AFFECTIVE/MOOD DISORDER
The types of affective disorder are;
1. MANIC EPISODE
2. BIPOLAR AFFECTIVE DISORDER
3. DEPRESSIVE EPISODE
DEPRESSION
It is further categorised as;
Depressive Episode can be;
Mild, Moderate, Severe
Recurrent Depression
Persisitent Mood Disordermay present as ;
Cylothymia, Dysthymia
AETIOLOGY of DEPRESSION
The factors playing role in depression are
BIOLOGICAL
Serotonin, Noradrenaline
Polymorphic genes
Physical illness
Mesial Frontal Cortex
PSYCHOLOGICAL
Learnt helplessness
Negative cognitive triad
ENVIRONMENTAL
Adverse childhood
Adverse life events
HOW DOES IT FEEL TO BE DEPRESSED?
THE CLINICAL FEATURES:
Masked Depression
Fatigue
Inability to Cope
Vague, Unexplained Somatic Complaints
“Dyspepsia”, “Gas”
“Dizziness”
“Low Blood Pressure”
Intractable Pain
Smiling Depression
Reckless Decisions
Depressed Mood and/or Anhedonia is often Masked
The Face of Depression
Depressed mood
Diminished Pleasure
Change in Sleep, Appetite, Libido, Weight
Inability to Cope
Fatigue
Feelings of Hopelessness Suicidal intent
Psychomotor agitation
More than 2 weeks
S U I C I D E
Emotional
Social
Economic
___Physical
MANAGEMENT......
PSYCHOSOCIAL INTERVENTIONS
Informational Care:
Patient
Family
Psychotherapy
‘Parhez’
BIOLOGICAL INTERVENTIONS
1. Drug Treatment
Tricyclics: Imipramine 75-150 mg
SSRIs: Fluoxetine 20mg
SNRIs: Venlafaxine 75-150 mg
2. Electroplexy
![[Valid Atom 1.0]](valid-atom.png "Validate my Atom 1.0 feed")
0 comments