Depression
Which gender has a higher incidence of depression?
Female
Cyclothymia
How would you provide a safe environment for a person with SI?
Place in room with another person
Have door stay open
Hang proof the doors/ bathroom
Search all items for harmful items
Lock utility rooms
Keep windows locked
No metal silverware
What type of approach is most effective at treating mood disorders?
T or F: Stress is always a negative experience.
False
What are the two main neurotransmitters with depression?
Serotonin
Norepinephrine
Common problems seen in bipolar people
What are anxiety disorders; substance misuse; attention problems; asthma/obesity; migraines; bullemia
Is suicide a behavior or a disorder?
Behavior
What is the treatment for Depression?
Antidepressants
ECT
Transcranial Magnetic Stimulation
Vagus Nerve Stimulation
Deep brain Stimulation
Light Therapy
St. John’s Wart
Exercise
During the Immune response to stress __________ and __________ are increase.
Cortisol and Cytokines
What is one of the Depression rating scales?
Beck Depression Inventory, PHQ-9, CSSRS, Geriatric depression scale.
Cheerfully elated mood which is different from normal. Milder than mania; lasting few days to many months. Very unstable; person might "crash"; presence of three mania symptoms, lasting 4 days
What is Hypomania?
Who is at risk for suicide?
Patients with depression
Hx of suicide attempts
Genetics
On antidepressants
Change from sad to happy
Substance abuse
History of trauma or abuse
Chronic physical illness
Exposure to suicidal behavior
Mood Stabilizers
What are the 3 types of coping?
Problem focused, Emotion focused, Avoidant
What are 3 classifications of Depressive disorders?
PDD, MDD, PPD, DMDD, PMD, Substance-induced Depressive disorder
People have had at least one hypomanic episode, but never a full mania; at least one episode of depression.
What is Bipolar II
FREE POINTS!
Write down the name of a person that you could go to for help is you were experiencing suicidal ideation.
Name two classes of antidepressant medication
SSRI, SNRI, TCA, MAOI
_____________ is the result of a prolonged or chronic stress response that results in the body learning that experiencing fear, stressors or trauma is normal.
Toxic stress
We know that the cause of depression is complex and multifactorial. What are 3 possible contributors to the development of depression?
Genetic, Biologic, Environmental and Psychosocial Factors.
Caution when giving these meds before a definite Dx is made of Bipolar Disorder.
Anti-depressive and stimulants may worsen sx and cause mania
What are 5 warning signs of suicide?
Withdraws socially from family & friends
Gives away loved possessions
Bids goodbye to family & friends
Arranges affairs, as though they plan to die
Engages in risky behavior, such as fast driving
Obsessively thinks & talks about death
Sudden, extreme mood swings
Developing and securing a suicide plan, internet search, stockpiles pills, buy gun
Reporting guilt or shame
Increasing use of drugs or alcohol
Anxious, angry, explosive or agitated behavior
Change in appetite and sleep
Talking about seeking revenge
THEY SUDDENLY FEEL RELIEVED
What medication would the nurse tell a patient NOT to take prior to ECT (Electroconvulsive therapy)?
Benzodiazepines
Adjusting expectations
Biofeedback
Deep breathing
Develop positive self-talk and reduce self-blame
Guided imagery
Mindfulness meditation