depressive disorders

mood vs affect

emotional perception of surroundings; observable emotions

check ___, as this masks depression at times

TSH

anhedonia

loss of interest/pleasure in usual activities

depression sx must be present for how long to produce a dx?

2 weeks

persistent depressive disorder/dysthymia: depressed mood when, how many days, and how long?

most of the day; more days than not; at least 2 years

premenstrual dysphoric disorder

depression sx during the week prior to menses and improving after menses begins

first line treatment for seasonal affective disorder

light therapy

SAD abbreviation meaning

seasonal affective disorder

>3 yr childhood depression sx (3)

feeding problems, tantrums, lack of playfulness/emotional expressiveness

3-5 yr childhood depression sx (3)

accident prone, phobias, excessive self-reproach

6-8 yr childhood depression sx (3)

physical complaints, aggression, and clinging

9-12 yr childhood depression sx (2)

morbid thoughts and worrying

adolescence depression sx (9)

anger, aggression, elopement, delinquency, social withdrawal, sexual acting out, substance abuse, restlessness, and apathy

bereavement overload

significant amount of losses

affective sphere of depression (4)

total despair and hopelessness; worthless; blunt affect/low emotional tone; anhedonia

behavioral sphere of depression (5)

movement may delay or stop; curled up; slumped; low hygiene/grooming; little desire to interact with others/socially isolated

cognitive sphere of depression (6)

delusional thinking; persecutory delusions (severe); indecisive; confused; thoughts of suicide; hallucinations

physiological sphere of depression (7)

body slows down; constipation; urinary retention; dyspepsia; amenorrhea; weight loss/gain; sleep patterns impacted

trazadone class

heterocyclic

major depressive disorder cannot be attributed to what 3 things?

substance use, mania, and medical conditions

childhood depression is usually precipitated by a ____

loss

4 spheres of human functioning

affective, behavioral, cognitive, and physiological