HLTHAGE 1CC3 Lecture Notes - Lecture 6: Major Depressive Disorder, Major Depressive Episode, Psychomotor Agitation
22 Nov 2016
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One or more major depressive episode without mania. Five + symptoms during two week period: depressed mood most of day. Self-reported or expressed by other: anhedonia, substantial weight loss/gain. Insomnia or hypersomnia: psychomotor agitation or retardation, fatigue or loss of energy, feeling of worthlessness or excessive guilt, diminished ability to think or concentrate, indecisiveness, recurrent thoughts of death, recurrent thoughts of suicide. Persistent depressive disorder (dysthymia) - chronic, but less severe than mdd. In previous dsm versions, depression had the following note: *does not include people who have recently lost a family member, friends; mourning* This allows for greater professional autonomy or widening the boundaries of illness: artificially inflating the number of people with depression, mental health experts use their expertise to give their professional advice. Women are 3x more likely for depression, slightly more likely for bd (3:2 ratio: gender differences in seeking treatment, hormones, stressful life events, especially childhood diversity (social structure, diagnostic bias.
