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16 Cards in this Set
- Front
- Back
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Depression may be comorbid with the following: |
-Anxiety (worsens prognosis) -Psychotic disorders (ex. schizophrenia) -Substance use disorders -Eating disorders -personality disorders |
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Define Major Depressive Disorder (MDD): |
-single episode or recurrent episodes of unipolar depression (no associated with mood swings from major depression to mania) resulting in a significant change in clients normal functioning accompanied by at least five of the following clinical findings (that last at least 2 weeks) -depressed mood -no sleeping/excessive sleep -indecisiveness -decreased concentration -suicidal idealation -increased or decreased motor activity -cannot feel pleasure -increase/decrease in weight>5% in last month |
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List psychotic features |
-auditory hallucinations (ex. voices) -presence of delusions (ex. thinking they have fatal disease) |
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List postpartum onset facts for MDD |
-4 weeks within childbirth -may include delusions -puts newborn at risk |
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Seasonal characteristics |
-Seasonal affective disorder (SAD) -occurs during wither -treated with light therapy |
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Dysthymic Disorder: Define |
-A milder form of depression -Usually has early onset (childhood, adolescents) -Lasts for 2+ years for adults -Lasts 1 year for children -contains 3 clinical findings of depression -May become major depressive disorder (MDD) later in life |
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Premenstrual dysphoric disorder (PMDD):define |
-Depressive disorder associated with luteal phase of menses (right before period occurs) -Emotional lability, severe anger, irritable -lack of energy, overeating, difficulty concentrating |
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Major Depressive Disorder Phases (hint. 3 of them) |
Acute- (severe depression): -treatment is 6-12 weeks, may need hospitalization, reduce manifestations is the goal Continuation- (increased ability to function): -treatment is 4-9 months -prevention through education, medication, and psychotherapy is goal Maintenance (remission of manifestations): -may last for years -prevention of future depression is goal |
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What age is most common for depressive disorder? And gender? |
-twice as common in females age 15-40 compared to males -common in people over age 65 (harder to recognize) |
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Risk factors: Depressive Disorders |
-neurotransmitter & serotonin deficiency -stress -medical illness -postpartum female -poor social support network -comorbid substance use disorder -being unmarried |
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Subjective Data: depressive disorder |
-Anergia (lack of energy) -Anhedonia (Lack of pleasure in activities) -sluggish, or not able to relax -change in eating patterns -change in bowel habits (usually constipation) -sleep disturbance -decreased sexual desire -fatigue, GI changes, pain |
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Objective data: Depressive disorder |
-Affect: sad with blunted affect -poor hygeine and grooming -psychomotor retardation (slow movement, poor posture) or restlessness -little to no social interaction -slowed speech, decreased verbalization, delayed responses |
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Milieu Therapy: |
-Assess suicide risk (implement safety precations) -Assess patients ability to perform self care (ADLS)...encourage independence -maintain safe enviroment -Counseling -Communication (make time for pt, make observations rather than asking direct questions, give pt enough time to respond) |
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Antidepressants |
-Do not abruptly discontinue -Therapeutic effects take several weeks -avoid hazardous activities -notify provider of any thoughts of suicide -avoid alcohol |
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St. John's Wort |
-alternative therapy to relieve depression -plant product not regulated -adverse effects: photosensitive, skin rash, rapid heart rate, GI distress, abdominal pain -can increase or reduce levels of some medications -potentially fatal serotonin syndrome if taken with SSRI or other antidepressants |
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High priority for a major depressive patient |
One-on-one observation |
