DEPRESSION Flash Cards
MDD clinical picture “so I got everything clear and precise sir”
Sleep disturbances (too much or less)
Interest diminished in pleasurable activities
Guilt and worthlessness feelings
Energy decreased or fatigue and esteem loss
Concentration diminished and indecisiveness
Appetite changes
Psychomotor retardation or agitation
Suicidal thoughts & behaviors and thoughts of death
Anhedonia
The inability to experience pleasure
Anergia
Loss of energy
Clinical pic for PDD
Less severe symptoms but longer than MDD
Depressive symptoms that have been present for 2 yrs
“Normal behavior”
Does not require hospitalization
Age of onset adolescent or severe stress in adulthood
Day time fatigue
Able to work and be in social setting - not optimal
Chronic low level expressed /irritable mood
Eating too much or too little
Usually has trouble falling asleep than -hypersomnia
Loss of energy , chronictiredness
Decrease ability to experience pleasure , enthusiasm or motivation
MDD ( mild , moderate or severe )
Psychotic features
Catatonic features
Peripartum onset
Seasonal affective disorder
Psychotic features
Hallucinations , delusions
Catatonic features
Non responsive , psychomotor retardation , withdrawal
(Agitated, and physically active as well falls under that category but for depression they become slower)
Peripartum onset
During pregnancy and following delivery
May include psychotic features and risk to infant
Seasonal affective disorder SAD
Most commonly occurs in fall or winter , remits in spring ( overeating , anergia, hypersomnia)
Disruptive mode dysregulation disorder
Children’
Chronic ,severe, persistent irritability w outburst
Premenstrual dysphoric disorder
Depressive symptoms are present in the week before the onset of menses and gradually improve after onset of menses
Emotional label
Anger or irritable
Depressed
Lack of energies, overeating , sleep disturbances, physical disturbances
What can induce a depressive disorder
Medications or substances
Baby blues
Depressed, anxious, crying for no reason, sleep probs
Improvement within 1-2 wks
Post pardum depression
Sadness anxiety ,despair , guilt , diffficult coping. Self harm or harm to baby (thoughts)
1-3 wks PP and can go on to a year
They screen 2 years after birth now
Post Padua psychosis
Onset rapid within 3 days to a week after delivery
Agitated anxious disorganized
Delusions are baby focused
What we assess for mood disorders depression
Homicide , suicide risk
Neuro exam
Triggers that induced depressive episode
Assess for support system
Complete psychosocial assessment
CBT
Psychotherapy, talk therapy, group therapy , peer support
Interpersonal psychotherapy
Structure addressing social issues
Problem solving therapy
Define probs
Develop multiple solutions
Identify best one and implement
Assess effectiveness
Mindfulness bases cognitive therapy MBCT
Teaching on med
Being present not worried about past or future
Non judge mental attitudes
Combo of cognitive and mindful based stress reduction
What do anti depressants target
Sleep disturbances
Appetite disturbances
Fatigue
Decreased sex drive
Psychomotor retardation or agitation
Impaired concentration /forgetfulness
Anhedonua
(Takes 1-3 wks to kick in)
