Flashcards in Module 5 - Mood Disorders - Bipolar/Depression Deck (159)
Disturbance in psychological, physiological and social functioning
Has a wide range of symptoms with disturbances in daily patterns
Depressive Disorder Symptoms
Sleep, Appetite, ADL problems, weight, attention, memory, libido
Impulse control, suicidal ideation, social withdraw
physical symptoms like H/A, stomachache, muscle tension
*Symptoms present differently between patients*
Physical Symptoms are common in depression and are often called ___ symptoms
Levels of Depression
Transient Depression Level
A normal reaction to loss
everyone experiences this at some point
sadness directly attributable to a situation or disappointment - "reactive or secondary depression!"
Depressive Disorder Level
sad mood can be related to external events or not
symptoms range from dissatisfaction with life to sudden and abrupt changes in function that suppress or take away the will to live
The most common illness of any medical or psychiatric illness is?
Major Depression / Major Depressive Disorder
Depression affects who?
all ages and backgrounds
Depression is the current leading cause of __ in the US in ages 15-44, and is predicted to be the 2nd leading cause in all ages by 2020
Average Age of Depression disorder
How much of the Us population has major depression?
14.8 million people aged 18 yo or older
that is 6.7% of the population
15% of those with depressive disorder will....
die via suicide
very prevalent in older people
Comorbidities that frequently accompany other psychiatric disorders like depression?
Risk Factors for Depression
Higher in women than men
Past episodes of depression
Stressful life event
Current substance use
Limited social supports
*know the persons PMH and the whole picture*
Etiology for Depression
Exact cause is Unknown!! but.. there is a combination of Interactions Between:
-Genetics (increased risk if first degree relative has it, NT deficiency in Dopamine, NEP and Serotonin)
-Individual life history
-Irregularities in the thyroid as especially important in relation to major depressive disorder
Regions of the Brain affected by depression
Assoc with changes in emotion and stimulates the amygdala
In depression there is INCREASED levels of activity
responsible for negative feelings
In depression there is INCREASED levels of activity / overactivity
Helps associate smells and sights with pleasant memories of past emotions and takes part in emotional reaction to pain and regulation of aggression
In depression there is INCREASED activity
helps regulate emotions
In depression there is DECREASED activity
Primary Depressive Disorders
Major Depressive Disorder
Persistent Depressive Disorder (Dysthymia)
Post Partum Depression
Major Depressive Disorder
Potential for pain and suffering in all aspects of life
Affects kids, teens, adults, elderly, everyone
it is a depressed mood or inability to feel pleasure from previously enjoyed activity - this is the key thing!
What is needed for diagnosis of Major Depressive Disorder
1. 4 out of 7 Symptoms (Suicidal Ideation, Sleep disruptions, Appetite disruptions/weight issues, disruption in concentration, disruption in energy level, psychomotor agitation/retardation, or excessive guilt/feelings of worthlessness)
2. Must occur over a MINIMUM OF 2 WEEKS
What features may major depressive disorder symptoms include?
Persistent Depressive Disorder
It is a chronic depressed mood with symptoms of poor appetite or over eating, insomnia or excessive sleep, low energy, fatigue, low self esteem, poor concentration, difficulties making decisions and feelings of hopelessness
Less severe than MDD but presents as a LIFE LONG struggle against depression, chronic negativity and irritability
How long must Dysthymia occur for diagnosis?
>1 year for children and adolescents
>2 years for adults and the elderly
What are the must have symptoms for MDD diagnosis?
1. Depressed Mood
2. Loss of Interest
What is the average length of MDD?
What is the average length of Dysthymia?
averages more days than not with s/s for at least 2 years