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Depressive disorders
 

Depressive disorders

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    Depressive disorders Depressive disorders Presentation Transcript

    • DepressiveDisordersSheila Lechado, RN
    • OVERVIEW
    • Depressive disorders• Considered mood disorders• A mood is a sustained emotion that, when extreme, affects the persons view of the world• Mood disorders are characterized by disturbances in feelings, thinking, and behavior.
    • • These disorders may occur on a continuum ranging from severe depression to severe mania (hyperactivity)• A depressive illness is painful and can be psychophysiologically debilitating• Depression is much more than just sadness
    • – it affects the way one feels about the future and can alter basic attitudes about the self• A depressed person can become so despairing as to express hopelessness• When moods become severe or prolonged or interfere with a persons interpersonal or occupational functioning – this may signal a mood disorder.
    • MANAGEMENT
    • • Patients may receive treatment in acute inpatient psychiatric hospitals or in the community in an outpatient program – Decision about treatment setting is made according to the severity of patients illness, with primary concern being the risk of self-harm (suicide) as well as the presence of symptoms that are severely disabling
    • • Inpatient treatment is directed toward drug management and supportive psychotherapy using milieu management
    • Somatic therapies• Psychopharmacologic: drugs used to treat depression are those that will increase serotonin and norepinephrine.• ECT may be used to treat severe depression that is unresponsive to antidepressant drugs.
    • Somatic therapies• Ultraviolet light therapy may be recommended for depression that occurs during fall and winter months (seasonal affective disorder).
    • • Patient may select complementary and alternative treatments – The use of herbal supplements, especially St. Johns wort, is a popular alternative for antidepressant drugs – However, use of nutritional or herbal supplements should be discussed with the health care provider because of the potential for drug interactions.
    • PSYCHOTHERAPY
    • Psychodynamic therapy• helps patient to become aware of unconscious anger directed toward object loss and “work through” these feelings to alleviate depression.
    • Cognitive therapy• The recommended psychotherapeutic approach for depression• This approach includes identifying and challenging the accuracy of patients negative thought patterns and encouraging behaviors designed to counteract depressive symptoms.
    • Family therapy• Assists patient and family members in developing a sense of self that is separate from that of the family as a whole• Patient is then encouraged to take responsibility for his own actions.
    • Thank You!