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Old 30-04-2006, 12:25 PM
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anthony anthony is offline Gender Male
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Default Understanding Types of Depression & Treatment

Definition
  • Clinical Depression is an emotional, physical and cognitive state which is more intense and long-lasting, and which has more negative effects on a persons day-to-day life.
  • Robs us of finding meaning in life.
  • Inhibits personal growth.
Types of Depressive Illness
  • Unipolar mood disorders
    • Mood swing one direction > Down
      • Reactive; stressful events; gradual
    • Major Depression
      • Sudden
      • Endogenous
  • BiPolar mood disorder
    • Mood swings up and down
  • Season affective disorder (SAD)
Symptoms (5+)
  • Depressed mood.
  • Suicidal ideation or self-harm.
  • Feelings of guilt and worthlessness.
  • Loss of interest and pleasure, including sex drive.
  • Lack of motivation.
  • Sleep disturbance.
  • Decrease or increase of appetite or weight.
  • Psychomotor retardation and agitation.
  • Tiredness and loss of energy.
  • Inability to concentrate or indeciseveness.
Causative Factors
  • Some biological predisposition
    • Heritability
  • Life events
  • Cognitive distortions (thoughts)
  • Ineffective use of coping skills
    • Problem solving skills (helplessness)
    • Assertiveness
    • Self award (self reinforcement)
Neurotransmitters
  • The brain lacks chemicals responsible for mood.
    • Norephinephrine, seretonin, dopamine
    • They regulate sleep, appetite, pain, etc.
    • Carry messages between nerve cells.
  • Only part of the problem.
  • Not the same for everyone.
  • The role of stress.
Co-Existing Conditions
  • Panic disorder
  • Generalised anxiety disorder
  • Post Traumatic Stress Disorder (PTSD)
  • Alcohol and substance abuse.
    • Seeming benefits
    • Depressant
  • Agoraphobia.
  • Social phobia.
Associated Physical Conditions
  • Physical illness (epilepsy, cancer)
  • Pharmacological (steroids, amphetamines, sedative withdrawal)
  • Endocrine (hyper or hypothyroidism, diabetes, cushing's disease)
  • Viral infections (hepatitis, AIDS, influenza)
  • Neurological (MS, parkinson's, head trauma, stroke)
  • Hormonal imbalance (postnatal, menopause)
Normal Depression
  • Feeling blue, sad, down, normal upsets.
  • Attitude: pessimistic or optimistic.
  • Depression and creativity.
  • Grief and loss.
  • Life circumstances, ie. poverty or loneliness.
  • Normal life changes, ie. puberty, childbirth and menopause.
Myths
  • "Pull yourself together"
  • "Snap out of it"
  • Weak and/or mentally incompetent
  • No visible problem
  • Someone has "caused" the depression
  • Unforgivable sin or being punished
Treatment
  • Medication
  • Counselling
    • Supportive counselling
    • Cognitive Behavioural Therapy (CBT)
    • Group therapy
    • Problem solving training
    • Assertiveness
    • Couples therapy
  • [SIZE=-1]Electro-Convulsive Therapy ([/SIZE]ECT)
  • Self-help
Self Help
  • Nutrition
  • Sleep
  • Assertiveness: say NO
  • "Pleasure days"
  • Use of "time out"
  • Reward yourself
  • Decrease self criticism
  • Enhance self esteem
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