depressive disorders

all share symptoms of

• sadness, emptiness, irritability, somatic (body) concerns, and impairment of thinking

• all impact a persons ability to function

disruptive mood dysregulation disorder is diagnosed in

children 6 to 18 years old

disruptive mood dysregulation disorder symptoms

• constant and severe irritability and anger

• temper tantrums out of proportion at least 3x per week

• symptoms in at least 2 settings

disruptive mood dysregulation disorder management

• symptomatic meds

• CBT

• parent training

• facial expression recognition training

persistent depressive disorder is

bad mood through most of each day, for majority of the days

persistent depressive disorder lasts

• at least 2 years in adults

• at least 1 year in children and adolescents

persistent depressive disorder disagnosis

• must have 2 or more of

  • decrease appetite or overeating

  • insomnia or hypersomnia

  • low energy

  • poor self esteem

  • difficulty thinking

  • hopelessness

premenstrual dysphoric disorder is classified by

symptoms in last week prior to onset of a women’s period

premenstrual dysphoric disorder symptoms

• mood swings

• irritability

• depression

• anxiety

• feeling overwhelmed

• difficulty concentrating

• lack of energy

• overeating

• hypersomnia/insomnia

• breast tenderness

• bloating

premenstrual dysphoric disorder symptoms must

decrease or disappear with the onset of menstruation

substance induced depressive disorder

does not experience depressive symptoms in the absence of drug or alcohol use or withdrawl

major depressive disorder is

persistant depressed mood for a minimum of two weeks to 6 months

major depressive disorder must have 5 or more of

• weight/appetite changes

• sleep disturbances

• fatigue

• worthlessness or guilt

• loss of ability to concentrate

• recurrent thoughts of death

• psychomotor agitation

major depressive disorder must also have atleast one

• depressed mood

• loss of interest/pleasure (anhedonia)

major depressive disorder can be

chronic lasts more than 2 years

major depressive disorder has absence of

manic or hypomanic episodes

you must be able to recognize

unrealistic expectations for yourself and patient

implementation acute (6-12 week)

• reduction of depressive symptoms

• restore them to previous level of function

• maybe hospitilization/meds

implementation continuation (4-9 months)

• prevention of relapse

• meds

• education

• depression

• specific psychotherapy

implementation maintenance (1 year+)

• preventing further episodes continiously

• might phase of meds

• slow down on therapy

pharmacotherapy is

• medication w/ therapy

• choosing an antidepressant

  • symptom profile of pt

  • side effect profile

  • ease of administration

  • hx of past response

  • safety/medical considerations

seasonal affective disorder is

when the cold, fall, dark, etc and home more leads to depressiveness and sadness only during winter months

esketamine is

• treatment for depressive disorder that does not respond to normal treatment

• therapy at same time

electroconvulsive therapy is

• most effective depression treatment

• shock therapy, causing a seizure

• done w/ meds

• anticholinergic to prevent drooling

electroconvulsive therapy afterwards

• swallow test done

• short term memory might be impaired

light therapy is

for seasonal affective disorder, brightening their day