Major depressive disorder Flashcards
1
Q
- Persistent depressive disorder
A
- chronic illness
- common in women
- low-level depression occurs most of the day, for the majority of days
- least 2 years in adults and 1 year in children
- have at least two of the following:
- decreased appetite or overeating
- insomnia or hypersomnia
- low energy
- poor self-esteem
- difficulty thinking
- hopelessness
- onset teenage years
- May also have full-blown major depressive episodes
2
Q
Persistent depressive disorder Treatments:
A
Psychotherapy (CBT)
- Antidepressants (SSRIs), (SNRIs), tricyclics (TCAs)
3
Q
- Major depressive disorder
Characterizes:
A
- persistently depressed mood lasting for a minimum of 2 weeks
- length of a depressive episode may be 5 to 6 months
- 20% of cases become chronic (Lasting more than 2 years)
4
Q
seasonal affective disorder (SAD)
A
experience (SAD) in fall and winter and then gain a full remission in the spring not as common in summer
5
Q
seasonal affective disorder (SAD)
treatment
A
- Treatment is like that of major depressive disorder (SNRIs), with the addition of light boxes to mimic natural outdoor lightning
6
Q
The following statements and questions help set the stage for assessing suicide potential:
A
“You said you are depressed. Tell me what that is like for you.”
* “When you feel depressed, what sort of thoughts do you have?”
* “Have you had thoughts about ending your life?”
* “Do you have a plan?”
* “Do you have the means to carry out your plan?”
* “Is there anything that would prevent you from carrying out your plan?”
7
Q
- Key Assessment Findings
A
- A depressed mood and anhedonia (i.e., inability to feel pleasure) are the key symptoms in depression
- dwell on and exaggerate their perceived faults and failures and are unable to recognize their strengths and successes
- feelings of worthlessness, hopelessness, guilt, anger, and helplessness are common.
- Depression and chronic pain are commonly seen together in primary care
8
Q
treatment-resistant depression.
A
Esketamine
