Using the PHQ-9. Depression Screening in the Office Setting
|
|
- Herbert Charles Mitchell
- 7 years ago
- Views:
Transcription
1 Using the PHQ-9 Depression Screening in the Office Setting Russell Geoffrey, M.D., M.S. Associate Health Officer, Lane County H&HS Lane County Behavioral Health
2 PHQ-9 and Depression 1. What s Depression? Today s Discussion: 2. What s PHQ-9? PHQ-2? 3. How are they Used? 4. Brief Overview: Depression & its management 5. Some video clips of a patient being screened using PHQ-9 in a PC office setting 6. Your questions
3 Depression is NOT... Having a bad day, a bad attitude, normal sadness, or part of normal aging Can ask patients: Is it a little d or Big D Depression? DSM diagnoses require significant Impairment, or Distress, or both
4 What is Depression? Pervasive depressed mood / sadness Loss of interest / pleasure Lack of energy, fatigue, poor sleep and appetite, physical slowing or agitation, poor concentration, physical symptoms (aches and pains), irritability, thoughts of guilt, and thoughts of suicide Easy Mnemonic: 5 of: + S G: E CAPS = Major Depression Sleep ( or ) Interest/Pleasure Guilt, helplessness, hopelessness Energy ( ) Concentration Appetite ( or ) Psychomotor ( or agitation) Suicidality A miserable state that can last for months or even years
5 PHQ-9: Easy to use Can be self-administered, can be done over the phone, but also in person Tracks the 9 core symptoms of Major Depression Item 10 rates functional impairment ½ the length but with comparable sensitivity and specificity to other D tools A useful Tool: 1. Gives a provisional depressive disorder diagnosis 2. Grades depression symptom severity 3. Follows change in severity over time 4. A good teaching tool
6 Scoring the PHQ: Over the last 2 weeks, how often have you been bothered by 0-3 for each item Add columns, total to determine severity Quick Screens: Consider a depressive disorder if: 1. PHQ-2: Add score of Q1 + Q2. Depression Screen cutoff = 3+ --OR 2. PHQ-9: 4+ s in shaded area (one must be Q1 or Q2)
7 Scoring the PHQ-9 Total Score Depression Severity 0-4 Minimal depression 5-9 Mild Moderate Moderately severe Severe
8
9 PHQ-9: How Often Do I Follow Up? See the patient back in 1-2 weeks if AD started Once a month until the patient reaches remission (score 0-4) or for the first 6 months of treatment Every 3 months after that while the patient is on active treatment Once a year for people with a history of depression who are no longer on active treatment
10 Major Depression Confirm at least 5 s in the shaded section to consider a diagnosis of Major Depressive Disorder (MDD) 1 must be for Item 1 (anhedonia) or 2 (depressed mood) At least 4 s in the shaded area to consider another depressive diagnosis Confirm functional impairment (Question #10)
11 PHQ-9: Don t forget to: 1. Consider whether the patient understood the questionnaire! 1. Consider these depression RULE OUTS: Not due to a biological cause of the depressive symptoms -- drugs/alcohol, Rx medications, or a physical disorder (ex, hypothyroidism) NO Bipolar Disorder (history of Manic/Hypomanic/Mixed episodes) Mood Disorders Questionnaire (MDQ can help to identify) Not due to normal bereavement (hints: >2mos, impairment, worthlessness, SI, psychosis, psychomotor retardation) [In DSM-5, can diagnose depression in grief]
12 Mood Episodes Mania Mixed Episode Hypomania Normal Mood Depression
13 Managing Depression by PHQ-9 Severity PHQ-9 Score Depression Severity Proposed Treatment Actions [Kroenke & Spitzer, 2002] 1 to 4 None/Mini mal None 5 to 9 Mild Watchful waiting; repeat PHQ-9 at follow-up 10 to 14 Moderate Treatment plan, considering counseling, follow-up and/or pharmacotherapy 15 to 19 Moderately severe Immediate initiation of pharmacotherapy and/or psychotherapy 20 to 27 Severe Immediate initiation of pharmacotherapy and, if severe impairment or poor response to therapy, expedited referral to a mental health specialist for psychotherapy and/or collaborative management
14
15 Patient Education Messages that Improve Adherence: Take your medicine every day It s NOT addictive It may take 2-4 weeks to work Don t stop it without discussing it with the physician Continue to take it even when you feel better! If you have Q s, call:
16 The Moral: Don t stop treating Major Depression when the patient improves. The Other Moral: Treat to Remission (PHQ-9 <5), not just Response
17
18 Using the PHQ-9 in Primary Care g.html IMPACT program from the Univ. of Washington for evidence-based treatment of depression in integrated primary care settings Site offers a free 13 module course
19 Tools: IMPACT: Univ. of Washington s Evidencebased Treatment of Depression in Older Adults in Primary Care MDQ: Mood Disorders Questionnaire - Bipolar screen C-SSRS: Columbia Suicide Severity Rating Scale -see next slide In your Packet: IMPACT Intake, Follow Up and Recurrence Prevention Visit Forms, each containing the PHQ-9 PHQ-9 Depression Screen GAD-7: for anxiety screening (in Packet) National Suicide Prevention Lifeline: TALK (8255) En espanol:
20
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 informationDepression 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 informationMOLINA 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 informationMajor 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 informationDepression 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 informationDEPRESSION 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 informationMajor Depression: Screening and Diagnosis in Primary Care
BARRY J. WU, MD, FACP Yale University Major Depression: Screening and Diagnosis in Primary Care Dr Wu is clinical professor of medicine at Yale School of Medicine. He is also associate program director
More informationDr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing
Dr. Anna M. Acee, EdD, ANP-BC, PMHNP-BC Long Island University, Heilbrunn School of Nursing Overview Depression is significantly higher among elderly adults receiving home healthcare, particularly among
More informationEffective Care Management for Behavioral Health Integration
Effective Care Management for Behavioral Health Integration Title: Effective Care Management for Behavioral Health Integration A process improvement initiative focused on improving mental health outcomes
More informationDepression, 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 informationPresently, 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 informationDepression and its Treatment in Older Adults. Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City
Depression and its Treatment in Older Adults Gregory A. Hinrichsen, Ph.D. Geropsychologist New York City What is Depression? Everyday use of the word Clinically significant depressive symptoms : more severe,
More informationA 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 informationDepre 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 informationPCORE Depression Post Survey
PCORE Depression Post Survey 1. Please enter your UNI. 467 answered question 467 skipped question 0 2. Please fill in the name of institution you are working at for your Clerkship. 467 answered question
More informationThe 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 informationBipolar 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 informationMeasure #370 (NQF 0710): Depression Remission at Twelve Months National Quality Strategy Domain: Effective Clinical Care
Measure #370 (NQF 0710): Depression Remission at Twelve Months National Quality Strategy Domain: Effective Clinical Care 2016 PQRS OPTIONS F INDIVIDUAL MEASURES: REGISTRY ONLY DESCRIPTION: Adult patients
More informationMental 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 informationCaring for depression
Caring for depression Aetna Health Connections SM Disease Management Program Get information. Get help. Get better. 21.05.300.1 B (6/08) Get back to being you How this guide can help you Having an ongoing
More informationCHAPTER 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 informationAssessment of depression in adults in primary care
Assessment of depression in adults in primary care Adapted from: Identification of Common Mental Disorders and Management of Depression in Primary care. New Zealand Guidelines Group 1 The questions and
More informationManaging 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 informationDepression 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 informationFACT 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 informationDepression 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`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 informationDepression 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 informationElizabeth 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 informationPostpartum Depression (PPD) Beth Buxton, LCSW Massachusetts Department of Public Health beth.buxton@state.ma.us
Postpartum Depression (PPD) Beth Buxton, LCSW Massachusetts Department of Public Health beth.buxton@state.ma.us Mental Health Disorders An estimated 57.7 million adults (26.2% of adult population) suffer
More informationOlder Adult, Family, and Caregiver Guide
Older Adult, Family, and Caregiver Guide on Depression The Treatment of Depression in Older Adults Older Adult, Family, and Caregiver Guide on Depression The Treatment of Depression in Older Adults U.S.
More informationDepression & 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 informationTreating Depression to Remission in the Primary Care Setting. James M. Slayton, M.D., M.B.A. Medical Director United Behavioral Health
Treating Depression to Remission in the Primary Care Setting James M. Slayton, M.D., M.B.A. Medical Director United Behavioral Health 2007 United Behavioral Health 1 2007 United Behavioral Health Goals
More informationScreening Tools and Interventions for Common Behavioral Health Disorders TXPEC-0772-13
Screening Tools and Interventions for Common Behavioral Health Disorders TXPEC-0772-13 Screening Tools and Interventions for Common Behavioral Health Disorders Depression Depression is a potentially life-threatening
More informationUnderstanding. 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 informationDepression 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 informationEvaluating Dimensions of
Evaluating Dimensions of Geriatric Depression and Anxiety Joel E. Streim, MD Professor, Psychiatry Geriatric Psychiatry Section University of Pennsylvania VISN 4 MIRECC Philadelphia VA Medical Center Philadelphia,
More informationMore 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 informationB 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 informationFeeling 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 informationBipolar 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 informationTECHNICAL/CLINICAL TOOLS BEST PRACTICE 7: Depression Screening and Management
TECHNICAL/CLINICAL TOOLS BEST PRACTICE 7: Depression Screening and Management WHY IS THIS IMPORTANT? Depression causes fluctuations in mood, low self esteem and loss of interest or pleasure in normally
More informationDepression: 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 informationDepression 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 informationBipolar Disorder UHN. Information for patients and families. Read this booklet to learn:
Bipolar Disorder UHN Information for patients and families Read this booklet to learn: what bipolar disorder is what causes it the signs or symptoms of bipolar disorder what treatments can help Please
More informationBipolar disorders: Changes from DSM IV TR to DSM 5
Bipolar disorders: Changes from DSM IV TR to DSM 5 M. Amin Esmaeili, MD, MPH Iranian Research Center for HIV/AIDS (IRCHA) Iranian National Center for Addiction Studies (INCAS) Mood disorders committee
More informationHow to Recognize Depression and Its Related Mood and Emotional Disorders
How to Recognize Depression and Its Related Mood and Emotional Disorders Dr. David H. Brendel Depression s Devastating Toll on the Individual Reduces or eliminates pleasure and jo Compromises and destroys
More informationPsychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome
Dr. May Lam Assistant Professor, Department of Psychiatry, The University of Hong Kong Psychosis Psychosis-substance use Bipolar Affective Disorder Programmes EASY JCEP EPISO Prodrome a mental state in
More informationDepression & 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 informationPRACTICE Matters. August, 2004 VOL. 9 ISSUE 2
PRACTICE Matters August, 2004 VOL. 9 ISSUE 2 COLLABORATIVE TREATMENT FOR DEPRESSION Nearly 10% of the population, or about 18.8 million Americans suffer from a depressive disorder at some time in their
More informationDepression 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 informationKatie Davis KNH 413. Ms. Matuszak. Case Study 3 - Depression: Drug-Nutrient Interaction
Katie Davis KNH 413 Ms. Matuszak Case Study 3 - Depression: Drug-Nutrient Interaction 1. What is depression? Depression is a common, but serious disorder of the brain involving altered functioning in areas
More informationWhen You Are More Than Down in the Dumps Depression in Older Adults
When You Are More Than Down in the Dumps Depression in Older Adults Revised by M. Smith (2006) from K.C. Buckwalter & M. Smith (1993), When You Are More Than Down in the Dumps : Depression in the Elderly,
More informationDEPRESSION 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 informationDepression Remission at Six Months Specifications 2014 (Follow-up Visits for 07/01/2012 to 06/30/2013 Index Contact Dates)
Description Methodology Rationale Measurement Period A measure of the percentage of adults patients who have reached remission at six months (+/- 30 days) after being identified as having an initial PHQ-9
More informationMood Disorders and Different Kinds of Depression
Mood Disorders and Different Kinds of Depression We ve been there. We can help. In any given year, nearly one in 10 American adults will suffer from a mood disorder. These illnesses involve changes in
More informationPreferred Practice Guidelines Bipolar Disorder in Children and Adolescents
These Guidelines are based in part on the following: American Academy of Child and Adolescent Psychiatry s Practice Parameter for the Assessment and Treatment of Children and Adolescents With Bipolar Disorder,
More informationDEPRESSION MANAGEMENT TOOL KIT 2009 3CM, LLC
DEPRESSION MANAGEMENT TOOL KIT 2009 3CM, LLC www.depression-primarycare.org Created by and for THE JOHN D. & CATHERINE T. MACARTHUR FOUNDATION S INITIATIVE ON DEPRESSION & PRIMARY CARE AND 3CM, LLC The
More informationDepressive Disorder in DSM-5
Depressive Disorder in DSM-5 Gary G. Gintner, Ph.D., LPC Louisiana State University Baton Rouge, LA gintner@lsu.edu Who are you? Poll Question Clinical counselor in Private Practice Clinical Counselor
More informationEmotionally Disturbed. Questions from Parents
1 Emotionally Disturbed Questions from Parents Characteristics that may be reflective of ED:* an inability to learn which cannot be explained by intellectual, sensory, or health factors. an inability to
More informationBipolar 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 informationWhat Is Bipolar Disorder? Dha. Dat. DJane F. Mountain, MD
Bip at W t What Is Bipolar Disorder? D DD Ds Dis DIDIsDsD D DJane F. Mountain, MD DWh Dha Dat Dt What Is Bipolar Disorder? Jane F. Mountain, MD PLEASE NOTE: This book is not meant to substitute for medical
More informationMOH CLINICAL PRACTICE GUIDELINES 6/2011 DEPRESSION
MOH CLINICAL PRACTICE GUIDELINES 6/2011 DEPRESSION Executive summary of recommendations Details of recommendations can be found in the main text at the pages indicated. Clinical evaluation D The basic
More informationSome helpful reminders on depression in children and young people. Maria Moldavsky Consultant Child and Adolescent Psychiatrist
Some helpful reminders on depression in children and young people Maria Moldavsky Consultant Child and Adolescent Psychiatrist The clinical picture What art and my patients taught me Albert Durer (1471-1528)
More information3/17/2014. Pediatric Bipolar Disorder
Pediatric Bipolar Disorder 1 Highlighted Topics 1. Review the current DSM-5 definition and criteria for bipolar disorder 2. Highlight major historical developments in the scientific understanding of bipolar
More informationGuide for family and friends of people affected by bipolar disorders. www.douglas.qc.ca
Guide for family and friends of people affected by bipolar disorders www.douglas.qc.ca This guide is intended for families, friends and other people who are interested in understanding the different aspects
More informationPostpartum Depression and Perinatal Mood Disorders in the DSM Lisa S. Segre, Ph.D. and Wendy N. Davis, Ph.D.
Postpartum Depression and Perinatal Mood Disorders in the DSM Lisa S. Segre, Ph.D. and Wendy N. Davis, Ph.D. Making news headlines, in May 2013 the American Psychiatric Association (APA) released the fifth
More informationPsychiatrists should be aware of the signs of Asperger s Syndrome as they appear in adolescents and adults if diagnostic errors are to be avoided.
INFORMATION SHEET Age Group: Sheet Title: Adults Depression or Mental Health Problems People with Asperger s Syndrome are particularly vulnerable to mental health problems such as anxiety and depression,
More informationBipolar Disorders. Poll Question
Bipolar Disorders American Counseling Association DSM-V Webinar Series July 10, 2013 Dr. Todd F. Lewis, Ph.D., LPC, NCC The University of North Carolina at Greensboro Poll Question Who are you? Clinical
More informationD0100: Should Resident Mood Interview Be Conducted?
SECTION D: MOOD Intent: The items in this section address mood distress, a serious condition that is underdiagnosed and undertreated in the nursing home and is associated with significant morbidity. It
More informationA Carer s Guide to Depression in People with a Learning Disability
A Carer s Guide to Depression in People with a Learning Disability Fife Clinical Psychology Department Lynebank Hospital Halbeath Road Dunfermline Fife KY11 4UW Tel: 01383 565 210 December 2009 This booklet
More informationIrritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children
Irritability and DSM-5 Disruptive Mood Dysregulation Disorder (DMDD): Correlates, predictors, and outcome in children Ellen Leibenluft, M.D. Chief, Section on Bipolar Spectrum Disorders National Institute
More informationSex and Love Addiction
Sex and Love Addiction Yes, love and sex can be addictive and as destructive, at least socially, as compulsive substance use. The high hinges on physical or psychological arousal, and relationships can
More informationDepression ENGELSK. Depresjon
Depression ENGELSK Depresjon Depression What is depression? Everyone will feel sadness, loneliness, or grief at one time or another, for example at the death of a loved one. This is a natural part of life,
More informationSee 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 informationMild depression: Few, if any, symptoms in excess of the 5 required to make the diagnosis, and symptoms result in only minor functional impairment.
6.1 Anxiety Depression - Adults Anxiety is a condition characterized by persistent worry or unease and is usually accompanied by fear, panic, irritability, poor sleep, poor concentration and avoidance,
More informationPostpartum Depression and Post-Traumatic Stress Disorder
Postpartum Depression and Post-Traumatic Stress Disorder Emotional Recovery: Postpartum Depression and Post-Traumatic Stress Disorder By: Lisa Houchins Published: July 23, 2013 Emotions vary widely after
More informationMood 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 informationDepression After Brain Injury A Guide for Patients and Their Caregivers
Depression After Brain Injury A Guide for Patients and Their Caregivers Is This Guide Right for Me? Yes, if: You have experienced a mild, moderate, or severe injury to your brain due to a sudden trauma.
More informationADOLESCENT DEPRESSION. What we know, what we look for, and what we do.
ADOLESCENT DEPRESSION What we know, what we look for, and what we do. What we know, what we look for, and what we do. The word depression is used to mean many different things. If asked, most people would
More informationVA/DoD Clinical Practice Guideline (CPG) for Management of Major Depressive Disorder (MDD) and Clinical Support Toolkit (MDD Tool Kit)
VA/DoD Clinical Practice Guideline (CPG) for Management of Major Depressive Disorder (MDD) and Clinical Support Toolkit (MDD Tool Kit) [Version 1] June 27, 2012 2345 Crystal DriveCrystal Park 4, Suite
More informationPATIENT HEALTH QUESTIONNAIRE PHQ-9 FOR DEPRESSION
PATIENT HEALTH QUESTIONNAIRE PHQ- FOR DEPRESSION USING PHQ- DIAGNOSIS AND SCORE FOR INITIAL TREATMENT SELECTION A depression diagnosis that warrants treatment or treatment change, needs at least one of
More informationDepression, 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 informationDepression in Long-Term Care
Depression in Long-Term Care Annette Carron, DO, CMD, FACOI, FAAHPM Director Geriatrics and Palliative Care Botsford Hospital Slide 1 OBJECTIVES Know and understand: Incidence and morbidity of depressive
More informationSeniors 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 informationAdolescent Depression. Danielle Bradshaw, DO Diplomate of the American Board of Psychiatry and Neurology Adult and Child/Adolescent Psychiatry
Adolescent Depression Danielle Bradshaw, DO Diplomate of the American Board of Psychiatry and Neurology Adult and Child/Adolescent Psychiatry Adolescence When does it start? When does it end? Characteristics:
More informationElectroconvulsive Therapy - ECT
Electroconvulsive Therapy - ECT Introduction Electroconvulsive therapy, or ECT, is a safe and effective treatment that may reduce symptoms related to depression or mental illness. During ECT, certain parts
More informationObserver extra: Depression
Observer extra: Depression An internist s guide to screening, diagnosing and treating clinical depression. 2 Observer extra: Depression An initial approach to diagnosing and treating depression Depression
More informationAccommodation and Compliance Series. Employees with Bipolar Disorder
Accommodation and Compliance Series Employees with Bipolar Disorder Preface The Job Accommodation Network (JAN) is a service of the Office of Disability Employment Policy of the U.S. Department of Labor.
More informationSchizoaffective 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 informationWorksite Depression Screening and Treatment: An Innovative, Integrated Program
Photos placed in horizontal position with even amount of white space between photos and header Photos placed in horizontal position with even amount of white space between photos and header Worksite Depression
More informationRisk Adjustment Coding/Documentation Checklist
Risk Adjustment Coding/Documentation Checklist The following list should be used to ensure that all member and diagnosis-related information is reported, and all the member s chronic conditions are documented
More informationRetrospective case record audit: service users who ended therapy
Retrospective case record audit: service users who ended therapy How to submit your data to NAPT: Your service lead has agreed with the NAPT Team how your service's audit data will be submitted. Please
More informationRegistered 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 informationDepression. What Causes Depression?
National Institute on Aging AgePage Depression Everyone feels blue now and then. It s part of life. But, if you no longer enjoy activities that you usually like, you may have a more serious problem. Feeling
More informationPennsylvania 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 informationDEPRESSION AND ANXIETY STATUS IN KANSAS
DEPRESSION AND ANXIETY STATUS IN KANSAS 2008 Behavioral Risk Factor Surveillance System This report was prepared by the Bureau of Health Promotion, Kansas Department of Health and Environment December
More informationDepression and 2 Week Follow-Up Phone Calls. Sarina Pasricha February 2011 QI Project
Depression and 2 Week Follow-Up Phone Calls Sarina Pasricha February 2011 QI Project Diagnosis of Depression- SIGECAPS 5 out of the 9 symptoms experienced majority of the days in 2 week time frame Sleep
More informationStandardised care process (SCP): depression
Standardised care process (SCP): depression Topic Identifying and responding to symptoms of depression Objective To promote evidence-based practice in how staff identify and respond to symptoms of depression
More information