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Major
depression
1
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ABRAHAM LINCOLNPowered by
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Now a days many peoples are suffering with the major
depression . It is a biggest problem in the world. Day by day
depression effect are becoming high in the life. Psychiatrist in
dubai is a famous doctor for the treatment of major depression
WHAT IS UNIPOLAR MAJOR DEPRESSION ?
Unipolar Major Depression is a mental
disorder characterized by pervasive
and persistent low mood that is
accompanied by low self esteem and
by a loss of interest of pleasure in
enjoyable activities. (3)
MANIFESTATIONS
 Affects daily life for weeks or longer
 Interferes with social life
- Family and relationships
- work and school life
- Sleeping and eating habits
 Implications on general health
3
4
HISTOR
Y
• Hippocrates – described
Melancholia with mental and
physical symptoms. (3)
• Sigmund Freud – Mourning
and Melancholy
CLASSIFICATIO
N
• DSM-I, 1952 AND DSM-II, 1968. (3)
• ICD – 10 By WHO
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5
RISK
FACTORS
• Anemia, Epilepsy
• Metabolic
• Neurological and Metabolic
PHYSIOLOGICAL
FACTORS
• Anxiety
• Poverty
• Family Pressure
SOCIAL FACTORS
SYMPTOMS
Restlessness and Irritation
Loss of Interest
Abnormal Appetite
Insomnia and Hypersomnia
EPIDEMIOLOGYOF
DEPRESSION
Approx. 298 MN people affected as of 2010
(4.3%) of global population. (3)
Lifetime Incidence – 3% in Japan to 17% in
USA.
Population Studies – UMD twice in women
compared to men. (3)
6
More common in urban than rural population. (3)
8.2% - global YLDs in 2010, making it the 2nd
leading cause of global disability.
11th leading cause of global burden (or DALYs)
in 2010. (6)
7
GOLBAL BURDEN OF UNIPOLAR
DEPRESSION
Global Rank of MDD (Acc. To WHO) (5)
Year Rank Cause DALYs
(000s)
% DALYs DALYs per
100,000
population
2000 11 Unipolar depressive disorders 64,300
2.2 1050
2010 9 Unipolar depressive disorders 76,500
2.8 1081
 GHE Estimates 2014 : DALYs by Age and Sex (Acc.
To WHO) (5)
Age
group
Sex
0-27
days
1-59
months 5-14 years
15-29
years
30-49
years
50-59
years
60-69
years 70+ years Total
Male 0 1,731 3,084,015 8,598,453 10,379,302 3,783,804 2,012,581 1,288,466 29,148,352
Female 0 2,759 4,796,559 13,222,569 16,511,919 6,321,185 3,600,032 2,896,867 47,351,890
8
COMPARISON OF
DALYs
 Globally, Prevalence of MDD more in women than
men (2012)
0
5,000,000
10,000,000
15,000,000
20,000,000
25,000,000
30,000,000
35,000,000
40,000,000
45,000,000
50,000,000
0-27 days 1-59
months
5-14
years
15-29
years
30-49
years
50-59
years
60-69
years
70+ years Total
Male
Female
9
Unipolar Depressive Disorders World Map(6)
10
GBD OF DEPRESSION IN
INDIA
 Global Health Estimates – DALYs – By sex and age
groups (2012).(5)
0
1000
2000
3000
4000
5000
6000
7000
8000
DALYs 0-4
years
DALYs 5-14
years
DALYs 15-
29 years
DALYs 30-
59 years
DALYs 60-
69 years
DALYs 70+
years
All Ages
MALE 0.3 587.6 1543.5 2282.9 267 134 4815.3
FEMALE 0.4 876.9 2288.9 3474.2 458.1 269.2 7367.7
Population('000)
11
SHORTCOMINGS OF NMHP
• Lack of manpower resources
• Lack of proper and effective
monitoring and guidelines.
• Inadequate data about Health Status
• Poor feasibility of policies and
implementation.
• No indicators to assess mental health
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12
RECOMMENDATIONS FOR
• Strengthening manpower
• Proactive role of State Government in the
implementation of programmes.
• Preventive measures should be taken
• Manpower should be trained with Public
Mental Health.
• Integrated with NRHM
• NGO works should be encouraged.
• Social Initiatives should be given preference
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13
Psychotherapy – Effective at preventing
new onset of depression.
- Interpersonal Therapy
- Cognitive Behavioral Therapy
- Significant in severe cases of disorders.
- Mostly given with psychotherapy.
- E.g.:- SSRIs, Bupropion, Venlafaxine,
etc.
- Significant decline in suicide rates.(3)
TREATMENT
14
S.
No.
Low Resourced Setting High Resourced Setting
1 Routine screening for detection High-risk or routine screening with
confirmation of diagnosis by skilled
clinician
2 Psycho-education Psycho-education
3 Generic antidepressants Choice of antidepressants
4 Problem-solving treatment Choice of brief psychological
treatments
CONCLUSION
• Mass awareness through education and promotion.
• Removal of Social taboos and stigmas (FAITH-HEALERS)
• People with illness should be joined to mainstream.
 PACKAGE CARE FOR DEPRESSION.
15
Sir Isaac Newton John Stuart Mill Abraham Lincoln
Robin Williams Mike Tyson
16
IMPORTANT
FACTS
World Mental Health Day – 10th October
Theme for 2014 – “Living with Schizophrenia”
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SIR MICHAEL MARMOT GROUP 17
“Depression begins with
disappointment. When
disappointment festers in our
soul, it leads to
discouragement.”
- Joyce Meyer
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Popular google search key words
• Psychiatrist in dubai
• Indian psychiatrist in dubai
• UK trained psychiatrist in dubai
• Best Psychiatrist in dubai
• Professional Psychiatrist in dubai
SIR MICHAEL MARMOT GROUP 18
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Major depression-52616

  • 1. Major depression 1 Powered by www.saiwebtech.co.in Web Design Hyderabad www.psychiatryservices4u.com
  • 2. 2 ABRAHAM LINCOLNPowered by www.saiwebtech.co.in Web Design Hyderabad www.psychiatryservices4u.com Now a days many peoples are suffering with the major depression . It is a biggest problem in the world. Day by day depression effect are becoming high in the life. Psychiatrist in dubai is a famous doctor for the treatment of major depression
  • 3. WHAT IS UNIPOLAR MAJOR DEPRESSION ? Unipolar Major Depression is a mental disorder characterized by pervasive and persistent low mood that is accompanied by low self esteem and by a loss of interest of pleasure in enjoyable activities. (3) MANIFESTATIONS  Affects daily life for weeks or longer  Interferes with social life - Family and relationships - work and school life - Sleeping and eating habits  Implications on general health 3
  • 4. 4 HISTOR Y • Hippocrates – described Melancholia with mental and physical symptoms. (3) • Sigmund Freud – Mourning and Melancholy CLASSIFICATIO N • DSM-I, 1952 AND DSM-II, 1968. (3) • ICD – 10 By WHO Powered by www.saiwebtech.co.in Web Design Hyderabad www.psychiatryservices4u.com
  • 5. 5 RISK FACTORS • Anemia, Epilepsy • Metabolic • Neurological and Metabolic PHYSIOLOGICAL FACTORS • Anxiety • Poverty • Family Pressure SOCIAL FACTORS SYMPTOMS Restlessness and Irritation Loss of Interest Abnormal Appetite Insomnia and Hypersomnia
  • 6. EPIDEMIOLOGYOF DEPRESSION Approx. 298 MN people affected as of 2010 (4.3%) of global population. (3) Lifetime Incidence – 3% in Japan to 17% in USA. Population Studies – UMD twice in women compared to men. (3) 6 More common in urban than rural population. (3) 8.2% - global YLDs in 2010, making it the 2nd leading cause of global disability. 11th leading cause of global burden (or DALYs) in 2010. (6)
  • 7. 7 GOLBAL BURDEN OF UNIPOLAR DEPRESSION Global Rank of MDD (Acc. To WHO) (5) Year Rank Cause DALYs (000s) % DALYs DALYs per 100,000 population 2000 11 Unipolar depressive disorders 64,300 2.2 1050 2010 9 Unipolar depressive disorders 76,500 2.8 1081  GHE Estimates 2014 : DALYs by Age and Sex (Acc. To WHO) (5) Age group Sex 0-27 days 1-59 months 5-14 years 15-29 years 30-49 years 50-59 years 60-69 years 70+ years Total Male 0 1,731 3,084,015 8,598,453 10,379,302 3,783,804 2,012,581 1,288,466 29,148,352 Female 0 2,759 4,796,559 13,222,569 16,511,919 6,321,185 3,600,032 2,896,867 47,351,890
  • 8. 8 COMPARISON OF DALYs  Globally, Prevalence of MDD more in women than men (2012) 0 5,000,000 10,000,000 15,000,000 20,000,000 25,000,000 30,000,000 35,000,000 40,000,000 45,000,000 50,000,000 0-27 days 1-59 months 5-14 years 15-29 years 30-49 years 50-59 years 60-69 years 70+ years Total Male Female
  • 10. 10 GBD OF DEPRESSION IN INDIA  Global Health Estimates – DALYs – By sex and age groups (2012).(5) 0 1000 2000 3000 4000 5000 6000 7000 8000 DALYs 0-4 years DALYs 5-14 years DALYs 15- 29 years DALYs 30- 59 years DALYs 60- 69 years DALYs 70+ years All Ages MALE 0.3 587.6 1543.5 2282.9 267 134 4815.3 FEMALE 0.4 876.9 2288.9 3474.2 458.1 269.2 7367.7 Population('000)
  • 11. 11 SHORTCOMINGS OF NMHP • Lack of manpower resources • Lack of proper and effective monitoring and guidelines. • Inadequate data about Health Status • Poor feasibility of policies and implementation. • No indicators to assess mental health Powered by www.saiwebtech.co.in Web Design Hyderabad www.psychiatryservices4u.com
  • 12. 12 RECOMMENDATIONS FOR • Strengthening manpower • Proactive role of State Government in the implementation of programmes. • Preventive measures should be taken • Manpower should be trained with Public Mental Health. • Integrated with NRHM • NGO works should be encouraged. • Social Initiatives should be given preference Powered by www.saiwebtech.co.in Web Design Hyderabad www.psychiatryservices4u.com
  • 13. 13 Psychotherapy – Effective at preventing new onset of depression. - Interpersonal Therapy - Cognitive Behavioral Therapy - Significant in severe cases of disorders. - Mostly given with psychotherapy. - E.g.:- SSRIs, Bupropion, Venlafaxine, etc. - Significant decline in suicide rates.(3) TREATMENT
  • 14. 14 S. No. Low Resourced Setting High Resourced Setting 1 Routine screening for detection High-risk or routine screening with confirmation of diagnosis by skilled clinician 2 Psycho-education Psycho-education 3 Generic antidepressants Choice of antidepressants 4 Problem-solving treatment Choice of brief psychological treatments CONCLUSION • Mass awareness through education and promotion. • Removal of Social taboos and stigmas (FAITH-HEALERS) • People with illness should be joined to mainstream.  PACKAGE CARE FOR DEPRESSION.
  • 15. 15 Sir Isaac Newton John Stuart Mill Abraham Lincoln Robin Williams Mike Tyson
  • 16. 16 IMPORTANT FACTS World Mental Health Day – 10th October Theme for 2014 – “Living with Schizophrenia” Powered by www.saiwebtech.co.in Web Design Hyderabad www.psychiatryservices4u.com
  • 17. SIR MICHAEL MARMOT GROUP 17 “Depression begins with disappointment. When disappointment festers in our soul, it leads to discouragement.” - Joyce Meyer Powered by www.saiwebtech.co.in Web Design Hyderabad www.psychiatryservices4u.com
  • 18. Popular google search key words • Psychiatrist in dubai • Indian psychiatrist in dubai • UK trained psychiatrist in dubai • Best Psychiatrist in dubai • Professional Psychiatrist in dubai SIR MICHAEL MARMOT GROUP 18 Powered by www.saiwebtech.co.in Web Design Hyderabad www.psychiatryservices4u.com