STATION 3
1. Major depressive disorder
2. Depressed mood - anhedonia
3. if is at risk for suicide, homicide, or is unable to care for him/herself. If so you need to hospitalize.
4. Suicidal ideation,homicidal
5. selective serotonin reuptake inhibitors'
- tricyclic antidepressants
- monoamine oxidase inhibitors
- mood stabilizers eg lithium.
Additional notes
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Major Depressive Disorder (MDD)
Definition:
Major Depressive Disorder is a mental health condition marked by persistent feelings of sadness, loss of interest, and impaired daily functioning for at least two weeks.
Causes:
- Genetic factors
- Chemical imbalances in the brain (especially serotonin, norepinephrine, dopamine)
- Stressful life events
- Medical conditions (e.g., thyroid disorders)
- Substance abuse
Symptoms:
- Persistent sadness or low mood
- Loss of interest in activities once enjoyed
- Fatigue and lack of energy
- Changes in appetite or weight
- Sleep disturbances (insomnia or hypersomnia)
- Feelings of worthlessness or guilt
- Difficulty concentrating
- Thoughts of death or suicide
Complications:
- Social withdrawal
- Poor performance at work or school
- Substance abuse
- Increased risk of suicide
Diagnosis:
- Clinical interview and symptom checklist (e.g., DSM-5 criteria)
- May include physical exams and lab tests to rule out other causes
Treatment:
- Antidepressant medications (e.g., SSRIs, SNRIs)
- Psychotherapy (especially CBT and interpersonal therapy)
- Lifestyle changes (exercise, sleep hygiene, social support)
- Electroconvulsive therapy (ECT) in severe cases
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