CLASSIFICATION & EPIDEMIOLOGY
|
|
- Julius Cain
- 5 years ago
- Views:
Transcription
1 DEPRESSION IN ELDERLY CLASSIFICATION & EPIDEMIOLOGY NIH Consensuses on Depression in Late Life Elderly depressive disorders are underdiagnosed and undertreated. Only 11% of depressed patients in primary care received adequate treatment. 34% received inadequate treatment. 55% received no treatment. 24 months outcomes 33% - improved 33% - depressed 13% - hospitalized 21% - died BARRIERS TO DIAGNOSIS AND TREATMENT Social stereotypes about aging: depression is understandable in older person. Depression occurs in a complex medical and psychosocial context. Denial of psychological symptoms. Age-inappropriate diagnostic criteria. Criteria for depression remain the same regardless of age.
2 What is depression? Normal emotion- response to loss or disappointment Accompanying symptom common in variety of physical condition Clinical psychiatric disorder What is a mood disorder? DEPRESSION IS A LARGE GROUPE OF PSYCHIATRIC DISORDERS IN WHICH PATOLOGICAL MOOD AND RELATED VEGETATIVE AND PSYCHOMOTOR DISTURBANCES DOMINATE IN THE CLINICAL PICTURE. DIAGNOSTIC CRITERIA PYRAMID Etiology Pathogenesis Syndrome Symptom CLASSIFICATION OF DEPRESSION PRINCIPAL MODELS Binary model Continuum model Hierarchical model
3 DICHOTOMIES OF AFFECTIVE DISORDER Binary Model From God Endogenous Psychotic Manic-depressive Autonomous Biological Of the world Exogenous Neurotic Psychogenic Reactive Characterological Continuum Model Classifications of depression are nothing more than attempts to distinguish between acute and chronic, mild and severe Aubrey Lewes, 1934 HIERARCHICAL MODEL Mania
4 CLASSIFICATION OF DEPRESSION Ancient Greek: depression resulted from imbalance in the body's four humours: blood, phlegm, yellow bile and black bile Melancholia Major depression Melancholic temperament dysthymia or depressive personality Etiological factor - black bile Emil Kraepelin (1921) Manic depressive insanity/paranoia Kurt Schneider (1920): Endogenous depression Reactive depression DSM-1(1952) 106 disorders depressive reaction of the personality to psychological, social and biological factors DSM 2 (1968) 182 disorder psychodynamic formulation, depressive neurosis and depressive psychosis DSM 3 (1980) 265 disorder nonetiological paradigm, nosologic criteria major depressive disorder DSM 4 (1994) 297 disorder DSM 5 (May 2013 ) Depression in DSM-5 1/ Disruptive mood dysregulation disorder 2/ Major depressive disorder 3/ Persistent depressive disorder (dysthymia) 4/ Premenstrual dysphoric disorder 5/ Substance/medication-induced depressive disorder 6/ Depressive disorder due to another medical condition 7/ Other specified depressive disorder 8/ Unspecified depressive disorder MENTAL DISORDER THAT COMMONLY HAVE DEPRESSIVE FEATURES Schizophrenia Schizoaffective Disorder Bipolar disorder Post traumatic stress disorder Adjustment disorder Anxiety disorders Somatoform disorder Substance-related disorder Dementia
5 Diagnostic Criteria for Major Depressive Episode DSM-5 A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning: at least one of the symptoms is either (1) depressed mood or (2) loss of interest or pleasure. 1. Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad, empty, hopeless) or observation made by others (e.g., appears tearful) Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation). Diagnostic Criteria for Major Depressive Episode DSM-5 3. Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. 4. Insomnia or hypersomnia nearly every day. 5. Psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down). 6. Fatigue or loss of energy nearly every day. 7. Feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day 8. Diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others). 9. Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide. Diagnostic Criteria for Major Depressive Episode DSM-5 B. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. C. The episode is not attributable to the physiological effects of a substance or to another medical condition. D. The occurrence of the major depressive episode is not better explained by schizoaffective disorder, schizophrenia, schizophreniform disorder, delusional disorder, or other specified and unspecified schizophrenia spectrum and other psychotic disorders. E. There has never been a manic episode or a hypomanic episode. Diagnostic Criteria for Major Depressive Episode DSM-5 Specify: With anxious distress With mixed features With melancholic features With atypical features With mood-congruent psychotic features With mood-incongruent psychotic features With catatonia With peripartum onset With seasonal pattern (recurrent episode only)
6 Diagnostic Criteria for Major Depressive Episode DSM-5 Severity specifier Mild Moderate Severe With psychotic features Unspecified Course specifier Single episode Recurrent episode In partial remission In full remission Persistent Depressive Disorder (Dysthymia) A. Depressed mood for most of the day, for more days than not, as indicated by either subjective account or observation by others, for at least 2 years. Note: In children and adolescents, mood can be irritable and duration must be at least 1 year. B. Presence, while depressed, of two (or more) of the following: 1. Poor appetite or overeating. 2. Insomnia or hypersomnia. 3. Low energy or fatigue. 4. Low self-esteem. 5. Poor concentration or difficulty making decisions. 6. Feelings of hopelessness. Persistent Depressive Disorder (Dysthymia) C. During the 2-year period (1 year for children or adolescents) of the disturbance, the individual has never been without the symptoms in Criteria A and B for more than 2 months at a time. D. Criteria for a major depressive disorder may be continuously present for 2 years. E. There has never been a manic episode or a hypomanie episode, and criteria have never been met for cyclothymic disorder. F. The disturbance is not better explained by a persistent schizoaffective disorder, schizophrenia, delusional disorder, or other specified or unspecified schizophrenia spectrum and other psychotic disorder. G. The symptoms are not attributable to the physiological effects of a substance (e.g., a drug of abuse, a medication) or another medical condition (e.g. hypothyroidism). H. The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning. Persistent Depressive Disorder (Dysthymia) Specify if With anxious distress With mixed features With melancholic features With atypical features With mood-congruent psychotic features With mood-incongruent psychotic features With peripartum onset
7 Persistent Depressive Disorder (Dysthymia) Specify if (for most recent 2 years of persistent depressive disorder): With pure dysthymic syndrome: Full criteria for a major depressive episode have not been met in at least the preceding 2 years. With persistent major depressive episode: Full criteria for a major depressive episode have been met throughout the preceding 2-year period. With intermittent major depressive episodes, with current episode: Full criteria for a major depressive episode are currently met, but there have been periods of at least 8 weeks in at least the preceding 2 years with symptoms below the threshold for a full major depressive episode. With intermittent major depressive episodes, without current episode: Full criteria for a major depressive episode are not currently met, but there has been one or more major depressive episodes in at least the preceding 2 years. Persistent Depressive Disorder (Dysthymia) Specify if: In partial remission In full remission Specify if: Early onset: If onset is before age 21 years. Late onset: If onset is at age 21 years or older. Specify current severity: Mild Moderate Severe Depressive Disorder Due to Another l\/ledical Condition A. A prominent and persistent period of depressed mood or markedly diminished interest or pleasure in all, or almost all, activities that predominates in the clinical picture. B. There is evidence from the history, physical examination, or laboratory findings that the disturbance is the direct pathophysiological consequence of another medical condition. C. The disturbance is not better explained by another mental disorder (e.g., adjustment disorder, with depressed mood, in which the stressor is a serious medical condition). D. The disturbance does not occur exclusively during the course of a delirium. E. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. Depressive Disorder Due to Another Medical Condition Specify if: (F06.31) With depressive features: Full criteria are not met for a major depressive episode. ' (F06.32) With major depressive-like episode: Full criteria are met (except Criterion C) for a major depressive episode. (F06.34) With mixed features: Symptoms of mania or hypomania are also present but do not predominate in the clinical picture.
8 Persistent Complex Bereavement Disorder A.The individual experienced the death of someone with whom he or she had a close relationship. B. Since the death, at least one of the following symptoms is experienced on more days than not and to a clinically significant degree and has persisted for at least 12 months after the death in the case of bereaved adults and 6 months for bereaved children: 1. Persistent yearning/longing for the deceased. In young children, yearning may be expressed in play and behavior, including behaviors that reflect being separated from, and also reuniting with, a caregiver or other attachment figure. 2. Intense sorrow and emotional pain in response to the death. 3. Preoccupation with the deceased. 4. Preoccupation with the circumstances of the death. In children, this preoccupation with the deceased may be expressed through the themes of play and behavior and may extend to preoccupation with possible death of others close to them. Persistent Complex Bereavement Disorder C. Since the death, at least six of the following symptoms are experienced on more days than not and to a clinically significant degree, and have persisted for at least 12 months after the death in the case of bereaved adults and 6 months for bereaved children: Reactive distress to the death 1. Marked difficulty accepting the death. In children, this is dependent on the child s capacity to comprehend the meaning and permanence of death. 2. Experiencing disbelief or emotional numbness over the loss. 3. Difficulty with positive reminiscing about the deceased. 4. Bitterness or anger related to the loss. 5. Maladaptive appraisals about oneself in relation to the deceased or the death (e.g., self-blame). 6. Excessive avoidance of reminders of the loss (e.g., avoidance of individuals, places, or situations associated with the deceased; in children, this may include avoidance of thoughts and feelings regarding the deceased). Persistent Complex Bereavement Disorder Social/identity disruption 7. A desire to die in order to be with the deceased. 8. Difficulty trusting other individuals since the death. 9. Feeling alone or detached from other individuals since the death. 10. Feeling that life is meaningless or empty without the deceased, or the belief that one cannot function without the deceased. 11. Confusion about one s role in life, or a diminished sense of one s identity (e.g., feeling that a part of oneself died with the deceased). 12. Difficulty or reluctance to pursue interests since the loss or to plan for the future (e.g., friendships, activities). Persistent Complex Bereavement Disorder D. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning. E. The bereavement reaction is out of proportion to or inconsistent with cultural, religious, or age-appropriate norms. Specify if: With traumatic bereavement: Bereavement due to homicide or suicide with persistent distressing preoccupations regarding the traumatic nature of the death (often in response to loss reminders), including the deceased s last moments, degree of suffering and mutilating injury, or the malicious or intentional nature of the death.
9 Classification of Mental and Behavioral Disorders ICD-10 F32 Depressive episode F32.0 Mild depressive episode.00 Without somatic syndrome.01 With somatic syndrome F32.1 Moderate depressive episode.10 Without somatic syndrome.11 With somatic syndrome F32.2 Severe depressive episode without psychotic symptoms F32.3 Severe depressive episode with psychotic symptoms F32.8 Other depressive episodes F32.9 Depressive episode, unspecified The World Health Organization's International Classification of Diseases (ICD-10) At least two weeks Two of the three core symptoms Two of the seven secondary symptoms Classification of Mental and Behavioral Disorders ICD-10 F33 Recurrent depressive disorder F33.0 Recurrent depressive disorder, current episode mild.00 Without somatic syndrome.01 With somatic syndrome F33.1 Recurrent depressive disorder, current episode moderate.10 Without somatic syndrome.11 With somatic syndrome F33.2 Recurrent depressive disorder, current episode severe Without psychotic symptoms F33.3 Recurrent depressive disorder, current episode severe with psychotic symptoms F33.4 Recurrent depressive disorder, currently in remission F33.8 Other recurrent depressive disorders F33.9 Recurrent depressive disorder, unspecified Classification of Mental and Behavioral Disorders ICD-10 F34 Persistent mood [affective] disorders F34.0 Cyclothymia F34.1 Dysthymia F34.8 Other persistent mood [affective] disorders F34.9 Persistent mood [affective] disorder, unspecified F38 Other mood [affective] disorders
10 Late-onset depression Late-onset depression Symptoms overlapping 1. Abnormal depressed mood 2. Abnormal loss of all interest and pleasure 3. Appetite or weight disturbance, either: Abnormal weight loss (when not dieting) or decrease in appetite. Abnormal weight gain or increase in appetite 4. Sleep disturbance, either abnormal insomnia or abnormal hypersomnia. 5. Activity disturbance, either abnormal agitation or abnormal slowing (observable by others). 6. Abnormal fatigue or loss of energy. 7. Abnormal self-reproach or inappropriate guilt. 8. Abnormal poor concentration or indecisiveness. 9. Abnormal morbid thoughts of death (not just fear of dying) or suicide. Relationship between depression and dementia EPIDEMIOLOGY OF DEPRESSION IN DEMENTIA 1. Depression treatment is a risk factor for dementia 2. Depression and dementia share common risk factors. 3. Depression is a prodrom of dementia 4. Depression is an early reaction to cognitive decline 5. Depression is a causal factor in dementia 6. Affective disorders lower the threshold for the clinical manifestation of dementia. Depressive symptoms Dementia suffers Mean rate 0 83% 19%
11 CONCEPT OF PSEUDODEMENTIA Kiloh (1961) reported on 10 cases of 'pseudodementia The concept of 'pseudodementia' was based on three elements: 1/ The syndrome of dementia in patients with 'pseudodementia' did not progress but was reversed in relation to the clinical state of' functional' psychiatric illness. 2/ The cause of the dementia was the ' functional' psychiatric illness. 3/ Distinctions between' pseudodementia and dementia: reversibility irreversibility lack of progression progression ' functional' causation - degenerative brain disease "The picture of dementia may be very closely mimicked and (patients) may be in danger of therapeutic neglect and perhaps of unnecessary neurosurgical investigations. It is to such cases that the term pseudodementia may be applied," Diagnostic definition of pseudo-dementia Evidence of depression accompanied by intellectual impairment Clinical features resemble degenerative brain disorders Intellectual deficit reverses with antidepressants No evidence of primary neuro-degenerative process Caine (1981) Risk of all-cause dementia in participants with late-life depression N-51 - Most of the studies found an increased risk for developing dementia in individuals with depression. - A quarter of the studies did not show a statistical significance - History of depression approximately doubled the risk of developing Alzheimer s disease or dementia in general. - The risk for dementia is proportional to symptoms severity, lifetime duration and number of depressive episodes. -The evidence is contradictory regarding whether there is a difference in risk in people with early- or late-onset depression. Diniz B S et al. BJP 2013;202: Dementia Depression spectrum
12 Dementia Depression spectrum National Institute of Mental Health Criteria for Diagnosis Depression in Alzheimer s Disease Major depression without Dementia Depressive dementia Dementia with Depressive symptoms Dementia without depression 1. 3 of the following must be present during the same 2 week period and represent a change from previous functioning. At least one symptom must be either depressed mood or loss of pleasure. a. Depressed mood b. Loss of pleasure c. Social isolation or withdraw d. Disruption in appetite e. Disruption in sleep f. Psychomotor changes g. Irritability h. Fatigue or loss of energy i. Feeling or worthlessness, hopelessness, or excessive or inappropriate guilt j. Recurrent thoughts of death, suicidal ideation, plan, or attempt 2. All criteria are met for Dementia of the Alzheimer Type (DSM IV) 3. The symptoms cause clinically significant distress or disrupt functioning 4. The symptoms do not occur exclusively in the course of delirium 5. The symptoms are not due to the physiological effect of a substance 6. The symptoms are not accounted for by other psychiatric conditions Epidemiology of old age depression At a global level, 322 million people are estimated to suffer from depression, equivalent to 4.4% of the world s population. The total estimated number of people living with depression increased by 18.4% between 2005 and Fewer than half of those affected in the world (in many countries, fewer than 10%) receive treatments Major depression was the fourth most important disorder in 1990 and would become the second most important by the year 2020 in terms of the global burden of disease as indicated by both disability and mortality.
13 Epidemiology of depression (US Epidemiological Catchment Area survey) 5.8% 7.9% Antidepressants 3.1% 2.7% 3.6% 1.7% 0.6% 1.5% Psychiatric disorders are infrequent in elderly individuals. Prevalence of depression in elderly subjects is low. Weissman et al (1988) Epidemiological Catchments Area study (1988) Prevalence of late-life depression in Europe The EURODEP consortium GMS / AGECAT Depression Prevalence (one-year) MDD Dysthymic disorder man 0,6% 1% >65 women 1,5% 2,3% overall 1% 2% Prévalence of dépression (%) centers subjects Prevalence of depression 8,8-23.6% Overall prevalence 12.3% (w/m 14.1/8.6) Mood disorders 1,4% 3,3% 4% 5 0 Depressive symptoms 15%
14 The prevalence of depression in older people using criteria from the DSM METAANALISIS OF EPIDEMIOLOGICAL STUDIES ( ) N-34 RANGE AVERAGE RATE Study Country Diagnosis Age (years) Men % Women % Total % Lobo et al Zaragoza, Spain All (1995) Kivelä et al Ähtäri, Finland All (1988) Bland et al Edmonton, Canada MDS (1988) Regier et al ECA, USA MDS (1993) Kramer et al USA MDS (1985) MDD Minor depression All depressive syndromes National comorbidity survey replication Life time prevalence of MDE-22.9% in females and 15.1% in males
15 ??? Do persons became less depressed as they grow older? Is depression more difficult to identify in the older adult? Epidemiology Prevalence In a meta-analysis, the prevalence of clinically significant depression among older people living in the community was 13.5% (Beekman et al 1999). The prevalence of depressive episode was much lower, at around 2%. Many older people may have depressive symptoms that do not fulfill the strict criteria for depressive disorder in a given classification system like DSM or ICD, even though they suffer from clinically significant depression and require treatment. Another review found that the prevalence of depressive symptoms ranged 26-40% among community dwelling older people in Europe (Copeland et al 2004). Conservative estimate of the prevalence of depression in cognitively intact nursing home residents is 10-20%; for cognitive impaired patients the prevalence rises to 50-60% (Parmelee et al 1989) Epidemiology Epidemiological Misconception Incidence Rorsman et al (1990) estimated the incidence of major depression in Lundby County, Sweden, to be 4.3% for men and 7.6% for women of all ages (with very little age variation). Norton et al (2006) assessed 2,877 nondemented elderly (ages 65 to 100 years) residents of Cache County, Utah. They found that individuals with no history of depression had rates for major depression of 7.88 per 1,000 person-years for men and 8.75 for women; minor depression rates were for men and for women. Luijendijk et al (2008) assessed 5653 participants free of dementia (aged 56 or above) in Rotterdam. For depressive syndromes, the incidence rate was 7.0 per 1000 person-years during the follow-up period of 8 years on average. Social stereotypes about aging: depression is understandable in older person. Depression occurs in a complex medical and psychosocial context. Exclusion due to severe comorbidity and institutionalization Symptoms under or over reporting Different phenomenological presentation Age-inappropriate diagnostic criteria Diagnostic instruments are inappropriate 59 Copyright World Psychiatric Association
16 Symptoms overlapping 1. Abnormal depressed mood 2. Abnormal loss of all interest and pleasure 3. Appetite or weight disturbance, either: Abnormal weight loss (when not dieting) or decrease in appetite. Abnormal weight gain or increase in appetite 4. Sleep disturbance, either abnormal insomnia or abnormal hypersomnia. 5. Activity disturbance, either abnormal agitation or abnormal slowing (observable by others). 6. Abnormal fatigue or loss of energy. 7. Abnormal self-reproach or inappropriate guilt. 8. Abnormal poor concentration or indecisiveness. 9. Abnormal morbid thoughts of death (not just fear of dying) or suicide. Subsyndromal depression (Subthreshold depression, Minor depression, Non-major depression) Systematic review of 181 studies ( ) Median point prevalence: Community: 9.8% Primary care: 25% Inpatients: 30% Long term care: 45-50% 8-10% of older person with minor depression developed major depression per year Median remission rate: 27% after 1 year T. Meeks J Affect Disorder 2011 Depression in older people in community care: effect of setting In older people, the setting has a major influence on depression prevalence Prevalence rate (%) Out-patient clinics Emergency rooms Nursing homes Long-stay institutions
17 EPIDEMIOLOGY OF DEPRESSION EPIDEMIOLOGY OF DEPRESSION Population Major depression Depressive symptoms Total elderly population Prevalence (%) Long term care Major depression Dysthymia Depressive symptoms Prevalence (%) Depressive symptoms Outpatients Depressive symptoms Depressive symptoms Dementia suffers 0 83% Hospitalized patients The Natural History of Late Life Depression (Beekman, 2002; A 6-year Prospective Study) Remissions: 23% Remission with recurrence: 12% Chronic intermittent course: 33% Chronic course: 32% CONCLUSIONS Depression is one of the most prevalent psychiatric condition in later life. Mood disorders are a continuum rather than a case / non-case dichotomy The standard criteria for depression may be difficult to apply to older adults. Most older patients with symptoms of depression do not meet the full criteria for major depression
18 CONCLUSIONS There is no consensus about epidemiology of late-life depression. Both prevalence and incidence studies that rely on DSM-based diagnosis of major depression suggest a decline with age. Symptom-based assessment studies show increased rates of depression Subsyndromal depressive disorder is separate and legitimate entity, that at least 2-3 times more frequent than major depression.
DEPRESSION IN ELDERLY CLASSIFICATION & EPIDEMIOLOGY
DEPRESSION IN ELDERLY CLASSIFICATION & EPIDEMIOLOGY NIH Consensuses on Depression in Late Life Elderly depressive disorders are underdiagnosed and undertreated. Only 11% of depressed patients in primary
More informationSymptoms Duration Impact on functioning
Dr. Lori Triano- Antidormi Dr. Jane Storrie OPA Annual Conference February 21, 2015 Symptoms Duration Impact on functioning Numbness, shock, disbelief, denial Sadness Apathy, lack of interest, enthusiasm
More informationMeasure #106 (NQF 0103): Adult Major Depressive Disorder (MDD): Comprehensive Depression Evaluation: Diagnosis and Severity
Measure #106 (NQF 0103): Adult Major Depressive Disorder (MDD): Comprehensive Depression Evaluation: Diagnosis and Severity 2014 PQRS OPTIONS FOR INDIVIDUAL MEASURES: CLAIMS, REGISTRY DESCRIPTION: Percentage
More informationRunning head: DEPRESSIVE DISORDERS 1
Running head: DEPRESSIVE DISORDERS 1 Depressive Disorders: DSM-5 Name: Institution: DEPRESSIVE DISORDERS 2 Abstract The 2013 update to DSM-5 saw revisions of the psychiatric nomenclature, diagnostic criteria,
More informationOffice Practice Coding Assistance - Overview
Office Practice Coding Assistance - Overview Three office coding assistance resources are provided in the STABLE Resource Toolkit. Depression & Bipolar Coding Reference: n Provides ICD9CM and DSM-IV-TR
More informationGoal: To recognize and differentiate abnormal reactions involving depressed and manic moods
Goal: To recognize and differentiate abnormal reactions involving depressed and manic moods Moods versus emotions DSM-IV mood disorders are now two separate categories in DSM-5 Depressive disorders Bipolar
More informationENTITLEMENT ELIGIBILITY GUIDELINE DEPRESSIVE DISORDERS
ENTITLEMENT ELIGIBILITY GUIDELINE DEPRESSIVE DISORDERS MPC 03000 ICD-9 296.2, 296.3, 300.4, 311 ICD-10 F32, F33, F34.1 DEFINITION Depressive Disorders is a category of conditions in the Diagnostic and
More informationDSM5: How to Understand It and How to Help
DSM5: How to Understand It and How to Help Introduction: The DSM5 is a foreign language! Three Questions: I. The first was, What the key assumptions made to determine the organization of the DSM5? A. Mental
More informationGoal: To recognize and differentiate abnormal reactions involving depressed and manic moods
Key Dates TH Feb 9 Begin Dimensions-Behavior, Units IIB, 8 through page 147; MW Ch 9 Betty, Elvis TU Feb 14 Unit 8 147-end and Unit 9; MW Ch 8 Jeffrey and Ch 10 Diana TH Feb 16 Unit 10; MW Ch 11 Theodore
More informationMood Disorders Workshop Dr Andrew Howie / Dr Tony Fernando Psychological Medicine Faculty of Medical and Health Sciences University of Auckland
Mood Disorders Workshop 2010 Dr Andrew Howie / Dr Tony Fernando Psychological Medicine Faculty of Medical and Health Sciences University of Auckland Goals To learn about the clinical presentation of mood
More informationMOOD (AFFECTIVE) DISORDERS and ANXIETY DISORDERS
MOOD (AFFECTIVE) DISORDERS and ANXIETY DISORDERS Shelley Klipp AS91 Spring 2010 TIP 42 Pages 226-231 and 369-379 DSM IV-TR APA 2000 Co-Occurring Substance Abuse and Mental Disorders by John Smith Types
More informationPSYCHOPATHOLOGY, DIFFERENTIAL DIAGNOSIS, AND THE DSM-5: A COMPREHENSIVE OVERVIEW
LPCA, CEU Concepts,TMH Professionals, yourceus.com, EAPWorks & American College of Psychotherapy present: PSYCHOPATHOLOGY, DIFFERENTIAL DIAGNOSIS, AND THE DSM-5: A COMPREHENSIVE OVERVIEW Module 3: Anxiety
More informationTMH Professionals, LLC, LPCA, EAPWorks, CEUConcepts, & American College of Psychotherapy present
TMH Professionals, LLC, LPCA, EAPWorks, CEUConcepts, & American College of Psychotherapy present Psychopathology, Differential Diagnosis, and the DSM-5: A Comprehensive Overview Module 3: Anxiety Disorders
More information4/29/2015. Dr. Carman Gill Wednesday, April 29th
Dr. Carman Gill Wednesday, April 29th 1 Impacted diagnoses Major changes and rationale Special considerations Implications for counselors A sustained condition of prolonged emotional dejection, sadness,
More informationENTITLEMENT ELIGIBILITY GUIDELINE DEPRESSIVE DISORDERS
ENTITLEMENT ELIGIBILITY GUIDELINE DEPRESSIVE DISORDERS MPC 03000 ICD-9 296.2, 296.3, 300.4, 311 ICD-10 F32, F33, F34.1 DEFINITION DEPRESSIVE DISORDERS Depressive Disorders include: Major Depressive Disorder
More informationClass Objectives. Depressive Disorders 10/7/2013. Chapter 7. Depressive Disorders. Next Class:
Chapter 7 Class Objectives Depressive Disorders - Major Depressive Disorder - Persistent Depressive Disorder - Disruptive Mood Dysregulation Disorder - Premenstrual Dysphoric Disorder (PMDD) Next Class:
More informationAdult Depression - Clinical Practice Guideline
1 Adult Depression - Clinical Practice Guideline 05/2018 Diagnosis and Screening Diagnostic criteria o Please refer to Attachment A Screening o The United States Preventative Services Task Force (USPSTF)
More informationAre All Older Adults Depressed? Common Mental Health Disorders in Older Adults
Are All Older Adults Depressed? Common Mental Health Disorders in Older Adults Cherie Simpson, PhD, APRN, CNS-BC Myth vs Fact All old people get depressed. Depression in late life is more enduring and
More informationDepression in the Eldery Handout Package
Depression in the Eldery Handout Package Depression in the Elderly 1 Learning Objectives Upon completion of this module, you should be able to: 1. State the prevalence and describe the consequences of
More informationYour journal: how can it help you?
Journal Your journal: how can it help you? By monitoring your mood along with other symptoms like sleep, you and your treatment team will be better able to follow the evolution of your symptoms and therefore
More informationDSM-5 UPDATE. Supplement to DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, FIFTH EDITION
DSM-5 UPDATE Supplement to DIAGNOSTIC AND STATISTICAL MANUAL OF MENTAL DISORDERS, FIFTH EDITION October 2017 DSM-5 Update October 2017 Supplement to Diagnostic and Statistical Manual of Mental Disorders,
More informationSeasonal Affective Disorder: Diagnostic Issues
CHAPTER 1 Seasonal Affective Disorder: Diagnostic Issues Definition and diagnostic criteria Prevalence and burden Screening Clinical features Differential diagnosis Variants of SAD Further reading 1 Definition
More informationDepressive and Bipolar Disorders
Depressive and Bipolar Disorders Symptoms Associated with Depressive and Bipolar Disorders Characteristics of mood symptoms Affects a person s well being, school, work, or social functioning Continues
More information4. Definition, clinical diagnosis and diagnostic criteria
4. Definition, clinical diagnosis and diagnostic criteria 4.1. Definition Major depression is a mood disorder consisting of a set of symptoms, which include a predominance of the affective type (pathological
More informationPSYCH 235 Introduction to Abnormal Psychology. Agenda/Overview. Mood Disorders. Chapter 11 Mood/Bipolar and Related disorders & Suicide
PSYCH 235 Introduction to Abnormal Psychology Chapter 11 Mood/Bipolar and Related disorders & Suicide 1 Agenda/Overview Mood disorders Major depression Persistent Depressive Disorder (Dysthymia) Bipolar
More informationMood Disorders. Gross deviation in mood
Mood Disorders Gross deviation in mood Depression u Affective: Depressed mood (kids-irritability), or anhedonia for 2 weeks minimum. u Cognitive: worthlessness/ guilt, hopelessness, indecisiveness/ concentration,
More informationdepression and anxiety in later life clinical challenges and creative research
2 nd Annual MARC Symposium Critical Themes in Ageing Melbourne, 10 th August 2018 depression and anxiety in later life clinical challenges and creative research Nicola T Lautenschlager, MD, FRANZCP Professor
More informationDepressive, Bipolar and Related Disorders
Depressive, Bipolar and Related Disorders Robert Kelly, MD Assistant Professor of Psychiatry Weill Cornell Medical College White Plains, New York Lecture available at www.robertkelly.us Financial Conflicts
More informationDepression in Primary Care. Robert Brasted, MD Associate Medical Director Behavioral Health Services PeaceHealth Oregon West Network
Depression in Primary Care Robert Brasted, MD Associate Medical Director Behavioral Health Services PeaceHealth Oregon West Network Overview Diagnosis, DSM5 Disorders Differential Diagnosis Comorbidities
More informationCase Discussion Starring Melissa Ladrech as Sara Bonjovi and Michael Kozart as Dr. Keigh Directed by Carlos Mariscal
Michael Kennedy, MFT Division Director Case Discussion Starring Melissa Ladrech as Sara Bonjovi and Michael Kozart as Dr. Keigh Directed by Carlos Mariscal Michael Kozart, MD, PhD Medical Director, Sonoma
More informationBipolar Disorder 4/6/2014. Bipolar Disorder. Symptoms of Depression. Mania. Depression
Bipolar Disorder J. H. Atkinson, M.D. Professor of Psychiatry HIV Neurobehavioral Research Programs University of California, San Diego KETHEA, Athens Slides courtesy of John Kelsoe, M.D. Bipolar Disorder
More informationDepression major depressive disorder. Some terms: Major Depressive Disorder: Major Depressive Disorder:
Depression major depressive disorder Oldest recognized disorder: melancholia It is a positive and active anguish, a sort of psychical neuralgia wholly unknown to normal life. - William James "I am now
More informationContemporary Psychiatric-Mental Health Nursing Third Edition. Introduction. Introduction 9/10/ % of US suffers from Mood Disorders
Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 17 Mood Disorders Introduction 12% of US suffers from Mood Disorders MD are a group of psychiatric DO characterized by physical, emotional
More informationWhen is a Psychological Disorder a Disability? Dr. Leigh Ann Ford, PhD, HSP Licensed Psychologist ABVE 2017 Annual Conference. Goals for presentation
When is a Psychological Disorder a Disability? Dr. Leigh Ann Ford, PhD, HSP Licensed Psychologist ABVE 2017 Annual Conference Goals for presentation *To review DSM-V criteria for some of the most frequently
More informationWhat is the DSM. Diagnostic and Statistical Manual of Mental Disorders Purpose
DSM 5 The Basics What is the DSM Diagnostic and Statistical Manual of Mental Disorders Purpose Standardize diagnosis criteria (objectivity) Assist in research Provide common terminology Public health statistics
More informationPrimary Care: Referring to Psychiatry
Primary Care: Referring to Psychiatry Carol Capitano, PhD, APRN-BC Assistant Professor, Clinical Educator University of New Mexico College of Nursing University of New Mexico Psychiatric Center Objectives
More informationManaging your Middle School Child s Anxiety & Depression. William Cates MS, LPC, NCC Comprehensive Mental Health Support Specialist - MEVSD
Managing your Middle School Child s Anxiety & Depression William Cates MS, LPC, NCC Comprehensive Mental Health Support Specialist - MEVSD } Health conditions involving changes in cognition, emotion, or
More informationMood Disorders for Care Coordinators
Mood Disorders for Care Coordinators David A Harrison, MD, PhD Assistant Professor, Dept of Psychiatry & Behavioral Sciences University of Washington School of Medicine Introduction 1 of 3 Mood disorders
More informationGERIATRIC WORKFORCE ENHANCEMENT PROGRAM (GWEP) FACULTY DEVELOPMENT MASTERWORKS SERIES
UNIVERSITY OF SOUTH FLORIDA GERIATRIC WORKFORCE ENHANCEMENT PROGRAM (GWEP) FACULTY DEVELOPMENT MASTERWORKS SERIES Kathryn Hyer, PhD, MPP Principal Investigator h Providers of Continuing Education For additional
More informationPsychosis, Mood, and Personality: A Clinical Perspective
Psychosis, Mood, and Personality: A Clinical Perspective John R. Chamberlain, M.D. Assistant Director, Psychiatry and the Law Program Assistant Clinical Professor University of California San Francisco
More informationDepression: Assessment and Treatment For Older Adults
Tool on Depression: Assessment and Treatment For Older Adults Based on: National Guidelines for Seniors Mental Health: the Assessment and Treatment of Depression Available on line: www.ccsmh.ca www.nicenet.ca
More informationOur Health, Our Thoughts and Our Feelings: How Can We Best Adapt Resiliently During Grief?
Our Health, Our Thoughts and Our Feelings: How Can We Best Adapt Resiliently During Grief? Mary-Frances O Connor, PhD University of Arizona Department of Psychology Overview Feelings of grief how can we
More informationComprehensive Quick Reference Handout on Pediatric Bipolar Disorder By Jessica Tomasula
Comprehensive Quick Reference Handout on Pediatric Bipolar Disorder By Jessica Tomasula Official Name Bipolar Disorder; also referred to as Manic Depression Definitions (DSM-IV-TR, 2000) Bipolar I Disorder
More informationMental Health Disorder Prevalence among Active Duty Service Members in the Military Health System, Fiscal Years
Mental Health Disorder Prevalence among Active Duty Service Members in the Military Health System, Fiscal Years 2005 2016 Prepared by the Deployment Health Clinical Center Released January 2017 by Deployment
More informationClass Objectives 10/19/2009. Chapter 5 Mood Disorders. Depressive Disorders. What are Unipolar Mood Disorders?
Chapter 5 Mood Disorders Class Objectives Depressive Disorders What are Mood Disorders? What is Major Depressive Disorder? What is Post Partum Disorder? What are Unipolar Mood Disorders? What is Mania?
More informationDSM-5 Depressive Disorders: Diagnostic and Treatment Implications
DSM-5 Depressive Disorders: Diagnostic and Treatment Implications Gary G. Gintner, Ph.D., LPC-S Louisiana State University Baton Rouge, LA gintner@lsu.edu Depressive Disorders Highlights: Chronic depressive
More informationModule Objectives 10/28/2009. Chapter 6 Mood Disorders. Depressive Disorders. What are Unipolar Mood Disorders?
Chapter 6 Mood Disorders Module Objectives Depressive Disorders What are Mood Disorders? What is Major Depressive Disorder? What is Post Partum Disorder? What are Unipolar Mood Disorders? What is Mania?
More informationIntegrated Health and Well-Being
Integrated Health and Well-Being CF Physical Health Health and Well-Being Mental Health 1 Depression A Continuum Normal Mood Lowering Abnormal Mood Lowering Abnormal Mood Lowering and Loss of Functioning
More informationBipolar disorder. Paz García-Portilla
Bipolar disorder Paz García-Portilla BD I: Epidemiology Life-time prevalence 1% (0.7 1.8%) 30% with diagnosis and without treatment, or with erroneous diagnosis (major unipolar depression, borderline PD)
More informationMental Health Disorders Civil Commitment UNC School of Government
Mental Health Disorders 2017 Civil Commitment UNC School of Government Edward Poa, MD, FAPA Chief of Inpatient Services, The Menninger Clinic Associate Professor, Baylor College of Medicine NC statutes
More informationMental Health Issues and Treatment
Mental Health Issues and Treatment Mental health in older age Depression Causes of depression Effects of depression Suicide Newsom, Winter 2017, Psy 462/562 Psychology of Adult Development and Aging 1
More informationFunctional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements
Functional Assessment of Depression and Anxiety Disorders Relevant to Work Requirements Paul S. Appelbaum, MD Dollard Professor of Psychiatry, Medicine & Law Columbia University Overview Depression and
More informationAccurate Diagnosis of Primary Psychotic Disorders
Accurate Diagnosis of Primary Psychotic Disorders The Care Transitions Network National Council for Behavioral Health Montefiore Medical Center Northwell Health New York State Office of Mental Health Netsmart
More informationDifferentiating Unipolar vs Bipolar Depression in Children
Differentiating Unipolar vs Bipolar Depression in Children Mai Uchida, M.D. Director, Center for Early Identification and Prevention of Pediatric Depression Massachusetts General Hospital Assistant Professor
More informationBADDS Appendix A: The Bipolar Affective Disorder Dimensional Scale, version 3.0 (BADDS 3.0)
BADDS Appendix A: The Bipolar Affective Disorder Dimensional Scale, version 3.0 (BADDS 3.0) General information The Bipolar Affective Disorder Dimension Scale (BADDS) has been developed in order to address
More informationDepression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment
Depression, Anxiety, and the Adolescent Athlete: Introduction to Identification and Treatment Jamie E. Pardini, PhD Sports Medicine and Concussion Specialists Banner University Medical Center-Phoenix University
More information3/9/2017. A module within the 8 hour Responding to Crisis Course. Our purpose
A module within the 8 hour Responding to Crisis Course Our purpose 1 What is mental Illness Definition of Mental Illness A syndrome characterized by clinically significant disturbance in an individual
More informationDeconstructing the DSM-5 By Jason H. King
Deconstructing the DSM-5 By Jason H. King Assessment and diagnosis of psychotic and bipolar-related disorders The fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) retains
More informationPsychotic disorders Dr. Sarah DeLeon, MD PGYIV, Psychiatry ConceptsInPsychiatry.com
Psychotic disorders Dr. Sarah DeLeon, MD PGYIV, Psychiatry ConceptsInPsychiatry.com Introduction Psychotic spectrum disorders include schizotypal personality disorder, delusional disorder, brief psychotic
More informationChronic Condition Toolbook: Major Depressive Disorder. Focusing on Depression and Its Symptoms
Chronic Condition Toolbook: Major Depressive Disorder Focusing on Depression and Its Symptoms Table of Contents Focusing on Major Depressive Disorder... 1 Major Depressive Disorder Algorithm... 2 The Importance
More informationMarch 29, 2017 Debra K. Smith, Ph.D. St. Charles Hospital Port Jefferson, New York
Traumatic Brain Injury: Management of Psychological and Behavioral Sequelae March 29, 2017 Debra K. Smith, Ph.D. St. Charles Hospital Port Jefferson, New York The Functional Impact of
More informationVery few seniors contemplated suicide. The mortality rate for suicide among seniors decreased in both Peel and Ontario between 1986 and 2001.
Mental Health HIGHLIGHTS In the 23 Canadian Community Health Survey, two-thirds of seniors in Peel and Ontario rated their mental health as excellent or very good (65%). In 21, the prevalence of depression
More informationHealthyPlace s Introductory Guide to Bipolar Disorder. By Natasha Tracy
HealthyPlace s Introductory Guide to Bipolar Disorder By Natasha Tracy 1 Index Introduction Chapter One Bipolar Disorder Basics Chapter Two Bipolar Disorder Diagnosis Chapter Three Treatment of Bipolar
More informationBipolar Disorder. Kirsten Brandner Presentation on January 20, 2016 Forensic Psychology period 2
Bipolar Disorder Kirsten Brandner Presentation on January 20, 2016 Forensic Psychology period 2 Questions and Vocabulary to think about? What is bipolar disorder? What is rapid cycling and how does it
More informationDepressive Disorders in Primary Care
Depressive Disorders in Primary Care Parinda Khatri, Ph.D. Director of Integrated Care Tennessee Primary Care Association Clinical Conference April 15, 2011 Nashville, TN Forms of Depression Major Depressive
More informationDepression Workshop 26 January 2007
Depression Workshop 26 January 2007 Leslie G Walker Professor of Cancer Rehabilitation Donald M Sharp Senior Lecturer in Behavioural Oncology Mary B Walker Senior Clinical and Research Nurse Specialist
More informationMore Than Just Moody Blaise Aguirre, MD Child and Adolescent Psychiatrist McLean Hospital Assistant Professor of Psychiatry Harvard Medical School
More Than Just Moody Blaise Aguirre, MD Child and Adolescent Psychiatrist McLean Hospital Assistant Professor of Psychiatry Harvard Medical School Keep in Mind In the U.S., approximately 10-15% of children/adolescents
More informationSome newer, investigational approaches to treating refractory major depression are being used.
CREATED EXCLUSIVELY FOR FINANCIAL PROFESSIONALS Rx FOR SUCCESS Depression and Anxiety Disorders Mood and anxiety disorders are common, and the mortality risk is due primarily to suicide, cardiovascular
More informationAiming for recovery for patients with severe or persistent depression a view from secondary care. Chrisvan Koen
Aiming for recovery for patients with severe or persistent depression a view from secondary care Chrisvan Koen Kent and Medway NHS and Social care Partnership trust Persistent depressive disorder F34 Persistent
More informationDIAN KUANG 馬 萬. Giovanni Maciocia
DIAN KUANG 癫狂 馬 萬 Giovanni Maciocia 里 BIPOLAR DISORDER (MANIC-DEPRESSION) DIAN Qi and Phlegm stagnating Heart and Spleen deficiency with Phlegm Qi deficiency with Phlegm KUANG Phlegm-Fire harassing upwards
More informationICD-10 and DSM-5: Making Sense in the Clinical Environment. Mehul Mankad, MD Assistant Professor Duke University Medical Center
ICD-10 and DSM-5: Making Sense in the Clinical Environment Mehul Mankad, MD Assistant Professor Duke University Medical Center 1 GSK Foundation Disclosures 2 Specific Aims Review of pertinent differences
More informationMood Disorders In any given 1-year period, 9.5% of the population, or about 18.8 million American adults, suffer from a depressive illness.
Mood Disorders In any given 1-year period, 9.5% of the population, or about 18.8 million American adults, suffer from a depressive illness. depression A depressive disorder is an illness that involves
More informationDepression and Suicide in Older Adults. William T. Regenold, M.D.C.M. Associate Professor of Psychiatry Director, Geriatric Psychiatry Division
Depression and Suicide in Older Adults William T. Regenold, M.D.C.M. Associate Professor of Psychiatry Director, Geriatric Psychiatry Division What is depression in older adults like? A syndrome in people
More informationTreating Childhood Depression in Pediatrics. Martha U. Barnard, Ph.D. University of Kansas Medical Center Pediatrics/Behavioral Sciences
Treating Childhood Depression in Pediatrics Martha U. Barnard, Ph.D. University of Kansas Medical Center Pediatrics/Behavioral Sciences Objectives The learner will: Describe the signs and symptoms of childhood
More informationINTRODUCTION TO MENTAL HEALTH. PH150 Fall 2013 Carol S. Aneshensel, Ph.D.
INTRODUCTION TO MENTAL HEALTH PH150 Fall 2013 Carol S. Aneshensel, Ph.D. Topics Subjective Experience: From the perspective of mentally ill persons Context Public attitudes toward the mentally ill Definition
More informationAMPS : A Quick, Effective Approach To The Primary Care Psychiatric Interview
AMPS : A Quick, Effective Approach To The Primary Care Psychiatric Interview February 7, 2012 Robert McCarron, D.O. Assosicate Clinical Professor Internal Medicine / Psychiatry / Pain Medicine UC Davis,
More informationGeriatric Depression; Not a Normal Part of Growing Older. Cherie Warriner, LCSW
1 Geriatric Depression; Not a Normal Part of Growing Older Cherie Warriner, LCSW What is Depression? While it is normal to feel sad or blue on occasion, these feelings are often transient. Depression is
More informationDiagnosis. Shayna Sokol, LSW, CHC
Diagnosis Shayna Sokol, LSW, CHC Diagnosis Across the Age Continuum 1 in 5 Children have a diagnosable MH condition I m an adult Service Coordinator, so why do I need to know about child and adolescent
More informationChanges to the Organization and Diagnostic Coverage of the SCID-5-RV
Changes to the Organization and Diagnostic Coverage of the SCID-5-RV Core vs. Enhanced SCID configuration A number of new disorders have been added to the SCID-5-RV. To try to reduce the length and complexity
More informationSCID-I (for DSM-IV-TR) Current MDE (JAN 2007) Mood Episodes A. 5
SCID-I (for DSM-IV-TR) Current MDE (JAN 2007) Mood Episodes A. 5 Did this begin soon after someone close to you died? E. Not better accounted for by bereavement, i.e., after the loss of a loved one, the
More informationChild Planning: A Treatment Planning Overview for Children with Depression
COURSES ARTICLE - THERAPYTOOLS.US Child Planning: A Treatment Planning Overview for Children with Depression A Treatment Overview for Children with Experiencing Depression Duration: 3 hours Learning Objectives:
More informationSECTION 1. Children and Adolescents with Depressive Disorder: Summary of Findings. from the Literature and Clinical Consultation in Ontario
SECTION 1 Children and Adolescents with Depressive Disorder: Summary of Findings from the Literature and Clinical Consultation in Ontario Children's Mental Health Ontario Children and Adolescents with
More informationBrief Notes on the Mental Health of Children and Adolescents
Brief Notes on the Mental Health of Children and Adolescents The future of our country depends on the mental health and strength of our young people. However, many children have mental health problems
More informationDSM-5 Table of Contents
DSM-5 Table of Contents DSM-5 Classification Preface Section I: DSM-5 Basics Introduction Use of DSM-5 Cautionary Statement for Forensic Use of DSM-5 Section II: Essential Elements: Diagnostic Criteria
More informationSt George Hospital Renal Supportive Care Psychosocial Day, 10 th August Michael Noel, Supportive and Palliative Care Physician, Nepean Hospital
St George Hospital Renal Supportive Care Psychosocial Day, 10 th August 2017 Michael Noel, Supportive and Palliative Care Physician, Nepean Hospital Michael.Noel@health.nsw.gov.au Hannah Burgess, Renal
More informationJonathan Haverkampf BIPOLAR DISORDR BIPOLAR DISORDER. Dr. Jonathan Haverkampf, M.D.
BIPOLAR DISORDER Dr., M.D. Abstract - Bipolar disorder is a condition affecting an individual s affective states (mood). The different flavors of bipolar disorder have in common that there are alterations
More information4. General overview Definition
4. General overview 4.1. Definition Schizophrenia is a severe psychotic mental disorder characterized by significant disturbances of mental functioning. It has also been called early dementia, intrapsychic
More informationIntegration of Two Psychiatric Databases
CS580 Term Project, Final Report Integration of Two Psychiatric Databases Instructor: Professor Clement Yu Wei Zhang, Wei Zhou, Huiyong Xiao Dec. 6, 2002 Table Of Contents I. Introduction...1 1. Project
More informationICD 10 CM Codes for Evaluation & Management October 1, 2017
ICD 10 CM Codes for Evaluation & Management October 1, 2017 Code Description Comments F01.50 Vascular dementia without behavioral disturbance F01.51 Vascular dementia with behavioral disturbance F02.80
More informationDepression Management
Depression Management Ulka Agarwal, M.D. Adjunct Psychiatrist Pine Rest Christian Mental Health Disclosures The presenter and all planners of this education activity do not have a financial/arrangement
More informationA HELPFUL WALK THROUGH DSM-5
A HELPFUL WALK THROUGH DSM-5 ROGER SHAFER, MD UNITY POINT-FINLEY SUMMIT CENTER FOR OLDER ADULTS DUBUQUE, IA OBJECTIVES The learner will identify the foundational differences between the DSM-5 and the previous
More informationClinical Description. 2 Weeks or More. more than just feeling down. more than just feeling sad about something.
Major Depressive Disorder more than just feeling down. more than just feeling sad about something. A person, for no apparent reason, experiences two or more weeks of depressive moods. Includes feelings
More informationSession outline. Introduction to depression Assessment of depression Management of depression Follow-up Review
Depression 1 Session outline Introduction to depression Assessment of depression Management of depression Follow-up Review 2 Activity 1: Person s story followed by group discussion Present the first person
More informationThe Diagnosis of Mental Illness. Lecture 38
The Diagnosis of Mental Illness Lecture 38 1 Psychopathology Defined Psych(o) - from Greek psyche, Soul or Mind Mental Processes and Activities Includes Behavior Doctrine of Mentalism Pathology - from
More informationMajor Depression Major Depression
Contemporary Psychiatric-Mental Health Nursing Third Edition CHAPTER 17 Mood Disorders Major Depression Major Depression Characterized by a change in several aspects of a person s life and emotional state
More informationAlcoholism. Psychiatry. Alcoholism. Alcoholism. Certification. Certification
Alcoholism Psychiatry Liz Clark, D.O., MPH & TM FAOCOPM MY-2012 Except where absolute criteria exist (i.e., a current clinical diagnosis of alcoholism), as a medical examiner, you make the final determination
More informationDepression and Suicide
#66401 Depression and Suicide COURSE #66401 15 CE CREDITS Release Date: 08/01/14 Expiration Date: 07/31/17 Depression and Suicide Faculty Mark Rose, BS, MA, is a licensed psychologist and researcher in
More information9/24/2012. Amer M Burhan, MBChB, FRCP(C)
Depression and Dementia Amer M Burhan MBChB, FRCPC Head of CAMH Memory Clinic, Toronto Geriatric Neuropsychiatrist Assistant Prof Psychiatry at U of T Objectives Discuss the prevalence and impact of depression
More informationLiz Clark, D.O., MPH & TM FAOCOPM
Liz Clark, D.O., MPH & TM FAOCOPM Except where absolute criteria exist (i.e., a current clinical diagnosis of alcoholism), as a medical examiner, you make the final determination as to whether the driver
More informationAging and Mental Health Current Challenges in Long Term Care
Aging and Mental Health Current Challenges in Long Term Care Stephanie Saur & Christina Pacheco Acute Care Behavioural Consultants Alzheimer Society Peel What is Mental Health? Mental health includes our
More information