Depression

• Depression

  • oldest and most frequently diagnosed

  • transient symptoms is normal

    • pathological when cannot adapt

• Major Depression Disorder

  • loss of interest and pleasure in usual activities

  • 2+ weeks

  • no manic behavior

  • no substances or other medical conditions

  • Predisposing Factors

    • Childhood Depression

      • younger than 3 years

        • feeding problems

        • tantrums

        • lack of playfulness and emotional expressiveness

      • 3-5

        • accident proneness

        • phobias

        • excessive self-reproach

  • Adolescents

    • Best Clue

      • visible manifestation of behavioral changes that last several weeks

    • Precipitant

      • abandonment by parents or close peer relationships

    • Treatment

      • supportive psychosocial intervention

      • antidepressants

        • INCREASED RISK OF SUICIDALITY IN CHILDREN AND ADOLESCENTS

          • EDU. S&S of suicide

  • Senescence

    • Bereavement Overload

    • Common in Older pop

    • Symptoms of Depression confused with NCD

    • Treatment

      • Antidepressant meds

      • ECT

      • Psychotherapies

        • older homes

        • activity groups

  • Depression and Nursing Process

    • Assessment

      • Transient

        • Affect

        • Behavioral

        • Cognitive

        • Physiological

        • Mild

        • Moderate

        • Severe

top 3 names of meds

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side effects and what to teach