ch 16 depressive disorders

what is the most prevalent psychiatric disorder

depression

is depression more prevalent in men or women

women

is depression more common over or under 45 yrs old

under

which neurotransmitters are associated with depression

dopamine, glutamate, serotonin

major depressive disorder

loss of interest for at least two weeks, no manic behavior, not due to substances or another condition

persistent depressive disorder (dysthymia)

milder form of MDD, no psychotic symptoms

childhood depression < 3 yrs

feeding problems, tantrums, lack of playfulness and expressiveness

childhood depression 3-5 yrs

accident proneness, phobias, excessive self reproach

childhood depression 6-8 yrs

physical complaints, aggressive behavior, clingy behavior

childhood depression 9-12 yrs

morbid thoughts and excessive worrying

focus of therapy for childhood depression

alleviate symptoms and strengthen coping skills

adolescent depression symptoms

running away, anger, delinquency, substance abuse

senescence

deterioration with age, bereavement overload, high percentage of suicides among elderly

postpartum depression associated with:

hormonal changes, tryptophan metabolism, cell alterations

postpartum depression symptoms

fatigue, loss of appetite, loss of libido, concern about inability to care for infant

depression medical management

psychotherapy, ECT, TMS, light therapy, canal nerve stimulation, deep brain stimulation

depression drugs

tricyclics, SSRIs, MAOIs, heterocyclics, SNRIs

how long do you have to take depression meds for them to work

4 weeks

depression med side effects to report

sore throat, fever, yellow skin, persistent vomiting or headaches, seizures, chest pain

what foods should you avoid with MAOIs

foods high in tyramine

transient depression

everyday sadness and maybe crying, more mild than mild depression

mild depression

associated with normal grieving, anger, anxiety, preoccupied with loss, anorexia, insomnia

moderate depression

dysthymia, feeling helpless, difficulty concentrating, anorexia, overeating, sleep disturbances, headache

severe depression

includes symptoms of MDD and BPD, worthlessness, absence of communication, delusional thinking, SI