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Mood, Life & Death (Grief (Persistent complex Bereavement disorder…

- - - - o/s: anytime,
        
        ≥ 12 mo
        
        Pervasive/Global: eats into every aspect of life. + SIGECAPS
        
        Persistent
        
        can't imagine future happiness
        
        feel trapped
        
        Hallucinations
        
        Auditory :loudspeaker:
        
        Visual :eyes:
        
        Psychosis: pts lack insight
        
        Having a 2 way conversation w/ deceased, having dinner together
        
        suicide: SELF, despondent and hopeless. Death frees themselves from it.
        
        negative reflection of self, not a property of the deceased
        
        1 more item...
        
        Hallucinations
        
        Auditory :loudspeaker:
        
        Visual :eyes:
        
        Psychosis: pts lack insight
        
        Having a 2 way conversation w/ deceased, having dinner together
        
        Persistent
        
        can't imagine future happiness
        
        feel trapped
      - Babies :baby_bottle:
        
        Baby Blues
        
        Post partum depression
        
        Post Partum Psychosis
        
        not 1st baby
        
        mom fears baby :baby::skin-tone-2::scream:, likely to kill baby :hocho:
        
        (=brief psychotic disorder)
        
        ≤ 1mo
        
        1 more item...
        
        baby no. 1
        
        mom doesn't care about baby
        
        depression/disinterested = neglects baby
        
        ≤ 1mo
        
        ongoing
        
        1 more item...
        
        baby no. 1
        
        mom cares about it
        
        overwhelmed, but will care for it
        
        ≤ 2weeks
        
        ≤ 2weeks
        
        probably resolves by 1st well child visit
        
        depressed mood :cry: temporary
        
        doesn't meet
        
        1 more item...
    - - o/s: starts > 6mo after
        
        ≤ 12 mo
        
        Tx: SSRI/SNRI
  - - - normal ≤ 12 mo since loss of person
        
        depressed, guilt, anhedonia is normal if focused on the deceased
        
        waxes and wanes
        
        imagines future happiness
        
        experiences happiness w/ friends/family
        
        Talking to deceased
        
        Praying at deceased
        
        visiting grave
        
        seeing deceased in a crowd
        
        insight that they are gone
        
        suicide/thoughts normal in grief: "dying to be w/ the deceased"
        
        I want to trade places w/ deceased
        
        No Tx
        
        suicide/thoughts normal in grief: "dying to be w/ the deceased"
        
        I want to trade places w/ deceased
        
        depressed, guilt, anhedonia is normal if focused on the deceased