Basics
What is the core symptom of depression involving decrease in pleasure?
Anhedonia
What is a common sleep issue?
Insomnia or hypersomnia
Depression lasting >2 weeks w/ significant impairment
MDD
Which brain area has increased activity with depression?
Limbic system
First line meds
SSRI
What is the minimum duration for diagnosis?
2 weeks
What kind of change will we see in energy level?
Decreased energy, fatigue
Chronic depression lasting >2 years
PDD (dysthymia)
Which brain area has decreased activity?
Prefrontal cortex
How long does it take for antidepressants to work?
4-6 weeks
Type of disorder depression is classified as
Mood disorder
Thinking related symptom
Difficulty concentrating
Depression tied to season change
Which key neurotransmitter is commonly decreased?
Serotonin
What is the most effective type of therapy?
CBT
What are the 4 major areas depression affects?
Physical, emotional, cognitive, and social
Give an example of a physical (somatic) complaint
Headache, stomach or back pain
Depression triggered by stressor
Adjustment disorder
Which hormone increases with stress in depression?
Cortisol
What is a priority independent nursing intervention?
Assessing suicide risk
What is a severe complication of depression?
Suicidal ideation
What appetite change is seen in depression?
either increased OR decreased appetite
PDD
What theory involves feeling powerless?
Learned hopelessness
What is the most important safety action for high risk patients?
NEVER leave them alone