Download Depression - Berkeley County Schools

Health
Mr. Lawn
1st Semester
 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
 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
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 are the main illnesses?
Anxiety disorders
 Post Traumatic stress disorder
 Obsessive Compulsive disorder
 Social phobia


What happens to people with PTSD?


What also seems to co-occur with Depression?


Relive traumatic events
Alcohol and Substance Abuse
What are some medical illnesses that depression
often co-exists with?

Heart disease, stroke, cancer, aids, diabetes,
Parkinson's

What are the 4 categories of causes?





Where does depression take place


Mood, thinking, sleep, appetite, behavior
What are some types of depression caused by


Brain
What are the things the brain is responsible for that
are affected by depression


Genetics
Biochemical
Environment
Psychological
Runs in families, genetics
What are 4 other things that may trigger depression?

Trauma, loss, difficult relationships, stressful situations
 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
 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

What are some things that children may do that might be
signs of depression?








What things in adolescents might depression co-occur with?


Pretend to be sick
Refuse to go to school
Cling to parent
Sulk
Get into trouble
Negative
Feel misunderstood
Anxiety, disruptive behavior, eating disorders, substance abuse
What was the most effective treatment option found for
adolescents?

Combination therapy and medication
Is it treatable?—Yes
 When is it the most treatable—Early
 What is the 1st Step?



What happens if a physical cause is ruled out?


See a Doctor, get a physical exam
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?
 What

Antidepressants
 What



do antidepressants try to normalize?
Neurotransmitters
 What

are the most common treatments
are three examples?
SSRI-Prozac/zoloft
SNRI-cymbalta
MAOI
 Why
might people like SSRI’s more than
MAOI’s?

Fewer side effects

How long does it take for full therapeutic effects
to occur?


Why is it important to keep taking the
medication even if you feel better?


3-4 weeks
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
 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
 What


7






is the most important thing you can do?
Help get diagnosed and treatment
Encourage to see someone
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
 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
 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
 Call
a doctor
 911
 Hotline


1-800-suicide
1-800-273-talk
 Don’t
leave them alone