Depressive illness l.jpg
This presentation is the property of its rightful owner.
Sponsored Links
1 / 16

DEPRESSIVE ILLNESS PowerPoint PPT Presentation


  • 200 Views
  • Updated On :
  • Presentation posted in: General

DEPRESSIVE ILLNESS. By DR. MUHAMMAD ASIF ANWAR. DEPRESSION. DEFINITION: Persistent low mood for 04 weeks noticeable to others and interfering with normal occupational activities. . DEPRESSIVE ILLNESS . Mild Moderate Severe . DEPRESSIVE ILLNESS. Unipolar Bipolar. CLINICAL FEATURES:

Download Presentation

DEPRESSIVE ILLNESS

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Depressive illness l.jpg

DEPRESSIVE ILLNESS

By

DR. MUHAMMAD ASIF ANWAR


Depression l.jpg

DEPRESSION

DEFINITION:

Persistent low mood for 04 weeks noticeable to others and interfering with normal occupational activities.


Depressive illness3 l.jpg

DEPRESSIVE ILLNESS

  • Mild

  • Moderate

  • Severe


Depressive illness4 l.jpg

DEPRESSIVE ILLNESS

  • Unipolar

  • Bipolar


Slide5 l.jpg

CLINICAL FEATURES:

  • Persistent low mood / Irritability

  • Pessimistic (Negative) Thinking

  • Lack of interest in life

  • Hopelessness / helplessness / haplessness

  • Loss of sleep / increased sleep

  • Loss of appetite / hyperphagia

  • Early morning awaking / diurnal variation

  • Psychomotor agitation / retardation

  • Suicidal thoughts

  • Guilt feeling


Slide6 l.jpg

DIAGNOSIS:

  • History

  • Mental State Examination

    DIFFERENTIAL DIAGNOSIS:

  • Medical conditions e.g. thyroid dysfunction, organic brain disease, diabetes and hepatitis, cardiovascular diseases.

  • Bipolar affective disorder

  • Substance induced disorder

  • Schizophrenia


Slide7 l.jpg

CASE VIGNETTE:

Mr. ABC 24 years of age, single educated uptomatric, worker in a garment factory, R/O KotLakhpat Lahore, presented in OPD at PIMH with following presenting complaints: -

  • Persistent low mood / sad

  • Loss of sleep & appetite ----- 6 years

  • Feelings of un-fresh in the morning

  • Hopelessness

  • Lack of enjoyment

  • Irritability

  • Lack of confidence

  • Social Isolation

  • Lack of interest in routine activities

  • Pessimistic thoughts


Slide8 l.jpg

  • Social stress (Failure in love)

  • Insomnia +ve (Initial, Late)

  • Suicidal thoughts

  • Family History: -

    Father : bipolar affective disorder


Slide9 l.jpg

Pre-morbid Personality: -

Dysthymic

General Physical Examination: - NAD

Systemic Examination:NAD

Mental State Examination:

A young man uncombed, unshaven, sitting in chair rubbing his hands continuously. Eye contact made and maintained. Behaviour was cooperative.


Slide10 l.jpg

Talk:

Relevant and coherent.

Mood:

Subjectively and objectively low.

Thought Disorder:

  • No paranoid thoughts.

  • Hopelessness +ve.

  • Pessimistic thoughts +ve.

  • Guilt feelings +ve.

  • Thoughts of worthlessness +ve.

  • Thoughts of death +ve.

  • Suicidal thoughts and plans +ve.

    Perceptual Disorder:

    Vague auditory hallucination +ve. No 3rd person hallucinations present.


Slide11 l.jpg

Cognitive FunctionsINTACT

Abstract Thinking INTACT

Insight PRESENT


Conclusion l.jpg

CONCLUSION

Major depressive illness (Unipolar type)


Slide13 l.jpg

INVESTIGATIONS

  • CBC / Urine C/E / ECG / LFT’s / S / T3, T4, TSH / S / Electrolytes.

  • Psychosocial History


Slide14 l.jpg

TREATMENT

Pharmacological

  • SSRI e.g. Fluoxetin, Es-citalopram, Paroxetin, Sertraline.

  • SNRIs e.g. Venlafexine

  • Trycyclics / Serotonine modulators

  • Benzodiazepine e.g. alprazolam, bromazepam

  • Hybnotic for e.g. temazepam.

  • ECT


Slide15 l.jpg

Psychological

  • Counseling

  • Cognitive Behavioural Therapy

  • Family Therapy

    Regular Follow-ups


Duration of treatment l.jpg

DURATION OF TREATMENT

  • Minimum 6 months after stabilization of symptoms.


  • Login