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  1. 1. DEPRESSION’S A BITCH• Clinical depression• Dysthymic disorder• Major depressive disorder• Unipolar depression
  2. 2. Definition of Condition What is depression? A depressive disorder is a whole-body illness, involving the body, mood, thoughts, and affects the way a person eats and sleeps, feels about himself or herself, and thinks about things. It is not the same as being unhappy or in a blue mood. Nor is it a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness cannot merely "pull themselves together" and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help most people who suffer from depression. During any one year period, nearly 19 million American adults suffer from depressive illness. Yet, treatment can alleviate symptoms in nearly 80 percent of cases.
  3. 3. What are the different types of depression? Depressive disorders come in different forms, as do other illnesses, such as heart disease. Three of the most prevalent types of depressive disorders include the following: major depression-a combination of symptoms (see symptom list) that interfere with the ability to work, sleep, eat, and enjoy once pleasurable activities. These disabling episodes of depression can occur once, twice, or several times in a lifetime. dysthymia-long-term, chronic symptoms that do not disable, but keep people from functioning at "full steam" or from feeling good. Sometimes, people with dysthymia also experience major depressive episodes. bipolar disorder (manic-depression)-a chronic, recurring condition that includes cycles of depression and elation or mania. Within these types, there are variations in the number of symptoms, their severity, and persistence.
  4. 4. CauseStressful life eventsSerious illnessesLoss of a loved oneRelationship problemsSocial isolationSubstance abuse
  5. 5. Signs and SymptomsSadness  Who Tends to be Most Depressed?Loss of interest or  This study found the following groups to be more likely to meet criteria for major depression:pleasure in activities  persons 45-64 years of ageyou used to enjoy  womenChange in weight  blacks, Hispanics, non-Hispanic persons of otherDifficulty sleeping or races or multiple racesoversleeping  persons with less than a high school educationEnergy loss  those previously marriedFeelings of  individuals unable to work or unemployedworthlessness  persons without health insurance coverage  Similar patterns were found among persons withThoughts of death or "other depression" with the two followingsuicide exceptions: adults aged 18-24 years were most likely to report "other depression" as were Hispanics (instead of other non-Hispanics).
  6. 6. An Estimated 1 in 10 U.S. Adults Report Depression
  7. 7. Treatment Depression can be treated with medicines, with counseling, or with both. A nutritious diet, exercising on a regular basis, and avoiding alcohol, drugs, and too much caffeine can also help. Medicines that treat depression are called antidepressants. They help increase the number of chemical messengers (serotonin, norepinephrine, dopamine) in your brain. Antidepressants work differently for different people. They also have different side effects. So, even if one medicine bothers you or doesnt work for you, another may help. You may notice improvement as soon as 1 week after you start taking the medicine. But you probably wont see the full effects for about 8 to 12 weeks. You may have side effects at first, but they tend to decrease after a couple of weeks. Dont stop taking the medicine without checking with your doctor first. Various medications: Celexa, Lexapro, Paxil, Prozac, Zoloft, Effexor, Pristiq, Cymbalta, Elavil, Norpramin, Nardil, Pamate, Marplan, Wallbutrin, Remeron
  8. 8. Prevention TipsDon’t live in Seattle!  Regular exercise  Balanced diet  Avoid alcohol and drug use  Healthy sleep patterns  Stress management  Social Support
  9. 9. Care giving tips for the NAC  1. Understand Depression  2. Appropriate Depression Treatment  3. Emotional Support  4. Separate the Illness and the Person  5. Listen Non-Judgmentally  6. Make a Plan for Coping with Depression  7. Look After Yourself
  10. 10. Citations  Medlineplus  CDC illness/depression.htm  WebMD depression  Butcher, Mineka, & Hooley. (2004). Abnormal Psychology (12th ed.).  Mayo Clinic  Primary Caregiver Characteristics and Transitions in Community-Based Care  Allen, Susan M; Lima, Julie C; Goldscheider, Frances K; Roy, Jason. The Journals of Gerontology67. 3 (May 2012): 362. 