Electroconvulsive Therapy Most typical Symptoms: Depressive Episode Other common symptoms: a. b. c. d. e.
f. g. reduced concentration and attention disturbed sleep reduced appetite reduced self-esteem and self-confidence ideas of guilt and unworthiness pessimistic views of the future ideas or acts of self-harm or suicide Mild depressive episode:
o patient is usually distressed by symptoms o difficult to continue with ordinary work and social activities o not stop to function completely 2. Moderate depressive episode: o patient will have considerable difficulty in continuing with social, work or domestic activities Four Types of Depressive
Episodes Severe depressive episode: o very unlikely to continue with social, work or domestic activities Severe depressive episode with psychotic symptoms: o criteria given form severe depressive episode o plus delusions, hallucinations or depressive stupor o patient awake, but does not react on stimulation
Four Types of Depressive Episodes oRecurrent depressive disorder repeated sequences of single depressive episodes Other Mood Affective Disorders recovery in between the episodes
oBipolar affective disorder swings between depressive and manic episodes Patient often develops a psychosis oPersistent mood disorders long lasting disorders of mood can split up into: Other Mood Affective Disorders
Cyclothymia Dysthymia Schizophreni a Cognitive behavior therapy (CBT): Psychologi cal Therapies
o one of the most effective treatments o change of thoughts and behavior by teaching to think rationally about difficulties Interpersonal therapy (IPT): o focuses on problems in personal relationships Behaviour therapy: o reversing patterns of avoidance, withdrawal and inactivity
Mindfulness-based cognitive therapy (MBCT): o group therapy which encourage to notice the feelings of sadness and negative thinking patterns early on before they become fixed Psycholog ical Therapies Medical Therapie
s Antidepressant medication omedical treatment antidepressants oprescribed when other treatments have not been successful orebalance the chemicals and signals in the brain otake at least 2 weeks until they help Medical
Therapie s Antidepressant medication 1. Two selective serotonin reuptake inhibitors (SSRIs) o increases the level of serotonin, which is a natural happiness hormone o less side effects 2. Tricyclic antidepressants (TCAs)
o used to treat moderate to severe depression o raising the level of serotonin, noradrenaline and dopamine in the brain to lift up the mood Medical Therapie s Antidepressant medication Side Effects: anxiety dry mouth
weight gain sweating dizziness headaches Electroconvul sive Therapy (ECT) Transcranial magnetic stimulation (TMS) o magnetic field is created by a device held above the head
Electroconvul sive Therapy (ECT) Vagus nerve stimulation (VNS) o uses a surgical implanted device which stimulates electrically the vagus nerve Side Effects memory loss physical side effects
o cluff placed around the ankle to stop the Procedure muscle relaxant medication from entering the foot o mouthguard to protect teeth & tongue APPROACHING THE FINISH LINE!
Thanks by Maxi Blei, Jill Dorozalla and Nina Ziegeldecker o Beyond Blue. https://www.beyondblue.org.au/the-facts/depression/treatments-for-depression/medical-treatments-fordepression (accessed Juni 8, 2019). o NHS. https://www.nhs.uk/conditions/clinical-depression/treatment/ (accessed Juni 8, 2019). o Robert Koch Institut. https://www.rki.de/DE/Content/Gesundheitsmonitoring/Gesundheitsberichterstattung/ GBEDownloadsJ/FactSheets/JoHM_03_2017_Praevalenz_Depressive_Symptomatik.pdf? __blob=publicationFile (accessed Juni 8., 2019). o Robert Koch Institut. https://www.rki.de/DE/Content/Gesundheitsmonitoring/Gesundheitsberichterstattung/ GBEDownloadsT/Schizophrenie.pdf?__blob=publicationFile (accessed Juni 9., 2019). o Rogel Cancer Center.
https://www.rogelcancercenter.org/breaking-habits-beating-us/treatment-depression (accessed Juni 7, 2019). o WebMD. https://www.webmd.com/bipolar-disorder/guide/bipolar-disorder-lithium#1 (accessed Juni 7, 2019). o World Health Organization. https://www.who.int/classifications/icd/en/bluebook.pdf (accessed Juni 8., 2019). Source s o https://www.pinterest.ie/pin/615374736553549431 / o https://de.wikipedia.org/wiki/Serotonin
o https://de.wikipedia.org/wiki/Noradrenalin o https://de.wikipedia.org/wiki/Dopamin Sources (Pictures) o https://www.rnpedia.com/nursing-notes/psychiatric -nursing-notes/electroconvulsive-therapy-ect/ o https://neurosciencenews.com/stroke-motor-skill-v n-8703/ o https://www.wikihow.com/Take-an-Ankle-Brachial-I
ndex o https://karrierebibel.de/depression/ o https://www.stern.de/gesundheit/stiftung-warentes t-raet--diese-35-medikamente-sollten-sie-besser-ni cht-kaufen-7848432.html https://qbi.uq.edu.au/brain/brain-diseases/depression https://www.verywellmind.com/bipolar-disorder-4157274 http://theuncommonbox.com/health/mind-over-matter/sc hizophrenia-a-life-in-dark-shell/amp https://www.epainassist.com/mental-health/cyclothymiaor-cyclothymic-disorder
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