Depressive Disorder
Depressive Disorder
Depressive Disorder
Prepared By :
Susma Limbu
BNS 2nd year
Roll no : 15
DEPRESSIVE DISORDER
INTRODUCTION
1) Depression mood
2) Loss of interest
3) Poor concentration
5) Disturb sleep
6) Irritability
CONTD….
9) Hopelessness
11) Tiredness
3. Significant weight loss when not dieting or weight gain (e.g., a change of
more than 5% of body weight in a month), or decrease or increase in appetite
nearly everyday. (Note: In children, consider failure to make expected weight
gain.)
4. Insomnia or hypersomnia nearly every day.
5. Psychomotor agitation or retardation nearly every day (observable by
others; not merely subjective feelings of restlessness or being slowed down).
CONTD….
Antidepressant drugs:
1. Tricyclic antidepressants ( TCAs)
Imipramine
Amitriptyline
Clomipramine
Dothiepin
Mionserin
CONTD….
Fluoxetine
Sertraline
3. Dopaminergic antidepressants
Fluvoxamine
CONTD….
4. Atypical antidepressants
Amineptine
Trazodone
Isocarboxazid
CONTD….
Benzodiazepine
The use of benzodiazepines in depressive disorders is generally
limited to specific situations, such as when anxiety symptoms coexist
with depression or when depressive symptoms are severe and require
immediate relief. They are usually prescribed on a short-term basis or
as an adjunct to other antidepressant medications.
Common benzodiazepines used to treat GAD include: Alprazolam,
Chlordiazepoxide, Clonazepam, Diazepam, Lorazepam.
CONTD….
Physical therapies
1. Electroconvulsive therapy (ECT): severe depression with suicidal risk is the
most important indication for ECT.
2. Light therapy: sometimes called phototherapy involves exposing the patient
to an artificial light source during winter months to relieve seasonal depression.
3.Repetitive transcranial magnetic stimulation (TMS) and Vagus nerve
stimulation: directly affect brain function by extensions of the brain.
CONTD….
Psychosocial treatment:
Psychotherapy
Cognitive therapy
Supportive psychotherapy
Group therapy
Suicidal precaution
NURSING MANAGEMENT
1. Assessment:
Obtain information about the patient's personal and family history, including
any previous episodes of depression or other mental health conditions.
Assess the presence and severity of depression symptoms, including low
mood, irritability, decreased energy, changes in appetite and sleep patterns,
feelings of worthlessness or guilt, difficulty concentrating, and thoughts of
death or suicide.
CONTD….
Engage with the patient's family to gather information about the home
environment, family dynamics, and any significant life stressors that
could contribute to the depression
NURSING DIAGNOSIS
activities.
feeling of hopelessness.
Involve the adolescent's family in their care plan and educate them about
appropriate ways to support their social interactions.
Encourage the adolescent to have three balanced meals and healthy snacks
throughout the day to maintain stable blood sugar levels and provide adequate
energy.
Recognize and address emotional eating patterns that may be present in
adolescents with depressive disorder, as they may turn to food as a coping
mechanism.
Continuously provide emotional support and motivation to help the adolescent
adhere to their nutritional plan.
CONTD….
Educate the child, family, and relevant caregivers about the warning signs of
suicidal ideation or self-harm.
CONTD….
Build a trusting and empathetic relationship with the adolescent or child. Encourage
open communication and active listening, providing a safe space for them to
express their thoughts and emotions without judgment.
Encourage and support participation in evidence-based psychological therapies,
such as cognitive-behavioral therapy or dialectical behavior therapy.
Regularly monitor and assess the child or adolescent's mental health status, response
to interventions, and adherence to the safety plan. Provide ongoing support,
emotional validation, and reassurance.
CONTD….