Flashcards in Test 2 (Case study quiz) Chapter 25 - Depressive disorders Deck (17):
What is MDD
major depressive disorder
MDD is characterized/diagnosed by?
depressed mood or loss of interest or pleasure in usual activities.
evidence of impaired social and occupational functioning for at least two weeks.
no history of manic behavior
not caused by substance or medication
MDD is specified according to whether it is _____ or ______
single or recurrent
MDD The diagnosis of MDD will also identify the degree of severity of symptoms which are _____,_____ or _____ and whether there is evidence of psychotic, catatonic, or melancholic features
mild, moderate or severe
Persistent Depressive Disorder is somewhat milder than MDD. It is also known as _______
S&S milder level for majority over a 2 year period
_______ theory says that the underlying cause of the depressive affect is seen as cognitive distortions that result in negative, defeated attitudes.
1. Negative expectations of the environment
2. Negative expectations of the self
3. Negative expectations of the future
T or F: when grief is prolonged or exaggerated, a person can become fixed in anger or grief response, then turn the anger in on oneself causing dysthymia.
T or F: The individual who is severely depressed may demonstrate a loss of contact with reality
May also have lack of pleasure in activities, and ruminations of suicide are common.
Treatments for depression include...
REFER TO MEDS LIST FOR REVIEW
Risk factors for depression include?
recent negative stressors and losses
childhood abuse or neglect
loss of parent
lack of social support
having significant physical or mental disorder
being a woman higher risk
low socioeconomic class
not working outside home
substance abuse and dependency
LACK OF SLEEP (EB)
Causes of depression?
biochemical (low on 5HT NE and DA
high cortisol (dst test)
anger turned inward
Bowlby - loss theory
electrolyte, hormone disturbances
What tool can you use to assess for depression?
T or F: Must have depressed S&S for at least one week for DSM diagnosis
On the depression continuum, what does transient mean?
everyday disappointments, not dysfunctional
difficulty getting mind off of issue
On the depression continuum, what does mild mean?
preoccupied with loss
On the depression continuum, what does moderate mean?
dysthymic, powerless, hopeless, slow thinking, sleep disturbance, concentration problems