Mood Disorders: Depression Flashcards
Primary risk factors for depression
history/family history
LGBTQ
female
age 40 or less
postpartum
chronic medical illness
no social support
stress/trauma
Substance abuse
sexual abuse
Stress-Diathesis model of depression theory
biopsychosocial theory that states depression is from an environmental, interpersonal, and life events perspective
“Stressful events can cause brain damage that can lead to depression”
Beck’s Cognitive theory on depression
depression stems from negative, illogical or irrational thought processes that are dormant until stressful times
Learned helplessness
theory by Seligman
anxiety is replaced by depression if a person feels no control over the outcome of a stressful situation
What is major depressive disorder?
substantial emotional pain to the point where people cannot function
Common symptoms of MDD: SIG E CAPS
Sleep disturbance (hyper or insomnia)
Interest diminished
Guilt feelings
Energy decreased/Esteem loss
Concentration diminished
Appetite changes
Psychomotor retardation
Suicidal thoughts
What is PDD and how does it differ from MDD?
Persistent depressive disorder
Presents with less severe symptoms than episode of MDD
What is the criteria for MDD?
Five or more symptoms present during same 2 week period
at least one symptom is either depressed mood or loss of interest
Psychomotor retardation
fatigue or slowed movements/complete inactivity
increased risk of constipation
psychomotor agitation
biting nails
smokes
tap fingers
unable to relax
What is the HIGHEST priority when treating these patients no matter what?
safety!!!
What is one way a nurse can help a pt with MDD?
offering self
ex: simply sitting with patient in silence
What is one drawback with antidepressants?
takes 1-3 weeks or longer to take effect
Why is SI a stronger risk when taking an SSRI?
SSRI improves the person’s energy, but the original suicidal plans are still there
they would now have the energy to go thru with the plan
What do SSRIs do?
blocks uptake of serotonin
