Major depressive disorder

Major depressive disorder

Depressed mood

Major depressive disorder

Lethargic ( very sad ) or agitated

Major depressive disorder

Disturbed eating and / or sleeping

at least 2 weeks

: Major depressive disorder Duration

Major depressive disorder

Most cases run their course some time after 6 months

Major depressive disorder

Some call it clinical depression, unipolar depression

Major depressive episode

focus on cognitive, physical, and behavioral aspects

Major depressive disorder

depressed moods or it includes loss of pleasure in activities?

5 or ( more )

Major depressive disorder indication

Major depressive disorder

Change from previous functioning

Major depressive disorder

At least 1 of the symptoms is either ( 1 ) depressed mood or ( 2 ) loss of interest or pleasure

Major depressive disorder

most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, hopeless) or observation made by others (e.g., appears tearful).

Major depressive disorder

Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day

Major depressive disorder

Significant weight loss when not dieting or weight gain, or decrease or increase in appetite nearly every day

Major depressive disorder

Insomnia or hypersomnia nearly every day

Major depressive disorder

Psychomotor agitation or retardation ( bumabagal ka ) nearly everyday ( observable by others, not merely subjective feelings of restlessness or being slowed down )

Major depressive disorder

Fatigue or loss of energy nearly every day

Major depressive disorder

Feelings of worthlessness or excessive or inappropriate guilt nearly every day

Major depressive disorder

Diminished ability to think or concentrate, or indecisiveness, nearlyevery day

Major depressive disorder

Recurrent thoughts of death ( not just fear of dying ), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide

Grief

feelings of emptiness and loss

Major Depressive Episode

persistent depressed mood, inability to anticipate happiness or pleasure

Grief dysphoria

likely to decrease ; associated with thoughts or reminders of the decreased

MDE depressed mood

more persistent and not tied to specific thoughts or preoccupations

Grief thought content

thoughts and memories of the deceased ( more on the deceased )

MDE thought content

self critical or pessimistic ruminations ( always negative self )

Grief self - esteem

preserved

self - esteem

worthlessness and self - loathing

Grief self derogatory ideation

present in grief, it typically involves perceived failings

Grief on death

focused on the deceased and possibility about " joining " the deceased

MDE on death

ending one's worth own life because of feeling worthlessness, undeserving of life, or unable to cope with the pain of depression

Major depressive disorder

Criertion symptoms almost everyday ( except for weight change and suicidal ideation)

Major depressive disorder

Depressed mood must be present for most of the day

Major depressive disorder

Sadness may be denied at first but may be elicited through interview or inferred from facial expression and demeanor

Major depressive disorder

Fatigue and sleep disturbance

Suicidal ideation

passive wish not to awaken in the morning or a belief that others would be better off if the individual were dead, to transient but recurrent thought of would committing suicide, to a specific suicide plan

Types of depression

• In episode with melancholic features

• People with a seasonal pattern

Episode with melancholic features

people lose interest or pleasure in most daily activities

Seasonal pattern

develop depressive episode at about the same time each year, usually 2 months in fall or winte

Temperamental

neuroticism ( negative affectivity

Environmental

adverse childhood experiences. Stressful life events

Genetic and physiological

First degree family members of indiv with major depressive disorder have a risk for major depressive disorder two - to found fourfold higher than that of the general population

Heritability

approximately 40%, and the personality trait neuroticism accounts for a substantial portion of this genetic liability

Suicide risk

Possibility of suicidal behavior exist at all times during major derpessive episodes

Risk

past history of suicide attempts or threats

male,sex, being single or living alone, and having prominent feelings of hopelessness

Other features associated with an increased risk for completed suicide include

borderline personality disorder

The presence of this disorder markedly increase risk for future suicide attempts