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Transcript of Depression
• Death or a loss RISK FACTORS early teens, 20s, or 30s twice as many woman are diagnosed with depression than men women are more likely to seek treatment biological relatives with depression experiencing stressful life events abusing alcohol, nicotine, or illicit drugs TESTS AND DIAGNOSIS Physical Exam Psychological Evaluation TREATMENTS medication psychotherapy Electroconvulsive Therapy hospitalization and residential treatment programs According to DSM-IV-R, "Depression is a serious medical illness that negatively affects how you feel, the way you think and how you act. Depression has a variety of symptoms, but the most common are a deep feeling of sadness or a marked loss of interest or pleasure in activities". WHAT IS DEPRESSION? Mostly biological because it is normally hereditary. most common INTERESTING FACTS 15 million people suffer from depression 45 to 60% of suicides are from depressed people Men also suffer from postpartum depression. Patients with support from family and friends are more likely to be treated of depression. Only 5% of people don't suffer from some sort of depression during their lifetime. These people are called "Sunny People". self-mutilation Abraham Lincoln suffered from depression after his first wife died. Depressed people have colds more often than non-depressed people. Depression is a flaw in chemistry, not a flaw in character. Major Depression • Most severe
• Thoughts of suicide and death
• 6.7 % of Americans
• EVERY day Mild/Chronic Depression • "Dysthymia"
• Less severe
• Long lasting
• 1.7 % of Americans
• On and off, not a constant feeling of sadness Postpartum Depression • Depression that occurs after having a baby
• Due to severe chemical changes Seasonal Depression • Seasonal Affective Disorder (SAD)
• Occurs in the fall through spring
• Lack of serotonin levels due to lack of Vitamin D Bipolar Disorder • Once called "Manic Depression"
• Extreme highs and lows
Highs: very productive and happy
Lows: lay in bed and feel worthless
• Last for days, sometimes weeks Atypical Depression • Subtype of Major Depression
• Does not have all the symptoms to be diagnosed as Major Depression
• Rather common and underdiagnosed
• Will be happy if something positive happens Psychotic Depression • Subtype of Major Depression
• When Depression includes some form of psychosis
• Some other break with reality Conflicts between a close family member or friend may result in depression if left unresolved. If there is a low level of "seratonin" in the brain, the brain is incapable of being happy and enjoying things. Depression can be inherited. In some families, depression results from a chemical imbalance in the brain. When depression is inherited, there is usually a trigger that makes the chemical imbalance noticeable. The doctor will check to make sure everything is okay and that all your levels are up to standards. These tests include blood tests and liver and kidney function tests. Do you ever feel a sense of hopelessness? Do you think you have a future? Has your diet changed? Do you still enjoy doing your hobbies? How much sleep do you get? Are you always tired? How does that make you feel? 1/3 of the time, just medication works. Another 1/3 of the time, medication plus some form of therapy works. The remaining 1/3 of the time, nothing works. These patients are the ones who undergo the Electroconvulsive Therapy and are/or hospitalized. This is a form of "shock therapy". Electrical impulses are sent to the brain. This is a last resort and is not used as often anymore. Back before it was known that medication and therapy would help, they would shock the people to get the "demons" out of them.