This document provides an overview of depression, including its signs and symptoms, classification, diagnosis, and treatment. It defines depression as a common psychiatric disorder characterized by depressed mood and loss of interest. It discusses the history of understanding depression and classifies types according to the DSM-IV, including major depressive disorder, dysthymia, and bipolar disorder. The document also explores biological and psychological theories of causation and outlines methods of diagnosis and treatment options like psychotherapy, pharmacotherapy, electroconvulsive therapy, and antidepressants.
Children are at high risk of emotional disorders. These have become the most common reasons for their visits to the psychiatrist.
They include mood disorders, anxiety disorders, and trauma and stress-related disorders.
This slide explains each of these in details.
Enjoy
This slide contains information regarding mood disorder and depression. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated.
Children are at high risk of emotional disorders. These have become the most common reasons for their visits to the psychiatrist.
They include mood disorders, anxiety disorders, and trauma and stress-related disorders.
This slide explains each of these in details.
Enjoy
This slide contains information regarding mood disorder and depression. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated.
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...Stephen Grcevich, MD
In these lectures presented by Dr. Stephen Grcevich to child and adolescent psychiatry trainees at Akron Children's Hospital in January 2021, the following objectives were addressed:
Identify critical questions challenging our assumptions regarding treatment of bipolar disorder in kids.
Explore diagnostic challenges associated with comorbidity with other common mental health conditions.
Review key literature evaluating effective pharmacotherapy of pediatric bipolar disorder.
Examine available data on non-pharmacologic treatments in kids with bipolar disorder.
Definition of mental health
Describe the problem statement
List the characteristics of a mentally healthy person
List the warning Signals of Poor Mental Health
Classify mental illness
Enumerate the causes of mental ill-health
Discuss the consequences of poor mental health
Explain about the Mental Health Services
Epidemiology of Alcoholism and Drug Dependence
Describe the Symptoms of drug addiction
Prevention, treatment, and rehabilitation for drug dependence
When is World Mental Health Day
I created this presentation for my "Working With Challenging Behaviors" course topic. It touches on teen depression and gives some information for parents, teachers and other child care workers.
"To be a teenager is to be depressed"
Global Medical Cures™ | BIPOLAR DISORDER
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
“Teen Depression and Suicide,”
South Portland, Maine; April 26, 2005
Suicide Conference, Maine Suicide Prevention Program.
*Learn clinical presentation of adolescent depression
*Learn course and prognosis of pediatric depression
*Learn treatment of pediatric depression
*Discuss controversy of antidepressant medications in youth and suicidality
Depression In Children: Behavioral Manifestations and InterventionDavid Songco
Presentation delivered to the West Side Health Authority. This presentation was attended by program developers, teachers, principals, and directors of local community organizations.
Evaluation and Treatment of Bipolar and Related Disorders in Children and Ado...Stephen Grcevich, MD
In these lectures presented by Dr. Stephen Grcevich to child and adolescent psychiatry trainees at Akron Children's Hospital in January 2021, the following objectives were addressed:
Identify critical questions challenging our assumptions regarding treatment of bipolar disorder in kids.
Explore diagnostic challenges associated with comorbidity with other common mental health conditions.
Review key literature evaluating effective pharmacotherapy of pediatric bipolar disorder.
Examine available data on non-pharmacologic treatments in kids with bipolar disorder.
Definition of mental health
Describe the problem statement
List the characteristics of a mentally healthy person
List the warning Signals of Poor Mental Health
Classify mental illness
Enumerate the causes of mental ill-health
Discuss the consequences of poor mental health
Explain about the Mental Health Services
Epidemiology of Alcoholism and Drug Dependence
Describe the Symptoms of drug addiction
Prevention, treatment, and rehabilitation for drug dependence
When is World Mental Health Day
I created this presentation for my "Working With Challenging Behaviors" course topic. It touches on teen depression and gives some information for parents, teachers and other child care workers.
"To be a teenager is to be depressed"
Global Medical Cures™ | BIPOLAR DISORDER
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
“Teen Depression and Suicide,”
South Portland, Maine; April 26, 2005
Suicide Conference, Maine Suicide Prevention Program.
*Learn clinical presentation of adolescent depression
*Learn course and prognosis of pediatric depression
*Learn treatment of pediatric depression
*Discuss controversy of antidepressant medications in youth and suicidality
Depression In Children: Behavioral Manifestations and InterventionDavid Songco
Presentation delivered to the West Side Health Authority. This presentation was attended by program developers, teachers, principals, and directors of local community organizations.
Depression and Psychosis in Neurological Practice.pptxsumeetsingh837653
A presentation about neuropsychiatric manifestations of neurological disorders like Stroke, CNS infections, Neurodegenerative disorders, Epilepsy, etc. and their diagnosis and management
A mood disorder is a mental health condition that primarily affects your emotional state. They can cause persistent and intense sadness, elation and/or anger. Mood disorders are treatable — usually with a combination of medication and psychotherapy.
Schizophrenia is a metal disorder characterized by disruptions in thought processes, perceptions, emotional responsiveness and social interaction. Here the etiology, epidemiology, types, signs and symptoms, pathophysiology, complications, diagnosis as well as management of schizophrenia is explained.
This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions of each concept which is then followed by basic theories that try explain each concept.followed by basic theories that try explain each concept.This power point presentation provides basic concepts in motivation and emotions. It provides definitions
The Art Pastor's Guide to Sabbath | Steve ThomasonSteve Thomason
What is the purpose of the Sabbath Law in the Torah. It is interesting to compare how the context of the law shifts from Exodus to Deuteronomy. Who gets to rest, and why?
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
How to Create Map Views in the Odoo 17 ERPCeline George
The map views are useful for providing a geographical representation of data. They allow users to visualize and analyze the data in a more intuitive manner.
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
2. Objectives
•Understand Signs and Symptoms
•Differentiate between types of depression
•Understand Causation
•Understand Diagnosis Methods
•Understand Treatment
3. WHAT IS DEPRESSION ?
•common potentially debilitating
psychiatric disorder characterized
by depressed mood, loss of
interest or pleasure, feelings of
guilt, disturbed sleep or appetite,
low and poor concentration.
4. HISTORY
•Ancient Egyptians wrote about depression more than 3000
years ago
•Ancient Greek thought depression as the cause of excess of
bile
•Hippocrates, first person to throughly describe the condition
as a somatic illness and coin the term “melancholia”
•Ludwig Van Beethoven, Charles Dickens, Winston Churchill,
Abraham Lincoln and Ernest Hemingway some famous
people said to have suffered from depression
5. CLASSIFICATION ON THE BASIS DSM-IV
• Depression classified with its subtypes under Mood Disorder by American
Psychiatric Association published in Diagnostic and Statistical Manual of Mental
Disorders, Fourth Edition (DSM-IV)
✦ Mood Disorder
A. Depressive Disorder
1. Major Depressive Disorder, Single Episode
2. Major Depressive Disorder, Recurrent
3. Dysthymia Disorder
4. Depressive Disorder Not Otherwise Mentioned
– Bipolar Disorder
» Bipolar Disorder, Single Episode
» Bipolar Disorder, Recurrent
A.Cyclothymic Disorder
1. Bipolar Disorder Not Otherwise Specified
1. Secondary Mood Disorder due to Non-psychiatric Medical Condition
2. Substance- Induced Mood Disorder
3.Mood Disorder Not Otherwise Specified
6. Facts and Statistics
•People of all ages, backgrounds, lifestyles, and nationalities
suffer from major depression, with a few exceptions.
•Up to 20% of people experience symptoms of depression.
•The average age of first onset of major depression is 25-29
•Ranked as 4th
highest public concern according to WHO and
assumed to be 2nd by 2020
7. Major Depressive Disorder
•Also called clinical depression or unipolar depression
•The most prevalent depressive disorder
•Some 340 million persons worldwide meet the criteria for
clinical depression
8. Symptoms
•The symptoms of depression are:
Emotional Symptoms: Physical Symptoms:
Depressed mood Change in body weight and appetite
Loss of interest or pleasure Disturbances of sleep and other
Circadian rhythm
Anxiety Fatigue
Diminished ability to think or
concentrate, or indecisiveness
Psychomotor agitation or
retardation
Feeling of excessive or
inappropriate guilt
Unexplained body aches
Recurrent thoughts of deaths and
suicidal
Headache
9. Types
•Classified further on the basis of occurrence
a. Single Episode
b. Recurrent
•Single episode - occurs only once and meets all the diagnostic
symptoms of major depression
•If untreated, 85% of persons who have one episode of
depression will have another episode within 10 years
•Recurrent-2 major depression episodes, separated by at least a
2 month period
•Median number of depressive episodes per person is 4
•25% have 6 or more episodes
10. Dysthymia
• chronic “low-grade” or mild depression
• symptoms not as strong as the symptoms of major depression
• Diagnostic Symptoms :
A. Depressed/irritable mood
B. Presence of two of the following:
• Appetite disturbance
• Sleep disturbance
• Low energy/fatigue
• Poor concentration of difficulties making decision
• Feelings of hopelessness
C. Present for two year period (one year in children and adolescents)
11. Bipolar Disorder
•manic-depressive disorder
•presence of one or more episodes of abnormally elevated
energy levels, cognition, and mood with or without one or
more depressive episodes
Characteristic Episodes
– Depressive Episode :disturbances in sleep and appetite,
fatigue,
–Manic Episode : elevated, irritable mood state ,grandiosity
–Hypomanic Episode : milder mania
12. Etiology and Pathophysiology
A.Biological Theories
1.Genetics
2.Biochemical Theories
a. Monoamine Hypothesis
b. Neurotransmitter Dysregulation Hypothesis
c. Neuroendocrine Findings
B.Psychological Theories
1. Psychoanalytical Factors
A. Learning Theories
1. Object Loss theory
2. Cognitive Theory
a. Social Theory
a.Family Based
c.Society Based
13. Genetics
Family Studies
• first degree relatives of (children,siblings,parents) of
depressed individuals are 1.5 to 3 times more likely to have
depression compared to general population
Twin Studies
•concordance rate of monozygotic twins ranges from 54-65%
while in dizygotic twins in only 15-24
15. Monoamine Hypothesis
• Depletion in the levels of serotonin, norepinephrine, and/or
dopamine in the CNS.
• Norepinephrine regarded as the component in the mobilization of
the body toy deal with stressful event.
• Serotonin System- mood and arousal thinking,energy, libido,
cognition,appetite,aggression and circadian rhythm.
• Dopamine System -human mood and behavior.
• Decreased level of biogenic amines in synaptic cleft inhibits the
transmission of impulses from one neuron to another causing a
failure of the cells to fire or charge.
• Pathophysiology supported by the mechanism of action of
antidepressants and autopsy of depressed person
16.
17.
18. Monoamine Hypothesis
Limitations
• Delayed onset of drug
• Not all the depressed patient have decreased synaptic
concentration of of biogenic amines
• antidepressant can work via other mechanisms which do not
involve reactive increased in synaptic neuro-transmitter
concentration (eg. can block corticotropin releasing factor)
19. Neurotransmitter Dysregulation Hypothesis
•Explains depression as the cause of failure of regulation of
neurotransmission system
Factors
- Impairment in homeostasis or regulation
- Disruption of normal periodicity ( Circadian rhythm )
- less selective response to stimuli
20. Neuroendocrine Findings
•Neuroendocrine abnormalities may develop depression
•Abnormal thyroid function test including low
triiodothronine(T3) and thyroxine(T4)
•Abnormal response to TRH(thyroid releasing hormone)
consisting or blunted or exaggerated thyroid stimulating
hormone (TSH)
•Clinical hypoparathyroidism
•HPA axis influence manifestation of depression
•Concentrations of CRF is elevated during depressive episodes
•Decreased hippocampus
23. Psychoanalytical Theory
•Sigmund Freud features of melancholia
– a profoundly painful dejection
– loss of interest in world
– loss of capacity to love
•Interpretation of melancholia
– actual loss of loved one or emotional rejection
–feelings of self-hatred develop and worthlessness and losses
his or her self-esteem
24. Learning Theory
•Seligman’s “learned helplessness” experiment on dogs
•Helplessness in human with numerous traumatic situations
either real or perceived
•Seligman’s interpretation of depression
–Learned helplessness predisposes depression by imposing a
feeling of lack of control and hopelessness over their life
situation and failures
25. Object Loss Theory (Attachment Theory)
•Attachment theory by John Bowlby, English psychiatrist,
•Relationship between depressive disorder in adulthood and
the quality of the earlier bond between the infant and their
adult caregiver.
•The experiences of early loss, separation and rejection by the
parent or caregiver
•Absence of security and emotional absence
29. Clinical Assessment
•By Clinician,trained medical practitioner, psychiatrist or
psychologist
•Mental state assessment
– appearance, behavior speech, mood, memory, and
intellectual function
•Physical Examination
– palpitation in neck, laboratory tests ( TSH, thyroxine,
testosterone level)
•Other bodily changes
30. Behavioral Rating Scales
•Set of questionnaire for depression assessment
•Uses
– Screening mental state
– Quantifying target symptoms
– Determine treatment efficacy
•Clinically preferred
– Hamilton Rating Scales for Depression (HRS-D)
– Montgomery-Asberg Rating Depression Rating Scale
–National Institute of Mental Health Diagnostic Interview
Schedule (DIS)
31. DSM-IV Criteria and ICD-10 Criteria
•DSM-IV
– American Psychiatric Association's revised fourth edition
of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-IV-TR)
•ICD-10
– World Health Organization's
International Statistical Classification of Diseases and Related Health
(ICD-10)
33. Psychotherapy
•Interpersonal therapy:
–assist in solving relationship
problems that cause depression
•Cognitive-behavioral therapy:
– changes the pessimistic ideas
and unrealistic expectations
–develop positive life goals, and a
more positive self-assessment
34. Electroconvulsive Therapy
How is it done?
•Pulses of electricity are sent through the
brain via two electrodes
•Painless procedure
•A person is put to sleep with general
anesthesia
•Muscle relaxers are used to prevent any
injury from the procedure
Advantages
•Quicker effect than antidepressant therapy
and thus may be the treatment of choice in
several emergency occasions
35. Pharmacotherapy
• Use of antidepressants
• Selective serotonin-reuptake inhibitors
(SSRIs) like fluoxetine, paroxetine,
sertraline, fluvoxamine, citalopram
• Tricyclic Antidepressants(TCAs) like
amitriptyline,
• Monoamine oxidase inhibitors
(MAOIs)
36. References
• Young Kimble (2000) et al., Applied Therapeutics: The Clinical Use of Drugs
(7th Ed.), Lipincott Williams & Wilkins, Baltimore, pp 77-77-21.
• Kasper et al., Harrison’s Principle of Internal Medicine (16th Ed.), McGraw and
Hill Companies, New Delhi, pp 2553-2557.
• Boyd Nihart (1998) Psychiatric Nursing Contemporary Practice, Lipincott
Williams and Wilkins, New York, pp 438-472.
• Basavantha BT (2007) Psychiatric Mental Health Nursing (1st Ed.) Jaypee
Brothers Medical Publishers Ltd New Delhi, pp 494-521.
• URL-1: http://
www.who.int/mental_health/management/depression/definition/en/ (Accessed
on October 1, 2010)
• URL-2:
http://en.wikipedia.org/wiki/Major_depressive_disorder#Symptoms_and_signs
• URL-3:
http://www.helpguide.org/mental/depression_signs_types_diagnosis_treatment.