Health Mr. Lawn 1st Semester Depression Health Mr. Lawn 1st Semester

What is Depression What is the difference between a depressive order and someone feeling sad or blue Intereferes with daily life, normal functioning, and causes pain What do depressed people need to get better? Treatment

What are the different forms of Depression Major Depression—intereferes with ability to sleep, work, study, eat, enjoy activities Dysthymic Disorder—long term but less severe Psychotic Depression—severe depression, psychosis with reality breaks, hallucinations, delusions Postpartum Depression—Depression in new moms Seasonal Affective Disorder—depression during winter months

What are the signs and Symptoms of Depression Persistent sadness—empty Hopeless Pessimistic Feelings of guilt, worthless, helpless Irritable Loss of interest Fatigued Difficulty concentrating Difficulty sleeping Overeating Suicidal thoughts Aches and pains

What illnesses often coexist with Depression What are the main illnesses? Anxiety disorders Post Traumatic stress disorder Obsessive Compulsive disorder Social phobia What happens to people with PTSD? Relive traumatic events What also seems to co-occur with Depression? Alcohol and Substance Abuse What are some medical illnesses that depression often co-exists with? Heart disease, stroke, cancer, aids, diabetes, Parkinson's

What Causes Depression? What are the 4 categories of causes? Genetics Biochemical Environment Psychological Where does depression take place Brain What are the things the brain is responsible for that are affected by depression Mood, thinking, sleep, appetite, behavior What are some types of depression caused by Runs in families, genetics What are 4 other things that may trigger depression? Trauma, loss, difficult relationships, stressful situations

How do women deal with Depression? When are women vulnerable? After giving birth Hormonal and physical changes New responsibilities What are some additional stresses that may trigger depression in women? Work-to-home responsibilities Caring for kids and parents Abuse Poverty Relationship strains

How do Men experience Depression? What are men more likely to acknowledge having? Fatigue, irritable, loss of interest, sleep problems What are men more likely to turn to as a result? Alcohol or drugs, frustrated, discouraged, angry, abusive What are some other ways men deal with their depression? Throw themselves into work, avoid talking, reckless/risky behavior

How do Children and adolescents experience Depression What are some things that children may do that might be signs of depression? Pretend to be sick Refuse to go to school Cling to parent Sulk Get into trouble Negative Feel misunderstood What things in adolescents might depression co-occur with? Anxiety, disruptive behavior, eating disorders, substance abuse What was the most effective treatment option found for adolescents? Combination therapy and medication

How is depression detected and treated Is it treatable?—Yes When is it the most treatable—Early What is the 1st Step? See a Doctor, get a physical exam What happens if a physical cause is ruled out? Psychological exam is given What are 4 things a good diagnostic evaluation includes? Family history of depression History of symptoms Using drugs or alcohol? Thoughts of suicide?

Medications What are the most common treatments Antidepressants What do antidepressants try to normalize? Neurotransmitters What are three examples? SSRI-Prozac/zoloft SNRI-cymbalta MAOI Why might people like SSRI’s more than MAOI’s? Fewer side effects

Medications How long does it take for full therapeutic effects to occur? 3-4 weeks Why is it important to keep taking the medication even if you feel better? Prevent relapse Are antidepressant drugs habit forming? No Should medications be mixed without consulting a doctor—NO! Some side effects: Headache, nausea, insomnia, agitation, dry mouth, constipation, bladder, blurred vision, drowsy

Psychotherapies How long are short-term talk therapies? 10-20 weeks What is the goal of cognitive behavioral therapy? Change negative thinking and behavior What is the goal of interpersonal therapy? Understand and work through troubled relationships What is the best kind of therapy for depression? Combination, psychotherapy and medication

How Can I Help a Friend What is the most important thing you can do? Help get diagnosed and treatment Encourage to see someone 7 Things you can do: Offer support Engage in conversation and listen Offer hope Never ignore suicide statements Invite to go on outings Remind that with time treatment will work

How can I help Myself Engage in activity—exercise Set realistic goals Break-up large tasks into small ones Spend time with people you trust—no isolation Expect gradual improvement Postpone important decisions Positive thoughts

Where Can I go for help? Mental health specialist Community mental health specialist Hospital University programs State outpatient clinics Family services Clergy Peer support groups Private clinics Employee programs Personal doctor

What if I or someone I know is in crisis? Call a doctor 911 Hotline 1-800-suicide 1-800-273-talk Don’t leave them alone