depression ppt
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depression powerpointTRANSCRIPT
DEPRESSION
Group C Jairan Nourbakhsh
Saba SheikhMinyi Teo
Naim Uzzaman
Depression?
A mood disorder What is it?
How common is it?
1 in 20 adults will experience a depression episode every year.
Visit GP
Question time!
Blood Tests
Diagnosis
Severity of depression?
1) Persistent sadness
2) Loss of interest in activites
3) Disturbed sleep
4) Change in appetite
5) Tiredness
6) Agitation
7) Poor concentration
8) Feelings of worthlessness
9) Recurrent thoughts of death
Symptoms of depression:
The Core Symptoms
Treating clinical depressionTreatment for depression usually involves a combination of medicines, talking therapies and self-helpType of treatment depends on type of depressionTreatment options:1. Mild depression - Wait and see - Exercise - Self-help groups2. Mild to moderate depression - Talking therapy3. Moderate to severe depression - Antidepressants - Combination therapy - Mental health teams
Talking treatment
- Cognitive behavioural therapy (CBT)
- Online CBT
- Interpersonal therapy (IPT)
- Psychodynamic psychotherapy
- Counselling
- Getting help
Antidepressants
Selective serotonin reuptake inhibitors (SSRIs)
Tricyclic antidepressants (TCAs)
Other antidepressants
Withdrawal symptoms
Other treatments
St John's wort
Electric shock treatment
Lithium
Adverse Effects of Antidepressant drugs
Drug Class Drug Examples Adverse Effects
Selective Serotonin Reuptake Inhibitors
Citalopram - Nausea and Vomiting, - Diarrhoea, - Anorexia with weight lossFluoxetine
Paroxetine
Escitalopram
Tricyclic Antidepressants Amitriptyline - Sedation, - Dizziness, Confusion- Dry mouthClomipramine
Imipramine
Other Antidepressants Venlafaxine As SSRIs
Duloxetine Sedation, Dizziness, Nausea
Mirtazapine Dry mouth, Sedation, Weight gain
Adverse Effects of Antidepressant drugs
SUICIDAL BEHAVIOUR
MONITORING
MonitoringIs the patient at risk of Suicidal Behaviour or below age of 30?
YES NO
See them after 1 week prior to start of treatment and frequently as
appropriate till patient stabilizes
See them after 2 weeks prior to start of treatment
See them once every 2-4 weeks in the first 3
months
See them in longer intervals if response is
goodNICE clinical guidelines – Depression in Adults OCT 09
Monitoring
Progress of TreatmentSystematic Methods: PHQ-9
Patient Self-Monitoring
Side Effects
References
Websites
NICE guidelines
WebMDhttp://www.webmd.com/depression/
Psychiatry.orghttp://www.psychiatry.org/practice/dsm
NHS choiceshttp://www.nhs.uk/conditions/depression/Pages/Introduction.aspx
Patient.co.ukhttp://www.patient.co.uk/doctor/screening-for-depression-in-primary-care
UpToDate, Inc – Wolters Kluwer Health
APA – American Psychological Associationhttp://www.apa.org/pi/about/publications/caregivers/practice-settings/assessment/tools/patient-health.aspx
Books/Journals
Parker C. Depression Management. Clinical Pharmacist 2012: 4:222-34
Walker R, Whittlesea C (eds) 2011. Clinical Pharmacy and Therapeutics 5th edition, London: Churchill Livingstone
Rang, HP, Dale, MM, Ritter, JM, Flower, RJ and Henderson, G. Rang and Dale’s Pharmacology, 7th edition Edinburgh: Churchill Livingstone (2011)
ANY QUESTIONS?