Depression, Suicide, Self Harm Flashcards
Medication for Depression
Antidepressents take 4-6weeks to work but the side effects tend to start sooner.
SSRI
SNRI
Novel Antidepressants
Tricyclic antidepressants (TCAs)
Monoamine oxidase inhibitors (MAOIs)
Selective serotonin reuptake inhibitors (SSRIs)
First-line therapy
MAOIs
Interacts with most medications
Food restrictions
Medications – Symptom Relief
Hypnotics and sedatives
Antipsychotics
If their experiencing catatonia with depression and you give them a benzodiazepine they perk up.
Benzos can be used as a sleep med. Not great cause they can build up tolerance
Antipsych are adjuct for depression. Antipsychg can be helpful with ruminating thoughts, (olanzepine, quetiapine)
Complementary Therapies
Light therapy
Exercise and outdoor activity
Body work therapies
Herbal medicines
Creative therapies
Acupuncture
Creative therapies
expressive art therapy, collaging, colouring, music therapy
Light therapy
sad lamps
A light therapy box mimics outdoor light. It’s thought that this type of light may cause a chemical change in the brain that lifts your mood and eases other symptoms of SAD , such as being tired most of the time and sleeping too much
Assessment & Reassessment with suicide
Set regular time to talk, to establish rapport & conduct ongoing assessment.
Start by reducing client’s stress level and build rapport.
Focus on solutions and problem solving.
Communicate & plan with team members.
Care plan clearly alerts team of risk & safety plans.
Reassess if client goes off unit or on pass.
Reassess if notice changes in behavior.
Reassess when treatment plan changes.
Involve family and friends.
Constant Observation
Suicide Observation
Close Observation
Routine Observation
Constant Observation – eyes on in easy reach distance.
Suicide Observation – Q15 but random.
Close Observation –Q15
Routine Observation –Q30-1hr
