptiness and loss. occurs in waves that associated with thoughts or reminder of the deceased.
MDE: depressed mood and inability to anticipate happiness or pleasure. persistent and not linked to anyone.
is it true that there are many people with MDD dont present depression?
Yes
is it true that MDD commonly occurs with substance use disorders, panic disorders, obcessive-compulsive disorder, anorexia nervosa, bulimia nervosa, and borderline personality disorder?
Yes
When do we admit MDD patient to hospital?
suicidal ideation severe depression thought disorganize inability to care for self failing medical status due to depression
What is Persistent Depressive Disorder named?
Dysthymia
What is the most likely Diagnosis?
A 27-year-old male grade-school teacher presented with the chief complaint that life was a painful duty that had always lacked luster for him. He said that he felt “enveloped by a sense of gloom” that was nearly always with him. Although he was respected by his peers, he felt “like a grotesque failure, a self-concept I have had since childhood.” He stated that he merely performed his responsibilities as a teacher and that he had never derived any pleasure from anything he had done in life. He said that he had never had any romantic feelings; sexual activity, in which he had engaged with two different women, had involved pleasureless orgasm. He said that he felt empty, going through life without any sense of direction, ambition, or passion, a realization that itself was tormenting. He had bought a pistol to put an end to what he called his “useless existence” but did not carry out suicide, believing that it would hurt his students and the small community in which he lived.
Dysthymia
how long should a person with one lifetime episode MDD who achieve remission on antidepressants continue to take antidepressants?
6-12 months
how long should a person with 2 or more episode maintain antidepressants?
15 months to 3 years
How long should patients with chronic MDD or MDD with concurrent dysthymia be continued on antidepressants after the acute phase treatment.
15 to 28 months
What do we monitor for in patients being treated with antidepressant?
suicidal
clinical worsening
unusual changes in behaviors
how often do we follow up with MDD patient?
at least once within the first month
at least once more 4 to 8 weeks after first contact
how long doesd it take to se results in antidepressants?
2 to 6 weeks
how long do patient with MDD have to be on antidepressants?
at least 6 months
what is the goal of treatments with antidepressants medication in acute phase of MDD?
remission of major depressive disorder symptoms
