Mood disorders online
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Mood disorders online

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Mood disorders online Mood disorders online Presentation Transcript

  • Mood Disorders
    • Major depression
    • Dysthmyic disorder
    • Bipolar Type 1
      • mixed
      • rapid cycling
    • Bipolar Type 2
  • Etiology
    • Genetic factors ---current hypothesis
    • Catecholamine hypothesis
    • Serotonin hypothesis
    • weaker hypothesis
    • Hypothalamus-pituitary-adrenals
    • Hypothalamus-pituitary-thyroid
    • Circadian rhythms
  • Psychosocial factors
    • Psychoanalytic theory
    • Cognitive Behavioral
    • Reinforcement
    • Learned helplessness
    • Cognitive theory
    • negative cognitive triad
    • self-world-future
  • Major depression
    • Depressed mood
    • Markedly diminished interest in pleasure
    • Significant weight loss
    • Insomnia or hypersomnia
    • Psychomotor agitation or retardation
    Depression
    • Fatigue or loss of energy
    • Feelings of worthlessness
    • Diminished concentration
    • Recurrent thoughts of death
  • Vegetative Signs of Depression
    • Severe weight loss
    • Psychomotor retardation
    • Sleep disturbance
    • early morning awakening (EMA)
    • Decreased libido
  • Dysthymia
    • Depressed mood
    • Presence of at least 2 of the following:
    • poor or increased appetite
    • insomnia or hypersomnia
    • low energy
    • poor concentration
    • feelings of hopelessness for  1 year
  • Nursing Assessment
    • Present complaint
    • Hx. of problem
    • Past 4 hx.
    • Social hx.
    • Medical hx.
    • Mental status exam
  • Bipolar Disorders 1 and 2
    • Type 1
    • Regular
    • Mixed
    • Rapid cycling
    • Type 2
    Bipolar Disorder
  • Mania
    •  energy
    •  activities
    •  self-esteem
    • flight of ideas
    • easy agitation
    • poor self control
    • hyperphagia or  appetite
    •  need for sleep
    • Mixed disorder
    • both sets of symptoms in a 24 hour period
    • Rapid cycle
    • both symptoms within one week
  • Mental Status Exam
    • Appearance
    • Depression-poor hygiene
    • Mania-bizarre dress-frequent change of clothes
    • Speech
    • depressed-retarded & concrete
    • mania-flight of ideas-pressured speech-
    • intrusive-expansive
    • Thought content
    • Depression-worthlessness-hopelessness- helplessness-guilt-somatic concerns
    • Mania-grandiosity-distractibility
    • Affect
    • Depression-flat, dull, sad mood
    • Mania-labile
    • Psychomotor
    • Depression- retardation
    • Mania- hyperactive
    • Delusions
    • Depression-negative triad
    • Mania-grandeur, bizarre
    • Hallucinations
    • Suicide potential
    • Orientation
    • Concentration v distractibility
    • Recent memory
    • Insight
    • Judgment
  • Nursing Diagnosis
    • Risk for self-directed violence
    • Self-esteem disturbance
    • Self-care deficit
    • Social isolation
    • Altered nutrition
  • Nursing Intervention
    • Suicide prevention
    • Social interaction
    • Maintain adequate nutrition
    • Maintain fluid & electrolytes
    • Maintain sleep wake cycle
    • Supportive care re: judgment
    • Electroconvulsive therapy
    • Sleep therapy
    • Cognitive behavioral therapy
    • daily activities
    • testing of depressive thoughts
  • Anti-depressant medication
    • Tricyclic antidepressants
    • Tofranil
    • Elavil
    • Monoamine oxidase inhibitors
    • Parnate
    • Nardil
    • Marplan
    • Serotonin Selective Reuptake inhibitors
    • Prozac
    • Zoloft
    • Paxil
    • Celexa
    • Others
    • Wellbutrin
    • Serzone
  • Anti-mania Medication
    • Lithium
    • Anti-convulsants
    • Depakote
    • Tegretol
    • Lamictal