Evolving Modalities and Complications

University:
Stanford University
Course:
MED 101 | Human Anatomy
Academic year:

2023
Views:

69

Pages:

2
Author:

larbi43100

‭EVOLVING MODALITIES AND COMPLICATIONS‬ ‭1.9.‬ ‭Evolutionary modalities‬ ‭Short-term development:‬‭Not treated, depression progresses towards recovery in 4 to 12 months.‬ ‭Under treatment, symptoms disappear more quickly.‬ ‭There is a risk of relapse which is constituted by the reappearance of symptoms before recovery, that is to‬ ‭say before 6 months.‬ ‭Long-term evolution:‬‭Several evolving possibilities‬ ‭●‬ ‭Permanent disappearance of depression (isolated episode)‬ ‭●‬ ‭Recurrenceseither exclusive of depressive episodes (disorderrecurrent depressive disorder)‬ ‭(For a depressive disorder to be considered recurrent, there must be an interval‬ ‭of at least two consecutive months between distinct episodes, during which the criteria for a‬ ‭characterized depressive episode are not met)‬ ‭●‬ ‭Recurrencesalternating with manic episodes( bipolar disorder).‬ ‭●‬ ‭Evolution towards chronicity(15 to 20% of cases): depression persists beyond 2‬ ‭years (resistance to treatment, somatic pathology, personality disorder, inadequate environment, presence of‬ ‭associated disorders, etc.)‬ ‭1.10.‬ ‭Complications and signs of severity of a depressive state‬ ‭●‬ ‭Suicide constitutes the most formidable complication of a depressive state. THE‬ ‭risk factors are: personal or family suicidal history, gender‬ ges‬ ‭male,‬ nts, elderly subjects), presence of‬ ly‬ ‭(especially‬‭anxious‬‭or‬‭delusional),‬‭emotional‬‭isolation‬‭(widowhood,‬‭divorce),‬‭organic‬‭illness‬‭causing‬ ‭despair and resistance to treatment (failure of two antidepressant treatments).‬ ‭●‬ ‭Alcoholism and drug addiction‬ ‭●‬ ‭Impact on operation and impairment of quality of life‬ ‭●‬ ‭IN CHILDREN AND ADOLESCENTS:‬ ‭-Conduct disorders‬ ‭-Substance abuse‬ ‭-School failure‬ ‭-Suicide attempts especially among adolescents‬ ‭-Risk of recurrence of depression in adolescence and adulthood‬ ‭-Progression towards bipolar disorder‬ ‭2.‬ ‭PREDICTIVE FACTORS OF BIPOLARITY‬ ‭The prediction of a bipolar evolution is mentioned in the presence of:‬ ‭Factors inherent to current depressive symptomatology‬ ‭●‬ ‭Hypersomnia and/or daytime sleepiness‬ ‭●‬ ‭Overeating and/or weight gain‬ ‭●‬ ‭Marked psychomotor slowing‬ ‭●‬ ‭Marked psychological anxiety‬ ‭●‬ ‭Psychotic features and or pathological guilt‬ ‭●‬ ‭Labile mood and or manic symptoms (mixed features)‬