Types Of Depression

major depressive disorder (depression.)one of the most common psychratic desorderscharacteried by a persistently depressed mood lastingfor a minumum of 2 wks.characterized by depressed mord or lost of interestor pleasure in usual activitiesF.HAS to have 5+ SIS:Fation 11058 of energy5of thesesleep disturbances (hypersomnia)/Insurancepresent X2(v)change in apettile - loose Tol of wt x1month. weeks to beinability to think concentratefeeling of hopelessness/worthlorness diagnosed MDDTchanges in Physical activitypsychomotor-regardationpersistent thoughts of death swide fauditory halluanations (major deppressive desorder t seasonal pattern.)seasonal affective disorder (SAD)usually more prominent dlt lack of(some people occastonally also get depressed duringin winter of fallmost summer.) common in women (begins 18yr-30yrs)S/STX: light therapy/box 30mm BIDcauses a chemical change in eases thehibemation(light brain that lifts your mood andhypersommer- other Sle of light therapy rittenesss/s of SAD.)overeatingweight gainand hundachecraving combohydrates Bercarement exclusionsclimicans cannot dx someone Tdepression if theyhave suffered a significant loss within the last 2months b/c all the 8/5 are/can be r/tgrievingS/Scryinglack of interest in carensfeeling hopeless aboutfor themselves and forthe futurebasu hygeinedismptions in eating and10080 swing pleasure neverydayactivities rationale for berevement exclusion:1) normal mouning could be labeled pathological2 psychratics dx could result in a lifelong3label uneecessary meds could be prescribalaccording BUTTTT to DSM-5, - a dx can be made t/in those2months b/c waiting can cause a delay intx and adversely affect prognosis.Grief can result in depression. penpartum and postpartism depressionPen partumpostpartumdepression thoughtsdepression POSTPartum that producesfeeling startsenous 8/5DURINGonset: 4 WKS ab Ster delivery ofPregnancy ANDthe babycontinue postpartumS/S: concern | inability to carefor babypp psychosis medical emergencyhas some form of psychosisloose touch of realitytx needed right awayconset: days) matemitry blues :09 major just The bluessubsides w/act tx.quickly fades awayr/t hormonesS/S worryingsadinessfatigue(from famaytx. just needs supportpartner) persistent depressive disorder (its persistent locurs mostaka dysthymia (dys -bad +thymia-mood) of The dayDX, : feelings of (10W) level depression that occurs most ofthe day. ( chronically depressed mood)milder (than mbb) - w/ mulder ISearly onset CHANGE teens - they say Irealways felt like this"adults.SIS have to be present X2YrsChuldren 1 adolescents: S/S have to be presentX | yearS/S (3 S/S must be present to make dx.)changes in apetitesleep disturbancesfatiguehopelessnessself-esteeminability to concentrateor difficult deason making(desonder most common ii)women TX (similar to mop)CBT psychotherapy (cognitive behavoral therapyantidepressants (SSRIS) (SNRIS), (TAS) premensarval dysphonic disorderhas premensival 8/5 and psychosis Sls (?)severe form of premmers syndromeCluster of c/s that our in the last week pnor to the onsetof a womans period.S/S severe enough to interbere T ability to work Ninteract T othersS/S: markedly depressed moodexcess anxietyaccording tomuod Swings ( most common 8)spowerpountV interest in activitiesdist concentrating, lack of energy, overeating, hypersomhia insomnia,nood swings, imitability, depression, ,anxiety,feeling overwhelmed, breast Hundemess, achmaibloating weight gain - accordingto book*S/S significantly decrease ds appearw/the onset of minstruation(can still over T thormone replacement therapy)STOP after meno pause20-30% of premenstrual women ab feeted.recumentalso seeen in adol escentsTX reg exercise, aeorbic exercise, foods rich in complexCarbs, sufficient rest/sleep light therapy, relaxation therapy(gross s-pereiod)(estrigen-ilt women -penals)Drugs: disopirenone & ethinyl estradio combo( Yaz,Gianvi) contracerties that helps S/SSSRIS(fluoxetine. (prozae,Saratem)FDA2sertrative (2010Rt)approvedbcontrolled release paroxetine (paxil CR)FPS)Diureties (to V bloating Wt gain.)for premestinalalt water retentionschontasFluoxetineParoxetineSertraline substance-induced depressive disorderassourted t substance use/ormeds-SIS of depression arise as a result of prolongeddrug or alcohol intoxication or withdrawalS/S appear win month of useOrightanay1 drug = 0/5/5the substances 1dmgs induce the S/Swhensubstance IS stopped depressive S/S usually remitW/In few days / several weeks.meds that induce these S/S pcp /hypnotics, antihypertensives,anticonvulsants, muscle relaxants. depressive disorder due to another medical conditioncaused by desorders that affeet the body'ssystems or long-term ill nesses (cause ongangpanyS/S are similar to depressive disordersmedical conditions associated T depressionVA ( rate of 30-50% In 1sty(ar)alwaysparkinsonsarthritisreven medsHungtingtonsback painbeing takenthAhzeimer'sdiabetesmake sure theyTBI'Sinfectionare the causitivecushings diseasecaneeragents#hypothyroidsmautomimine provens Disruptive mood regulation disorderintroduced in 2013. dlt alaming # of children youngand ad olesents being dx t bupular disorderthat dx exposure to powerful meds ( that were phelping)along r the \ abel of senous mental IIIness(lifelong)this practice nas changed because most of the youngpeople who received the dx of prpolar did NOT go onto have biporian 8/5 as adults (misdiagnosed?) askidsdisnetivetemper tan tumsthey have S/Smaun S/S: severe recurrent temper outbursts but asof mamaladultsmanifested by verbally or behavioraller0. mania(physical agression toward people or property)JUSTdepression.severe irritability and anger