Week 3 - Depression (1) PDF

NURS2039 - Ment al Healt h and Wel lbeing Week Three WELCOME A CK NO WL ED GE ME NT OF CO UN TRY The University of Notre Dame Australia is proud to acknowledge the traditional owners and custodians of this land upon which our University sits. The University acknowledges that the Frema...

NURS2039 - Ment al Healt h and Wel lbeing Week Three WELCOME A CK NO WL ED GE ME NT OF CO UN TRY The University of Notre Dame Australia is proud to acknowledge the traditional owners and custodians of this land upon which our University sits. The University acknowledges that the Fremantle Campus is located on Wadjuk Country, the Broome Campus on Yawuru Country and the Sydney Campus on Cadigal Country.  Learning Objectives Understand the signs and symptoms of anxiety and depression. Become aware of how anxiety and depression conditions are diagnosed. Become aware of the treatments and nursing interventions used to care for people who experience anxiety and depression. Become aware of the psychotherapeutic skills needed to engage people who experience anxiety and depression.  Depression: what is it? The DSM-5 outlines the following criterion to make a diagnosis of depression. The individual must be experiencing five or more symptoms during the same 2- week period and at least one of the symptoms should be either (1) depressed mood or (2) loss of interest or pleasure. 1.Depressed mood most of the day, nearly every day. 2.Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day. 3.Significant weight loss when not dieting or weight gain or decrease or increase in appetite nearly every day. 4.A slowing down of thought and a reduction of physical movement (observable by others, not merely subjective feelings of restlessness or being slowed down). 5.Fatigue or loss of energy nearly every day. 6.Feelings of worthlessness or excessive or inappropriate guilt nearly every day. 7.Diminished ability to think or concentrate, or indecisiveness, nearly every day. 8.Recurrent thoughts of death, recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for completing suicide.  What might that look like in a person? Disconnect from family More days taken off work Stop attending activities Poor sleep (sleeping all day or not sleeping at all) Change in appetite Loss of interest in children  Types of depression Unipolar depression/ Major Depressive Disorder Bipolar depression/ Bipolar Affective Disorder Postnatal depression What looks like depression but might be something else? Adjustment disorder Grief Dysthymia What might that look like in a person? – MSE viewpoint  Treatment options Antidepressants: Lots of different types Not one size fixes all Often takes weeks to months to reach full therapeutic impact Some carry negative side effects (weight gain or change in libido)  Treatment options Talking therapies: Long term Requires active engagement from patients Often costly Focuses on changing thought patterns and exploring appropriate coping mechanisms  Treatment options Electroconvulsive Therapy: Not used as first line treatment Used when multiple antidepressants have been trialed without success 6-12 sessions, normally as an inpatient Often require long term/ top up sessions to stay well  Nursing Interventions Administer medications Encourage routine Psychoeducation Encourage good sleep hygiene Allow people to express thoughts/feelings and valid these Challenge negative thought patterns Support in finding protective factors/hope  Nursing Interventions – Care planning Contemporary mental health care principles What is it the patient wants? How can we engage a patient in care planning?