2. 2
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
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
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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
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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
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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”
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17. 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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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
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