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DEPRESSION. Some Facts. Depression affects all people Depression is appearing earlier Women more than men. More facts. depression in women: inability to express anger. Co-morbidity: Anxiety disorders and substance abuse.
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Some Facts • Depression affects all people • Depression is appearing earlier • Women more than men
More facts • depression in women: inability to express anger. • Co-morbidity: Anxiety disorders and substance abuse. • - WHO/World Bank Study: unipolar major depression leading cause of disability in US
SIGNS, SYMPTOMS, SYNDROME • Consciousness (state of awareness) • Emotion • Motor behavior • Thinking • Speech • Perception • Memory • Intelligence • Insight • Judgement
DIAGNOSIS • DSM5 • Hamilton rating scale • BDI (Beck Depression Index)
DSM5: Major Depressive Episode • A period of depressed mood or loss of interest or pleasure in nearly all activities • Lasting consistently for at least 2 weeks. • - Represents a significant change from previous functioning.
Treatment • Psycho- • Social- • Biological
Psychotherapy vs. Meds • Psychotherapy: “Talking cure” • Earliest: Confession • Transference/Counter-Transference • Sometimes meds are necessary!