Depressive Disorders

what are the types of depressive disorders

disruptive mood regulation disorder

Premenstrual dysphoric disorder

Secondary Depressive disorder

persistant depressive disorder

Major depressive disorder

disruptive mood regulation disorder

what it is

symptoms

diagnosed in kids.

constant severe irritability and disproportionate temper tantrums

persistent depressive disorder

what it is

symptoms

low levels of depression (dysthymia) lasting longer - like 2 years

poor appetite

sleep irregularity

low energy

low self esteem

hopelessness

symptoms continuous for at least 2 months and stay 2 years

Premenstrual dysphoric disorder:

what it is

symptoms

depressive feelings and mood swings before ones period

secondary depressive disorder

caused by another condition, can include CVA, huntingtons, parkinsons, alzhiemer’s, traumatic brain injury, HIV, diabetes, infection, cancer and autoimmune issues

Major depressive disorder what it is

depressive disorder where the patient is consistently depressed for a minimum of 2 weeks

major depressive disorder symptoms

must need 5 or more to diagnose

• weight and appetite changes

• sleep issues

• fatigue

• worthlessness

• loss of concentration

• recurrent thoughts of death

• psychomotor agitation

• anhedonia (loss of pleasure)

Evaluations to take when diagnosing a person with depression

risk of harm to self or others

use of substances

history of depression

support systems

mood thoughts and behavior

what are the main treatment drugs for depression

SSRIs

SNRIs

TCAs

atypical antidepressants

MAOIs

SARI

NDRI

NaSSA

three levels of treatment for depression

acute phase treatment- removing current symptoms

continuation - preventing relapse through meds education and therapy

Maintenance: maintaining the progress made. preventing further episodes

therapies for depression

cognitive behavioral therapy

interpersonal therapy

time limited focused psychotherapy

behavioral therapy

group therapy

electroconvulsive therapy

repetitive transcranial magnetic stimulation

Vagus nerve stimulation

Deep brain stimulation

ECT indications and procedure

electronic pulses pass through brain while person is under general anesthesia

improves mental functioning and mood

5-10 min

vagus nerve stimulation procedure and side effects

pulse generator implanted or placed on the nerve on the neck by the carotid that stimulates the vagal nerve.

deep brain stimulation procedure and side effects

permanent surgery places electrical wires in the head and leads that go under skin to a battery pack that makes impulses to stimulate the brain

seizure risk, stroke, confusion, thrombosis and infection of wire

risk factors for depression

female

family history

genetics

traumatic events

negative personality traits