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Behavioral Health Chapter 14: Depressive Disorders

Terms in this set (79)

Depressive Disorders
persistently depressed mood lasting a minimum of 2 weeks
Depressive Disorder Symptoms
- anhedonia
- fatigue
- sleep disturbances (too much sleep, insomnia)
- changes in appetite (loss or increase)
- feelings of hopelessness or worthlessness
- persistent thoughts of death or suicide
- inability to concentrate or make decisions
- change in physical activity (decrease in motor activity, lethargic)
Disruptive Mood Dysregulation Disorder
- large numbers of children/adolescents being diagnosed with bipolar disorder
- is it a true bipolar disorder?
- not bipolar, but a mood disregulation disorder
- 2-5%
(Disruptive Mood Dysregulation Disorder) Symptoms
- irritability
- anger
- temper tantrums
- outbursts
- problems with control
(Disruptive Mood Dysregulation Disorder) Treatment
- consider ADHD and other issues
- medications used sparingly
- anger management
- cognitive behavioral therapy
- mood regulation
Persistent Depressive Disorder
- depressed mood for most of the day, and more days of the week than not
- lasts more than 2 years (1 year in adolescents)
(Persistent Depressive Disorder) Symptoms
- more appetite
- insomnia/hypersomnia
- fatigue
- low self-esteem
- poor concentration
- difficulty making decisions
- hopelessness
Premenstrual Dysphoric Disorder
- related to the menstrual cycle
- 2-6% of individuals
(Premenstrual Dysphoric Disorder) Symptoms
- mood swings
- irritability
- depression
- anger
- overwhelmed
- poor concentration
(Premenstrual Dysphoric Disorder) Treatment
- SSRIs
- diuretics
Substance Abuse Depressive Disorder
- due to prolonged use of drugs/alcohol
- lasts longer than when intoxicated/withdrawing
- might have a comorbid depressive disorder with the drug disorder
Depressive Disorder Associated with another Medical Condition
such cancer, heart condition, etc.
Bereavement Exclusion
- patients who experienced a recent loss often exhibit similar signs and symptoms of depression
- distinguished from a depressive disorder
- normal grieving process
- diagnosed within the first two months after a death
- to avoid lifelong diagnosis they don't need
- look at how long grieving process has lasted and how long it interferes with daily life
Depression in Children and Adolescents
- presents more like the blues
- sadness becomes persistent
- now always presented as a significant depressive episode
Symptoms of Depression in Children/Adolescents
- irritability
- withdrawal from school/activities/friends
- decline in grades
- changes in appetite/sleep
- talk more about physical complaints
- difficulty making decisions
- drug/alcohol use
- preoccupation with death and dying
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