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Pain of Depression and Anxiety in Women. Healthy Women, Healthy Hoosiers Healthcare Practice Across the Lifecourse. Overview.
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Pain of Depression and Anxiety in Women Healthy Women, Healthy Hoosiers Healthcare Practice Across the Lifecourse
Overview • Mental illnesses are biologically based brain disorders. They cannot be overcome through "will power" and are not related to a person's "character" or intelligence. • The economic cost of untreated mental illness is more than 100 billion dollars each year in the United States. Mental disorders are the leading cause of disability (lost years of productive life) in the North America, Europe and, increasingly, in the world.
Anxiety • Anxiety Disorder 40 million Americans (compared to 19 million in 2001) • Recent study of 63,700 college students found that five times as many have anxiety disorders as in the past. • Women are leading the way in new diagnosis, complicated by societal changes as well as hormonal changes ** Based on information from Anxiety Disorders Association of America
Symptoms of Depression Sad Mood, crying spells, weight loss/gain, appetite changes, increased or decreased need for sleep, getting out of bed, poor attendance at work/school, difficulty concentrating, restlessness, irritability, feelings of worthlessness or guilt, isolation, fatigue, thoughts of death or suicide Symptoms last for at least 2 weeks or longer
Bipolar Disorder Includes Episodes of Depression and Mania Depressive episodes last for at least two weeks and represent a change in functioning Same criteria as episode of major depression: sad mood, loss of interest, guilty feelings, energy loss, poor concentration, increased or decreased appetite, suicidal thoughts Mania must be present for at least one week to meet criteria and includes grandiosity, decreased need for sleep
Bipolar Disorder Mania (cont.) -hyper-talkative -racing thoughts -easily distracted -psychomotor agitation -high risk behaviors.
Link between Pain and Depression/Anxiety • Pain and Depression have deep connections in the human brain and many women who experience one will also feel the other. • Women dealing with chronic pain run three times the risk of developing depression or anxiety. • Women with depression have three times the risk of chronic pain.
Questions to Ask • How can I help you? • Did anything occur recently to affect your mood? • How are you feeling right now? • How long have you felt this way? • Have you ever seen a doctor for this? • Do you feel in danger right now? Do you feel like hurting yourself or anyone else? If yes, ask specific questions about plan and means to complete plan. • Immediate Detention/CIT
Treatments Available • Medication • ECT • Self Care • Exercise, Nutrition, Therapy for past trauma, etc. Develop support systems, Break down big tasks into small Steps, Pace self, Self talk
Julie L Szempruch, RN, MSNAssociate Vice PresidentMidtown Community Mental Health Center 850 N. Meridian St Indianapolis, In 46250 317-554-2712Julie.Szempruch@wishard.edu