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10 Cards in this Set
- Front
- Back
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Major Depression, single episode: symptoms:
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DIWSMEGCS - depression is worth studiously memorizing extremely grueling criteria, sorry.
Depressed Mood Interest Weight Sleep Motor activity Energy Guilt Concentration Suicide |
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Characterized by at least two of the following sxs, continuously, for at least two year period: -Depressed mood -Anorexia -Insomnia -Decreased energy -Low self-esteem -Difficulty concentrating -Feelings of hopelessness |
Dysthymic Disorder (Dysthymia)
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... (Grief Reaction) - Individuals will often present w/sxs which are characteristic of a major depressive episode. The ... individual typically regards the depressed mood as “normal,” although the person may seek professional help for relief of associated sxs such as .... The duration and the expression of “normal” ... vary among different cultural groups. The diagnosis of MDD is usually not given until ... months after a loss.
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Bereavement
bereaved insomnia bereavement 2 |
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Signs of MDD developing from Bereavement:
-... about things other than actions taken or not taken by the survivor at the time of death -Thoughts of death other than the survivor feeling that he/she would be ... or should have died w/the deceased person -Morbid preoccupation w/worthlessness -Marked psychomotor retardation -Prolonged and marked functional impairment -... experiences other than thinking that he or she hears the voice of , or transiently sees the image of the deceased person |
Guilt
better off dead Hallucinatory |
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Stages of Bereavement:
... - disbelief ... - rage ... - placing blame ... - “how will I go on?” ... - recognition of the loss ... - reinvestment of emotional energy |
DENIAL
ANGER BARGAINING DEPRESSION ACCEPTANCE RESOLUTION |
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look at slide 17
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ok
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Treatment:
... – Supportive Psychotherapy, medications for intolerable symptoms. ... Disorder – Supportive and cognitive/behavior therapy. Antidepressant medications in carefully selected cases ... Disorder – Supportive and “reality-oriented” therapy, antidepressant medication. Cognitive/Behavioral psychotherapy therapy is sometimes helpful |
Bereavement
Dysthymic Major Depressive |
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Usually the first line of tx. for major depression is ... due to their ...
Probable tx of the future is ... |
SSRI’s
low SE profile SNRI’s |
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... – Reserved for some patients with very severe depression, high potential for suicide, and certain cardiovascular disease, and pregnancy. Response occurs relatively consistently in about 80% of patients. The course of ... is followed by maintenance antidepressant therapy
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ECT (Electroconvulsive Therapy)
ECT |
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... – Is reserved for chronic or recurrent depression in pt.’s who have not adequately responded to four or more antidepressant drug trials. This device is similar to a pacemaker sending electrical pulses to the brain via the ... nerve altering neurotransmitters and functional activity of the CNS deregulated in depression. Remission is seen in about 25% of those patients after one year of therapy.
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VNS (Vagal Nerve Stimulation)
vagus |
