Depression and its Treatment in Older Adults. Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City

Size: px
Start display at page:

Download "Depression and its Treatment in Older Adults. Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City"

Transcription

1 Depression and its Treatment in Older Adults Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City

2 What is Depression? Everyday use of the word Clinically significant depressive symptoms : more severe, more longstanding than daily mood fluctuations Diagnosable disorder Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM V)

3 Definition of Depression Major Depressive Disorder Feeling depressed and/or loss of interest in usual activities Reduced ability to function Additional symptoms: Weight change Sleep change Physical agitation or retardation Loss of energy Feelings of worthlessness or guilt Problems with concentration or decision making Thoughts of death, suicide; attempt at suicide

4 Definition of Depression Persistent Depressive Disorder ( Dysthymia ) Depressed most days for at least 2 years Additional symptoms: Changes in appetite Sleep changes Fatigue Poor concentration or problems in decision making Hopelessness

5 Definition of Depression Adjustment Disorder Response to life stressor Symptoms may include: Upset more than what is usually expected Affects ability to function Depression and/or anxiety

6 Causes of Depression Medical Issues Genetic predisposition Life Stresses Research links life stresses with increased risk for depression Research links problems in relationships with increased risk for depression Depression can impair relationships that can help a person recover from depression; and can increase the risk of depression in the non depressed partner/spouse

7 Facts about Depression Lifetime prevalence of major depressive disorder (MDD) is: 1 in 6 women; 1 in 4 men MDD impairs ability to function and has negative outcomes on physical health Suicide rate is 20 time higher among persons with MDD Tends to be recurrent: 1 episode = 50% recurrence; 2 episodes = 80%

8 Facts about Depression Prevalence of Depression in Older Adults (65+) Living in the community: 3 4% (vs. 7% younger adults)* Outpatient medical: 5% Inpatient medical: 10% Long term care settings: 20% *Note: Older adults have about half the rates of mental disorders than younger adults

9 Facts about Depression Rates of suicide are much higher in older compared with younger adults (chiefly: older, white men vs. older women or minorities) The vast majority of people who commit suicide are depressed Most older adults who commit suicide have recently seen their primary care physician

10 Treatments for Depression Antidepressant medications (generic/trade names) Electroconvulsive therapy (ECT) Psychotherapy Medication + psychotherapy Evidence based psychotherapies: proven treatments for depression, anxiety, behavioral problems associated with dementia, sleep problems, caregiver distress

11 Evidence Based Psychotherapies for Depression Cognitive Behavioral Therapy (CBT) Problem Solving Therapy (PST) Interpersonal Psychotherapy (IPT) Brief Psychodynamic Psychotherapy How studies are conducted: randomized, controlled, clinical trials ; review of evidence through meta analyses and professional groups

12 Problems that Bring Depressed Older Adults to Psychotherapy Life Transitions: Retirement, residential move, moving to long term care setting, onset of chronic health problem, onset of cognitive problems, becoming a caregiver to an older relative, becoming a parent to a grandchild Relationship Problems: Conflict with a spouse/partner, adult child, in law, sibling Coping with Death of an Important Person: spouse/partner, adult child, sibling

13 Problems that Bring Depressed Older Adults to Psychotherapy Social Isolation: wants connections with others, but finds it difficult to make, keep relationships Acute vs. long standing mental health problems The role of family members in treatment of late life mental health problems The importance of coordination of care

14 Considerations in Conducting Psychotherapy with Older Adults Resilience in older adults and the benefit of accumulated experience Negative stereotypical attitudes about older adults: doddering but dear Learned low expectations by older adults about their own aging: the enemy within Age cohort specific values, norms and expectations: the Greatest Generation, The Babyboomers

15 Considerations in Psychotherapy Common problems linked to later life Knowledge of mental health and preferences for mental health services The aging service network

16 Some Clinical Examples May: Providing care to her infirm husband Betty: Coping with medical illness Robert: Struggling with career disappointment

17 Questions & Comments?

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1

Presently, there are no means of preventing bipolar disorder. However, there are ways of preventing future episodes: 1 What is bipolar disorder? There are two main types of bipolar illness: bipolar I and bipolar II. In bipolar I, the symptoms include at least one lifetime episode of mania a period of unusually elevated

More information

MOLINA HEALTHCARE OF CALIFORNIA

MOLINA HEALTHCARE OF CALIFORNIA MOLINA HEALTHCARE OF CALIFORNIA MAJOR DEPRESSION IN ADULTS IN PRIMARY CARE HEALTH CARE GUIDELINE (ICSI) Health Care Guideline Twelfth Edition May 2009. The guideline was reviewed and adopted by the Molina

More information

Let s talk about Eating Disorders

Let s talk about Eating Disorders Let s talk about Eating Disorders Dr. Jane McKay Dr. Ric Arseneau Dr. Debbie Rosenbaum Dr. Samantha Kelleher Dr. Julia Raudzus Role of the Psychiatrist Assessment and diagnosis of patients with eating

More information

See also www.thiswayup.org.au/clinic for an online treatment course.

See also www.thiswayup.org.au/clinic for an online treatment course. Depression What is depression? Depression is one of the common human emotional states. It is common to experience feelings of sadness and tiredness in response to life events, such as losses or disappointments.

More information

Depression Signs & Symptoms

Depression Signs & Symptoms Depression Signs & Symptoms Contents What Is Depression? What Are The Signs And Symptoms Of Depression? How Do The Signs And Symptoms Of Depression Differ In Different Groups? What Are The Different Types

More information

More than just feelings of unhappiness, clinical or major depression is a mood disorder a medical illness that involves both the body and mind.

More than just feelings of unhappiness, clinical or major depression is a mood disorder a medical illness that involves both the body and mind. What is depression? More than just feelings of unhappiness, clinical or major depression is a mood disorder a medical illness that involves both the body and mind. 1,2 The difference between clinical depression

More information

Mood Disorders. 1. Major Depressive Disorders 2. Dysthymic Disorder 3. Bipolar Disorder Bipolar I disorder Bipolar II disorder 4. Cyclothymic Disorder

Mood Disorders. 1. Major Depressive Disorders 2. Dysthymic Disorder 3. Bipolar Disorder Bipolar I disorder Bipolar II disorder 4. Cyclothymic Disorder Mood Disorders 1. Major Depressive Disorders 2. Dysthymic Disorder 3. Bipolar Disorder Bipolar I disorder Bipolar II disorder 4. Cyclothymic Disorder 1. Major Depressive Disorders Introduction Major depressive

More information

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999

Feeling Moody? Major Depressive. Disorder. Is it just a bad mood or is it a disorder? Mood Disorders. www.seclairer.com S Eclairer 724-468-3999 Feeling Moody? Is it just a bad mood or is it a disorder? Major Depressive Disorder Prevalence: 7%; 18-29 years old; Female>Male DDx: Manic episodes with irritable mood or mixed episodes, mood disorder

More information

Depression in the Elderly: Recognition, Diagnosis, and Treatment

Depression in the Elderly: Recognition, Diagnosis, and Treatment Depression in the Elderly: Recognition, Diagnosis, and Treatment LOUIS A. CANCELLARO, PhD, MD, EFAC Psych Professor Emeritus and Interim Chair ETSU Department of Psychiatry & Behavioral Sciences Diagnosis

More information

Depression Assessment & Treatment

Depression Assessment & Treatment Depressive Symptoms? Administer depression screening tool: PSC Depression Assessment & Treatment Yes Positive screen Safety Screen (see Appendix): Administer every visit Neglect/Abuse? Thoughts of hurting

More information

Brief Review of Common Mental Illnesses and Treatment

Brief Review of Common Mental Illnesses and Treatment Brief Review of Common Mental Illnesses and Treatment Presentations to the Joint Subcommittee to Study Mental Health Services in the 21st Century September 9, 2014 Jack Barber, M.D. Medical Director Virginia

More information

Understanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members

Understanding. Depression. The Road to Feeling Better Helping Yourself. Your Treatment Options A Note for Family Members TM Understanding Depression The Road to Feeling Better Helping Yourself Your Treatment Options A Note for Family Members Understanding Depression Depression is a biological illness. It affects more than

More information

A Depression Education Toolkit

A Depression Education Toolkit A Depression Education Toolkit Facts about Depression in Older Adults What is Depression? Depression is a medical illness. When sadness persists or interferes with everyday life, it may be depression.

More information

Depression and anxiety disorders in older people

Depression and anxiety disorders in older people Depression and anxiety disorders in older people Fact sheet 17 What is depression? Depression is more than just a low mood it s a serious illness. People with depression find it hard to function every

More information

Depression in Older Persons

Depression in Older Persons Depression in Older Persons How common is depression in later life? Depression affects more than 6.5 million of the 35 million Americans aged 65 or older. Most people in this stage of life with depression

More information

FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder?

FACT SHEET 4. Bipolar Disorder. What Is Bipolar Disorder? FACT SHEET 4 What Is? Bipolar disorder, also known as manic depression, affects about 1 percent of the general population. Bipolar disorder is a psychiatric disorder that causes extreme mood swings that

More information

Depression and Older Adults: Key Issues. The Treatment of Depression in Older Adults

Depression and Older Adults: Key Issues. The Treatment of Depression in Older Adults Depression and Older Adults: Key Issues The Treatment of Depression in Older Adults Depression and Older Adults: Key Issues The Treatment of Depression in Older Adults U.S. Department of Health and Human

More information

Depression Screening in Primary Care

Depression Screening in Primary Care Depression Screening in Primary Care Toni Johnson, MD Kristen Palcisco, BA, MSN, APRN MetroHealth System Our Vision Make Greater Cleveland a healthier place to live and a better place to do business. 2

More information

Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder

Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder Not All That Swings Is Bipolar: Diagnosis and Treatment of Borderline Personality Disorder Michael D. Jibson, MD, PhD Professor of Psychiatry University of Michigan Disclosure In the past 12 months I have

More information

Major Depression. What is major depression?

Major Depression. What is major depression? Major Depression What is major depression? Major depression is a serious medical illness affecting 9.9 million American adults, or approximately 5 percent of the adult population in a given year. Unlike

More information

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include:

Bipolar Disorder. Mania is the word that describes the activated phase of bipolar disorder. The symptoms of mania may include: Bipolar Disorder What is bipolar disorder? Bipolar disorder, or manic depression, is a medical illness that causes extreme shifts in mood, energy, and functioning. These changes may be subtle or dramatic

More information

`çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå. aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí=

`çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå. aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí= `çããçå=jéåí~ä= aáëçêçéêëw=^åñáéíó=~åç= aééêéëëáçå aêk=`=f=lâçåü~ jéçáå~ä=aáêéåíçê lñäé~ë=kep=cçìåç~íáçå=qêìëí= Overview: Common Mental What are they? Disorders Why are they important? How do they affect

More information

Major Depressive Disorder (MDD) Guideline Diagnostic Nomenclature for Clinical Depressive Conditions

Major Depressive Disorder (MDD) Guideline Diagnostic Nomenclature for Clinical Depressive Conditions Major Depressive Disorder Major Depressive Disorder (MDD) Guideline Diagnostic omenclature for Clinical Depressive Conditions Conditions Diagnostic Criteria Duration Major Depression 5 of the following

More information

Depre r s e sio i n o i n i a dults Yousuf Al Farsi

Depre r s e sio i n o i n i a dults Yousuf Al Farsi Depression in adults Yousuf Al Farsi Objectives 1. Aetiology 2. Classification 3. Major depression 4. Screening 5. Differential diagnosis 6. Treatment approach 7. When to refer 8. Complication 9. Prognosis

More information

Alcohol Disorders in Older Adults: Common but Unrecognised. Amanda Quealy Chief Executive Officer The Hobart Clinic Association

Alcohol Disorders in Older Adults: Common but Unrecognised. Amanda Quealy Chief Executive Officer The Hobart Clinic Association Alcohol Disorders in Older Adults: Common but Unrecognised Amanda Quealy Chief Executive Officer The Hobart Clinic Association The Hobart Clinic Association Not-for-profit private Mental Health Service

More information

Definition of Terms. nn Mental Illness Facts and Statistics

Definition of Terms. nn Mental Illness Facts and Statistics nn Mental Illness Facts and Statistics This section contains a brief overview of facts and statistics about mental illness in Australia as well as information that may be useful in countering common myths.

More information

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource

DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource E-Resource March, 2015 DEPRESSION Depression Assessment PHQ-9 Screening tool Depression treatment Treatment flow chart Medications Patient Resource Depression affects approximately 20% of the general population

More information

Treatment of Depression in Older Adults Evidence-Based Practices (EBP) Kit

Treatment of Depression in Older Adults Evidence-Based Practices (EBP) Kit Treatment of Depression in Older Adults Evidence-Based Practices (EBP) Kit Substance Abuse and Mental Health Services Administration. The Treatment of Depression in Older Adults: How to Use the Evidence-

More information

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca

Mental health issues in the elderly. January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Mental health issues in the elderly January 28th 2008 Presented by Éric R. Thériault etheriau@lakeheadu.ca Cognitive Disorders Outline Dementia (294.xx) Dementia of the Alzheimer's Type (early and late

More information

Depression Overview. Symptoms

Depression Overview. Symptoms 1 of 6 6/3/2014 10:15 AM Return to Web version Depression Overview What is depression? When doctors talk about depression, they mean the medical illness called major depression. Someone who has major depression

More information

Professional Reference Series Depression and Anxiety, Volume 1. Depression and Anxiety Prevention for Older Adults

Professional Reference Series Depression and Anxiety, Volume 1. Depression and Anxiety Prevention for Older Adults Professional Reference Series Depression and Anxiety, Volume 1 Depression and Anxiety Prevention for Older Adults TA C M I S S I O N The mission of the Older Americans Substance Abuse and Mental Health

More information

Depression, Mental Health and Native American Youth

Depression, Mental Health and Native American Youth Depression, Mental Health and Native American Youth Aisha Mays, MD UCSF Department of Family And Community Medicine Native American Health Center Oakland, CA July 8, 2015 Presenter Disclosures No relationships

More information

Depression & Multiple Sclerosis. Managing Specific Issues

Depression & Multiple Sclerosis. Managing Specific Issues Depression & Multiple Sclerosis Managing Specific Issues Feeling blue The words depressed and depression are used so casually in everyday conversation that their meaning has become murky. True depression

More information

Part 1: Depression Screening in Primary Care

Part 1: Depression Screening in Primary Care Part 1: Depression Screening in Primary Care Toni Johnson, MD Kristen Palcisco, BA, MSN, APRN MetroHealth System Objectives Part 1: Improve ability to screen and diagnose Depression in Primary Care Increase

More information

Psychology and Aging. Psychologists Make a Significant Contribution. Contents. Addressing Mental Health Needs of Older Adults... What Is Psychology?

Psychology and Aging. Psychologists Make a Significant Contribution. Contents. Addressing Mental Health Needs of Older Adults... What Is Psychology? AMERICAN PSYCHOLOGICAL ASSOCIATION Psychologists Make a Significant Contribution Psychology and Aging Addressing Mental Health Needs of Older Adults... People 65 years of age and older are the fastest

More information

Chapter 7. Mood Disorders. An Overview of Mood Disorders

Chapter 7. Mood Disorders. An Overview of Mood Disorders Chapter 7 Mood Disorders An Overview of Mood Disorders Gross Deviations in Mood 2 Fundamental states: & Mania : The Low Major Depressive Episode The most commonly diagnosed & most severe depression Depressed

More information

Schizoaffective Disorder

Schizoaffective Disorder FACT SHEET 10 What Is? Schizoaffective disorder is a psychiatric disorder that affects about 0.5 percent of the population (one person in every two hundred). Similar to schizophrenia, this disorder is

More information

Clinical features - Depression

Clinical features - Depression Mood CRS Formulation Depression The word depression is used to describe a variety of states ranging from normal unhappiness after a loss up to severe major depressive illness with physical and psychotic

More information

Alzheimer s and Depression: What is the Connection?

Alzheimer s and Depression: What is the Connection? Alzheimer s and Depression: What is the Connection? Ladson Hinton MD Professor and Director of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Director, Education Core, Alzheimer

More information

Registered Charity No. 5365

Registered Charity No. 5365 THE MULTIPLE SCLEROSIS SOCIETY OF IRELAND Dartmouth House, Grand Parade, Dublin 6. Telephone: (01) 269 4599. Fax: (01) 269 3746 MS Helpline: 1850 233 233 E-mail: mscontact@ms-society.ie www.ms-society.ie

More information

Depression: Facility Assessment Checklists

Depression: Facility Assessment Checklists Depression: Facility Assessment Checklists A facility system assessment is a starting point for a quality improvement project. The checklists included in this booklet will be most useful if you take a

More information

Depression & Multiple Sclerosis

Depression & Multiple Sclerosis Depression & Multiple Sclerosis Managing specific issues Aaron, diagnosed in 1995. The words depressed and depression are used so casually in everyday conversation that their meaning has become murky.

More information

Asthma, anxiety & depression

Asthma, anxiety & depression Anxiety and are common in people with asthma. The good news is that there are effective treatments both for asthma and for anxiety and. With careful management, the symptoms of anxiety and can be treated

More information

Bipolar Disorder: Advances in Psychotherapy

Bipolar Disorder: Advances in Psychotherapy Bipolar Disorder: Advances in Psychotherapy Questions from chapter 1 1) Which is characterized by one or more major depressive episodes with at least one hypomanic episode in which the patient s functioning

More information

Bipolar Disorder. When people with bipolar disorder feel very happy and "up," they are also much more active than usual. This is called mania.

Bipolar Disorder. When people with bipolar disorder feel very happy and up, they are also much more active than usual. This is called mania. Bipolar Disorder Introduction Bipolar disorder is a serious mental disorder. People who have bipolar disorder feel very happy and energized some days, and very sad and depressed on other days. Abnormal

More information

Schizoaffective disorder

Schizoaffective disorder Schizoaffective disorder Dr.Varunee Mekareeya,M.D.,FRCPsychT Schizoaffective disorder is a psychiatric disorder that affects about 0.5 to 0.8 percent of the population. It is characterized by disordered

More information

Mohammad Amjad ullah Khan, M.D. Child, Adolescent and Adult Psychiatry Texas A & M University Scott & White Healthcare System Temple and Killeen

Mohammad Amjad ullah Khan, M.D. Child, Adolescent and Adult Psychiatry Texas A & M University Scott & White Healthcare System Temple and Killeen Mohammad Amjad ullah Khan, M.D. Child, Adolescent and Adult Psychiatry Texas A & M University Scott & White Healthcare System Temple and Killeen Sadness of mood for most of the day, nearly every day, and/or

More information

The Clinical Presentation of Mood Disorders. Bob Boland MD

The Clinical Presentation of Mood Disorders. Bob Boland MD The Clinical Presentation of Mood Disorders. Bob Boland MD 1 The Clinical Presentation of Mood Disorders 2 Concentrating On Depression Major Depression Mania Bipolar Disorder (Manic-Depression) For the

More information

Mood Disorders. Ch. 6- Mood Disorders. What do you know about depression? True or false? Depression is not a common psychological disorder.

Mood Disorders. Ch. 6- Mood Disorders. What do you know about depression? True or false? Depression is not a common psychological disorder. Ch. 6- Mood Disorders OBJECTIVE: Depressive Disorders: Major depressive Disorder Post Partum Disorder Mood Disorders Mood disorders are a group of disorders involving severe and enduring disturbances in

More information

Seniors and. Depression. What You Need to Know. Behavioral Healthcare Options, Inc.

Seniors and. Depression. What You Need to Know. Behavioral Healthcare Options, Inc. Seniors and Depression What You Need to Know Behavioral Healthcare Options, Inc. Depression More Than Just The Blues ou may not know exactly what is wrong with you, but you do know that you just don t

More information

Update on guidelines on biological treatment of depressive disorder. Dr. Henry CHEUNG Psychiatrist in private practice

Update on guidelines on biological treatment of depressive disorder. Dr. Henry CHEUNG Psychiatrist in private practice Update on guidelines on biological treatment of depressive disorder Dr. Henry CHEUNG Psychiatrist in private practice 2013 update International Task Force of World Federation of Societies of Biological

More information

Depression Definition

Depression Definition Depression Definition Depression may be described as feeling sad, blue, unhappy, miserable, or down in the dumps. Most of us feel this way at one time or another for short periods. Clinical depression

More information

DEPRESSION DURING THE TRANSITION TO MENOPAUSE: A Guide for Patients and Families

DEPRESSION DURING THE TRANSITION TO MENOPAUSE: A Guide for Patients and Families DEPRESSION DURING THE TRANSITION TO MENOPAUSE: A Guide for Patients and Families David A. Kahn, MD, Margaret L. Moline, PhD, Ruth W. Ross, MA, Lori L. Altshuler, MD, and Lee S. Cohen, MD www.womensmentalhealth.org

More information

Managing depression after stroke. Presented by Maree Hackett

Managing depression after stroke. Presented by Maree Hackett Managing depression after stroke Presented by Maree Hackett After stroke Physical changes We can see these Depression Emotionalism Anxiety Confusion Communication problems What is depression? Category

More information

Mental Health and Nursing:

Mental Health and Nursing: Mental Health and Nursing: A Summary of the Issues What s the issue? Before expanding on the key issue, it is important to define the concepts of mental illness and mental health: The Canadian Mental Health

More information

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders

Welcome New Employees. Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders Welcome New Employees Clinical Aspects of Mental Health, Developmental Disabilities, Addictive Diseases & Co-Occurring Disorders After this presentation, you will be able to: Understand the term Serious

More information

Evaluations. Viewer Call-In. www.t2b2.org. Phone: 800-452-0662 Fax: 518-426-0696. Geriatric Mental Health. Thanks to our Sponsors: Guest Speaker

Evaluations. Viewer Call-In. www.t2b2.org. Phone: 800-452-0662 Fax: 518-426-0696. Geriatric Mental Health. Thanks to our Sponsors: Guest Speaker Geriatric Mental Health June 1, 7 Guest Speaker Michael B. Friedman, LMSW Chairperson Geriatric Mental Health Alliance of New York Thanks to our Sponsors: School of Public Health, University at Albany

More information

Depression Treatment Guide

Depression Treatment Guide Depression Treatment Guide DSM V Criteria for Major Depressive Disorders A. Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous

More information

Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor

Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor Martha T Hinson, M.Ed. Licensed Professional Counselor National Board Certified Counselor General uneasiness to panic attacks and phobias Excessive fears and worries, feelings of restlessness Continual

More information

Chapter 5 Mood Disorders

Chapter 5 Mood Disorders Chapter 5 Mood Disorders Mood is a state of mind or feeling or spirit. The word mood comes from the Old English mod, which means disposition. Moods can range from very low, or depressed, to very high,

More information

Chapter 6 Mood Disorders

Chapter 6 Mood Disorders Chapter 6 Mood Disorders Bipolar Disorder Class Objectives What is Bipolar Disorder? How does this differ from Unipolar Mood Disorder? How do Mood Disorders develop? How are Mood Disorders treated? What

More information

Recognition and Treatment of Depression in Parkinson s Disease

Recognition and Treatment of Depression in Parkinson s Disease Recognition and Treatment of Depression in Parkinson s Disease Web Ross VA Pacific Islands Health Care System What is depression? Depression is a serious medical condition that affects a person s feelings,

More information

Suicide Assessment in the Elderly Geriatric Psychiatric for the Primary Care Provider 2008

Suicide Assessment in the Elderly Geriatric Psychiatric for the Primary Care Provider 2008 Suicide Assessment in the Elderly Geriatric Psychiatric for the Primary Care Provider 2008 Lisa M. Brown, Ph.D. Aging and Mental Health Louis de la Parte Florida Mental Health Institute University of South

More information

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD

WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD WHAT IS PTSD? A HANDOUT FROM THE NATIONAL CENTER FOR PTSD BY JESSICA HAMBLEN, PHD Posttraumatic Stress Disorder (PTSD) is an anxiety disorder that can occur following the experience or witnessing of a

More information

Depression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too.

Depression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too. The Family Library DEPRESSION What is depression? Depression is a medical illness that causes a persistent feeling of sadness and loss of interest. Depression can cause physical symptoms, too. Also called

More information

Mood Disorders. What Are Mood Disorders? Unipolar vs. Bipolar

Mood Disorders. What Are Mood Disorders? Unipolar vs. Bipolar Mood Disorders What Are Mood Disorders? In mood disorders, disturbances of mood are intense and persistent enough to be clearly maladaptive Key moods involved are mania and depression Encompasses both

More information

Anti-Social Personality Disorder

Anti-Social Personality Disorder Anti-Social Personality Disorder Definition Anti-Social Personality Disorder is a type of chronic mental condition in which a person's ways of thinking, perceiving situations and relating to others are

More information

Depression: What You Need to Know

Depression: What You Need to Know Depression: What You Need to Know What is a Depressive Illness? A depressive illness is a whole-body illness, involving your body, mood, thoughts, and behavior. It affects the way you eat and sleep, the

More information

MAJOR DEPRESSION DURING CONCEPTION AND PREGNANCY: A Guide for Patients and Families

MAJOR DEPRESSION DURING CONCEPTION AND PREGNANCY: A Guide for Patients and Families MAJOR DEPRESSION DURING CONCEPTION AND PREGNANCY: A Guide for Patients and Families David A. Kahn, MD, Margaret L. Moline, PhD, Ruth W. Ross, MA, Lee S. Cohen, MD, and Lori L. Altshuler, MD www.womensmentalhealth.org

More information

Pennsylvania Depression Quality Improvement Collaborative

Pennsylvania Depression Quality Improvement Collaborative Pennsylvania Depression Quality Improvement Collaborative Carol Hann, RN, MSN, CPHQ, Collaborative Manager Southeastern Pennsylvania Association for Healthcare Quality (SPAHQ) David Payne, Psy.D., Senior

More information

Self-management strategies for mild to moderate depression

Self-management strategies for mild to moderate depression Department of Epidemiology & Public Health Lunchtime seminar, 18 th Feb 2014 Self-management strategies for mild to moderate depression The internet-based ifightdepression tool Dr Celine Larkin National

More information

Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller

Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller Elizabeth A. Crocco, MD Assistant Clinical Professor Chief, Division of Geriatric Psychiatry Department of Psychiatry and Behavioral Sciences Miller School of Medicine/University of Miami Question 1 You

More information

Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge

Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge Does Non-Suicidal Self-injury Mean Developing Borderline Personality Disorder? Dr Paul Wilkinson University of Cambridge If I see a patient who cuts themself, I just assume they have borderline personality

More information

Bipolar Disorder. in Children and Teens. Does your child go through intense mood changes? Does your child have

Bipolar Disorder. in Children and Teens. Does your child go through intense mood changes? Does your child have Bipolar Disorder in Children and Teens Does your child go through intense mood changes? Does your child have extreme behavior changes too? Does your child get too excited or silly sometimes? Do you notice

More information

The Priory Group. What is obsessive-compulsive disorder?

The Priory Group. What is obsessive-compulsive disorder? The Priory Group What is obsessive-compulsive disorder? by Dr David Veale Dr Veale is a Consultant Psychiatrist at the Priory Hospital North London and the coauthor of Overcoming Obsessive Compulsive Disorder

More information

What Do These Students Have in Common? They are college students who got depressed...got treatment...and got better.

What Do These Students Have in Common? They are college students who got depressed...got treatment...and got better. What Do These Students Have in Common? When I took a part-time job and started living off-campus, my course work fell apart. I couldn t concentrate or sleep, and I was always IRRITABLE and angry. - Leah,

More information

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression

Table of Contents. Preface...xv. Part I: Introduction to Mental Health Disorders and Depression Table of Contents Visit www.healthreferenceseries.com to view A Contents Guide to the Health Reference Series, a listing of more than 16,000 topics and the volumes in which they are covered. Preface...xv

More information

SUICIDAL THOUGHTS IN LATER LIFE

SUICIDAL THOUGHTS IN LATER LIFE SUICIDAL THOUGHTS IN LATER LIFE Last year, I felt like there was no point of living another day and there was nobody who would miss me if I wasn t here. Nobody was more surprised than me when I started

More information

ANTISOCIAL PERSONALITY DISORDER

ANTISOCIAL PERSONALITY DISORDER ANTISOCIAL PERSONALITY DISORDER Antisocial personality disorder is a type of chronic mental illness in which your ways of thinking, perceiving situations and relating to others are dysfunctional. When

More information

Jon Ulven, PhD Licensed Psychologist Adult Psychology Department Chair Sanford Health

Jon Ulven, PhD Licensed Psychologist Adult Psychology Department Chair Sanford Health Jon Ulven, PhD Licensed Psychologist Adult Psychology Department Chair Sanford Health Overview of This Hour A little about me Definition of Depression and Perspective of this Illness Depression in the

More information

Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC

Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders. Presented by: Carrie Terrill, LCDC Identifying and Treating Dual-Diagnosed Substance Use and Mental Health Disorders Presented by: Carrie Terrill, LCDC Overview What is Dual Diagnosis? How Common is Dual Diagnosis? What are Substance Use

More information

Recognizing and Treating Depression in Children and Adolescents.

Recognizing and Treating Depression in Children and Adolescents. Recognizing and Treating Depression in Children and Adolescents. KAREN KANDO, MD Division of Child and Adolescent Psychiatry Center for Neuroscience and Behavioral Medicine Phoenix Children s Hospital

More information

Mood and anxiety disorders in patients with a brain tumor

Mood and anxiety disorders in patients with a brain tumor Mood and anxiety disorders in patients with a brain tumor Isabel Schuermeyer, MD Director, Psycho-Oncology Cleveland Clinic Taussig Cancer Institute Jazz Classrooms I & II Overview What has the research

More information

B i p o l a r D i s o r d e r

B i p o l a r D i s o r d e r B i p o l a r D i s o r d e r Professor Ian Jones Director National Centre for Mental Health www.ncmh.info @ncmh_wales /WalesMentalHealth 029 2074 4392 info@ncmh.info Robert Schumann 1810-1856 Schumann's

More information

Depression, Major. The Medical Disability Advisor: Workplace Guidelines for Disability Duration

Depression, Major. The Medical Disability Advisor: Workplace Guidelines for Disability Duration Sample Topic Depression, Major The Medical Disability Advisor: Workplace Guidelines for Disability Duration Fifth Edition Presley Reed, MD Editor-in-Chief The Most Widely-Used Duration Guidelines in the

More information

Helping Children and Youth with Depression Information for Parents and Caregivers

Helping Children and Youth with Depression Information for Parents and Caregivers Helping Children and Youth with Depression Information for Parents and Caregivers What is depression? It is normal for children and youth to feel sad from time to time. But this sadness doesn t stop them

More information

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc.

CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014. 2014 MVP Health Care, Inc. CHAPTER 5 MENTAL, BEHAVIOR AND NEURODEVELOPMENT DISORDERS (F01-F99) March 2014 2014 MVP Health Care, Inc. CHAPTER 5 CHAPTER SPECIFIC CATEGORY CODE BLOCKS F01-F09 Mental disorders due to known physiological

More information

DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE

DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE 1 DEPRESSION CARE PROCESS STEP EXPECTATIONS RATIONALE ASSESSMENT/PROBLEM RECOGNITION 1. Did the staff and physician seek and document risk factors for depression and any history of depression? 2. Did staff

More information

Costing statement: Depression: the treatment and management of depression in adults. (update) and

Costing statement: Depression: the treatment and management of depression in adults. (update) and Costing statement: Depression: the treatment and management of depression in adults (update) and Depression in adults with a chronic physical health problem: treatment and management Summary It has not

More information

National Mental Health Survey of Doctors and Medical Students Executive summary

National Mental Health Survey of Doctors and Medical Students Executive summary National Mental Health Survey of Doctors and Medical Students Executive summary www.beyondblue.org.au 13 22 4636 October 213 Acknowledgements The National Mental Health Survey of Doctors and Medical Students

More information

TEEN MARIJUANA USE WORSENS DEPRESSION

TEEN MARIJUANA USE WORSENS DEPRESSION TEEN MARIJUANA USE WORSENS DEPRESSION An Analysis of Recent Data Shows Self-Medicating Could Actually Make Things Worse Millions of American teens* report experiencing weeks of hopelessness and loss of

More information

About Postpartum Depression and other Perinatal Mood Disorders

About Postpartum Depression and other Perinatal Mood Disorders About Postpartum Depression and other Perinatal Mood Disorders The entire period of pregnancy up to one year after delivery is described as the perinatal period. Many physical and emotional changes occur

More information

Depression Flow Chart

Depression Flow Chart Depression Flow Chart SCREEN FOR DEPRESSION ANNUALLY Assess for depression annually with the PHQ-9. Maintain a high index of suspicion in high risk older adults. Consider suicide risk and contributing

More information

MOOD DISORDERS. Acknowledgements: Most of the information included in this chapter was obtained from the Handbook for

MOOD DISORDERS. Acknowledgements: Most of the information included in this chapter was obtained from the Handbook for MOOD DISORDERS Acknowledgements: Most of the information included in this chapter was obtained from the Handbook for Psychiatry, 2005, Mental Health Information Centre of SA, Department of Psychiatry,

More information

Capacity to Care: Building Competency in Geriatric Mental Health Care Evidence Based Practices & Psychosocial Interventions

Capacity to Care: Building Competency in Geriatric Mental Health Care Evidence Based Practices & Psychosocial Interventions Capacity to Care: Building Competency in Geriatric Mental Health Care Evidence Based Practices & Psychosocial Interventions Nancy P. Kropf School of Social Work Georgia State University Define Evidence

More information

Depression: management of depression in primary and secondary care

Depression: management of depression in primary and secondary care Issue date: December 2004 Quick reference guide Depression: management of depression in primary and secondary care Clinical Guideline 23 Developed by the National Collaborating Centre for Mental Health

More information

An Illness Like Any Other

An Illness Like Any Other An Illness Like Any Other Mental Illnesses are Brain Disorders NAMI San Diego Helpline (619) 543-1434 (800) 523-5933 www.namisandiego.org information@namisd.org 4480 30th Street San Diego, CA. 92116 1

More information

POST-STROKE DEPRESSION

POST-STROKE DEPRESSION POST-STROKE DEPRESSION Amanda Wilson, MD Assistant Professor, Psychiatry & Emergency Medicine Director, Emergency Psychiatry Service Medical Director, VPH Admissions Vanderbilt University Medical Center

More information

Database of randomized trials of psychotherapy for adult depression

Database of randomized trials of psychotherapy for adult depression Database of randomized trials of psychotherapy for adult depression In this document you find information about the database of 352 randomized controlled trials on psychotherapy for adult depression. This

More information

Depression. and Disability. A P r a c t i c a l G u i d e. by Karla Thompson, Ph.D. The North Carolina Office on Disability and Health

Depression. and Disability. A P r a c t i c a l G u i d e. by Karla Thompson, Ph.D. The North Carolina Office on Disability and Health Depression and Disability A P r a c t i c a l G u i d e by Karla Thompson, Ph.D. The North Carolina Office on Disability and Health Depression is an illness that effects more than 17 million Americans

More information