Notes in 4. Depressive Disorders

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Published 06/26/2023 MDD DSM-5 Criteria Five (or more) of the following symptoms that have been present during the same {{c1::2 week}} period and represent a&nbs…
Published 06/26/2023 manic episodes involve clinically significant changes in {{c1::mood, energy,}} activity, {{c2::behavior, sleep}} and cognition abnormal…
Published 06/26/2023 hypomanic episodes → similar to manic episodes but {{c1::less severe}}mood can be elevated but more commonly {{c1::dysphoric}}self-esteem ma…
Published 06/26/2023 MDD comorbidities present in 69% of pts w/ {{c1::major depression}}anxiety disorders OCD substance abuse PTSD
Published 06/26/2023
Published 06/26/2023 PHQ-9 screening 
Published 06/26/2023 a PHQ-9 interpretation of >{{c1::12}} is highly suggestive of a MDD diagnosis 
Published 06/26/2023 MDD {{c1::other}} screening modalities Beck's Depression inventoryHamilton Depression Rating Scale Columbia Suicide Assessment Screen C…
Published 06/26/2023
Published 06/26/2023 MDD treatment overview Hospitalization → consider if risk of suicide or homicide → document studies show that combo of {{c1::psychother…
Published 06/26/2023 MDD pharmacotherapy guidelines All currently available depressants may take up to {{c1::3-4 weeks}} weeks to exert significant effects …
Published 06/26/2023
Published 06/26/2023 MDD treatment → adverse effects SSRI's common → {{c1::GI upset}}, sexual dysfunction, {{c1::HA}} can prolong QT → citalopram has h…
Published 06/26/2023 MDD → Treatment and Counseling points onset of medication is generally 2-4 weeks most symptom imporvement is w/ {{c1::physiologic sympt…
Published 06/26/2023 MDD course and prognosis untreated depressive disorder lasts {{c1::6-13 months}} → when treated, it typically lasts {{c1::3 months}}tre…
Published 06/26/2023 interesting graph about suicide 
Published 06/26/2023 dysthymia → overview, epidemiology and patho persistent depressive disorder subclinical depressive disorder with low grade chronicity f…
Published 06/26/2023 Dysthymic disorder → DSM-5 depressed mood for most of the day, for more days than not, as indicated by either subjective account or observation b…
Published 06/26/2023 Dysthymia → course, prognosis, treatment course and prognosis 50% of pts have insidious onset before 25 years of age prognosis depends …
Published 06/26/2023 Beravement vs depression 
Published 06/26/2023 medical illnesses associated w/ grief exacerbations of existing dz's and vulnerability to new ones increase during beravement increased mort…
Published 06/26/2023 complex persistent bereavement disorder at least {{c1::6}} of the following symptoms for at least {{c1::12 months}} after the death&nbs…
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