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Clinical features
Depressive disorder
1.
Depressed mood
2.
3.
4.
5.
6.
7.
8.
9.
10.
Disturbed sleep
11.
Diminished appetite
12.
13.
Classification
3. Depressive episode
i.
ii.
iii.
iv.
Epidemiology of Depression:
Neurotransmitter abnormalities:
Differential Diagnosis:
Normal Sadness
Anxiety d/o
OCD
Psychotic d/o
Substance misuse
Medical illness
Medication/drug related
Management:
(moderate/severe)
Psychological Approach:
Self-help
Exercise
Breathing/relaxation techniques
CBT
Behavioral therapy
Interpersonal therapy
Couple therapy
Pharmacological Approach:
Classification
2. Bipolar affective disorder
i.
ii.
iii.
iv.
v.
vi.
vii.
viii.
Classification
4. Recurrent depressive disorder
i.
ii.
iii.
iv.
v.
Dysthymia
vii.
Cyclothymia
Clinical features
Mania
1.
Mood elevation which is out of keeping with the individuals circumstances, & may vary from
carefree joviality to uncontrollable excitement.
2.
3.
4.
Pressure of speech.
5.
6.
Marked distractibility.
7.
Inflated self-esteem.
8.
9.
Duration of at least one week, & severity enough to disrupt everyday work & social activities almost
completely.
10.
Management
Mania/Hypomania
1.
2.
3.
Hospital admission.