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08/20/2020 Major Depression Disorder - Coggle Diagram
08/20/2020 Major Depression Disorder
Behavioral Interventions
Encourage formation of supportive relationships, such as individual therapy, support groups, and peer support.
Encourage exercise, such as running and/or weight lifting.
Help the patient identify current coping skills and explore alternate coping skills.
Work with the patient to identify cognitive distortions that result in a negative self-perception. For example:
Help the patient question underlying assumptions and beliefs and consider alternate explanations to problems.
Nursing Interventions
Identify the level of suicide precautions needed.
Encourage client to express feelings and come up with alternative ways to handle feelings of anger and frustration.
Refer the client and family to self-help groups in the community.
When the client is at the most depressed state, Involve the client in one to one activity.
Patient Education
If patient is taking medication prescribed by the medical doctor, they need to take it as prescribed and not stop unless directed by the medical doctor.
Avoid drinking caffeine after 4 pm and try not to drink more than two cups of caffeine type drinks each day.
Avoid using alcohol to help you sleep. As alcohol is broken down in your body, it causes you to sleep less deeply and to wake more frequently.
Try not to focus on the things you cannot change.
Try and create a support system which would include your family and close friends.
increase the amount of time available for activities you enjoy
Pathophysiology
Depression is a mood disorder that causes a feeling of sadness and loss of interest. It affects how you feel, think and behave and can lead to different emotional and physical problems. You can also have trouble doing normal day to day activities, and sometimes you might feel as if life isn't worth living.
Important Assessments
Your doctor may do a blood test called a complete blood count or test your thyroid to make sure it's functioning properly.
Your mental health professional would perform a psychiatric evaluation and asks about your symptoms, thoughts, feelings and behavior patterns. You may be asked to fill out a questionnaire to help answer these questions.
Your mental health professional may use the criteria for depression listed in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
Your doctor may do a physical exam and ask questions about your health. In some cases, depression may be linked to an underlying physical health problem.
Medication
Serotonin norepinephrine reuptake inhibitors
duloxetine
venlafaxine
desvenlafaxine
Atypical antidepressants
bupropion
mirtazapine
trazodone
Tricyclic antidepressants
imipramine
nortriptyline
trimipramine
Monoamine oxidase inhibitors
tranylcypromine
phenelzine
isocarboxazid
Selective serotonin reuptake inhibitors
escitalopram
fluoxetine
citalopram