Depression- Ten Broeck

Types

100

This form of depression is during the winter months when there is less natural light. It generally lifts during spring and summer. It can be treated with light therapy, antidepressant meds, and psychotherapy.

Seasonal Affective Disorder (SAD)

200

This form of depression occurs after giving birth-when hormonal & physical changes & the new responsibility of caring for a newborn can be overwhelming.

Postpartum depression

300

This form of depression can interfere with one's ability to work, sleep, study, eat, and enjoy activities that were once pleasurable. It can also disable and prevent a person from functioning normally.

Major depressive disorder, clinical depression

400

This form of depression is a manic depressive illness which is not as common as major depression or dysthymic. It is also characterized by cycling mood changes from extreme highs to extreme lows. It affects thinking, judgement, and social behavior.

Bipolar depression, Bipolar disorder, Manic depression

500

This form of depression is severe and it is accompanied by some from of psychosis. I.e. break with reality. May experience hallucinations, delusions, or paranoia.

Psychotic depression

Symptoms/Causes

100

Physical symptoms you may see in a depressed person are ___________

 changes in appetite, lack of energy/increased fatigue, stomachaches, backaches, headaches, indigestion

200

True or False- Hormones can affect depression?

True

Estrogen can alter activity of neurotransmitters (menopause, pregnancy, postpartum)

overactive thyroid can experience restlessness,, anxiety, irritability.  underactive thyroid- fatigue, sad mood

Decreased testosterone can lead to sad mood, fatigue

300

What are risk factors for depression?

Family history of depression, drug and alcohol use, divorce, loss of a loved one, retirement.

Researchers are attempting to find specific genes related to depression. 

Genesight genetic testing- Can identify medications that you are more receptive to, will experience fewer side effects with. Cons- Most insurances will only cover medications on a specific formulary

400

What are symptoms of Bipolar disorder?

Can look different in different people

Cycles of mania-increased energy, euphoria, racing thoughts, creativity, decreased sleep, impulsivity, spiral out of control

depression-irritabilty, restlessness, guilt, move slower

500

Warning signs of suicide with depression include:

A sudden switch from very sad to calm

always talking or thinking about suicide

"death wish"-tempting fate by taking risks eg. driving through red lights

losing interest in things once cared about

feeling helpless, hopeless, worthless

Putting affairs in order..making will, giving away items

Saying things like "things would be better if I wasn't here"

Treatment

100

Name one medication used to treat depression:

SSRI- Paxil, prozac, zoloft, celexa, lexapro, trintellix

SNRI- Effexor, Pristiq, Cymbalta

New Generation- Wellbutrin, Remeron, Serzone, Viibryd

TCA- Elavil, nortriptyline, imipramine, doxepine

antipsychotic-abilify,

200

What is treatment called intended to reveal or heal a disorder through talking

Therapy

• Cognitive-behavioral therapy (CBT) has two main aspects. The cognitive part works to develop helpful beliefs about your life. The behavioral side helps you learn to take healthier actions. CBT often works well for depression, anxiety and bipolar disorder, but it can also be used for other various conditions.
• Interpersonal therapy focuses largely on improving relationships and helping a person express emotions in healthy ways. This approach often works well for depression. A variation of it called "interpersonal and social rhythm therapy" often works well for bipolar disorder because it also helps develop a daily schedule that supports recovery.
• Family therapy helps family members communicate, handle conflicts and solve problems better. Forms of family therapy often are used for treating eating disorders and bipolar disorder.
• Psychodynamic therapy helps people develop a better understanding about their unconscious emotions and motivations that can affect their thoughts and actions.
• Art therapy can include using music, dance, drawing and other art forms to help express emotions and promote healing.
• Psychoeducation helps people understand mental health conditions and ways to promote recovery.

300

When a person begins medication what symptoms tend to improve before the  sad mood improves?

Energy levels tend to be the first symptoms noted to improve and the ability to make decisions. Followed by sleep, appetite.

400

How long does it generally take for antidepressants to start having an effect?

2 to 4 weeks

500

Antidepressants attempt to correct chemical imbalances in the brain. What are these chemicals called and name one.

Neurotransmitters

Serotonin- affects mood, hunger, sleep, arousal

Norepinephrine- affects alertness, arousal

Dopamine- affects energy, motivation, learning, attention, focus undersupply linked to Parkinson's, Tremors

Acetycholine- affects muscle action, memory, learning

GABA- affects relaxation-undersupply linked to seizures, insomnia, tremors

Glutamate- affects memory, excitatory respsonse -oversupply can lead to migraines, seizures MSG

Coping Skills

100

A natural way to stay in shape, release endorphins, and increase feelings of happiness is:

Exercising

200

Name 2 people you can talk to about feelings of depression:

Doctor, therapist, psychiatrist, family, friend, social worker, pastor, etc

National Suicide Prevention LifelineCall 1-800-273-8255 

300

Name 2 ways to improve self esteem:

Learn a new skill

Learn new interest/hobby

Writing in journal

Affirmations

Saying positive things about yourself

Forming SMART goals- specific, measurable, attainable, relevant, time oriented

400

Name 2 appropriate coping skills you are currently using:

deep breathing, mindfulness, exercise, journaling, grounding techniques, positive self talk, setting boundaries, assertive communication, humor, gardening, distraction, crafts, gratitude, self care-proper nutrition, proper sleep, etc

500

What are the benefits of having effective coping skills?

• Increased life span
• Lower rates of depression 
• Lower levels of distress  
• Greater resistance to the common cold   
• Better psychological and physical well-being  
• Better cardiovascular health and reduced risk of death from cardiovascular disease   
• Better coping skills during hardships and times of stress

Riddles

100

What word becomes shorter when you add 2 letters to it?

Short

200

What can you catch but not throw?

A cold

300

In a one story pink house there was a pink person, pink cat, pink fish, pink computer, pink chair, pink telephone, pink shower-everything was pink. What color were the stairs?

There were no stairs, it was a one story house.

400

What rock group has 4 men that don't sing?

Mount Rushmore

500

Poor people have it. Rich people need it. If you eat it you die. What is it?

Nothing