ENVIRONMENTAL
STRESSOR Serotonin - reduced
Sleep, aggression, eating, sexual behaviour, mood
Reduced Tryptophan = reduced serotonin
= low mood in derepressed individual , not in normal.
Dysregulation of HPA axis
Chronic hyperactivity of hypothalamus =
Incresed Cortisol levels
DYSFUN
Unhelpfu
Chronically elevated cortisol = reduced
hippocampus volume " if I'm
affects neuronal atrophy
SEROTONIN
Negative feedback loop
SCHEMA / CORE
Increased cortisol
abstract mental element that serves as
CORTISOL guide to action, a structure for interpreting
info and organised frameworks for solving
problems
NEUROTRANSMITTERS
1.
2.
3.
Ask :
COUNSELLING during last month, have you been
bothered by feeling down, depressed,
MINDFULNESS BASED hopeless?
THERAPIES Little interest or pleasure?
COGNITIVE BEHAVIOURAL THERAPY
(MBCT) (CBT) DIAGNOSIS / RECOGNITION
PSYCHOLOGICAL
THERAPIES SCREENING - PHQ9
Score :
GENETICS
TYPES:
Must remember side effects 0-4 : Normal
SSRIs (Fluoxetine, sertraline)
and relapse prevention 5-9 : minimal depressive symptoms
TCAs (amitriptyline)
10-14 : MDD, mild
SNRIs (venlafaxine)
15-19 : MDD, moderate
Initial interventions for MILD depression 20 or above : MDD, severe
Sleep hygiene
ANTIDEPRESSANTS Self- care strategies
Active monitoring
Antidepressants + antipsychotic medications
with psychological interventions
TREATMENT
DEPRESSIO
Referral to psychiatry
PERSISTANT, NON-RESPONSIVE
DEPRESSION - moderate or severe
ECT :
Electro-convulsive Therapy Mental health refers to
a diagnosable
condition that
significantly interferes
with an individuals
abilities
CORE SYMPTOMS :
Depressed mood
loss of interest (ANHEDONIA)
decreased energy
MAJOR DEPRESSIVE DISORDER
CLASSIFICATION of
(2 must be for atleast 2 weeks)
OTHER SYMPTOMS: DEPRESSIVE DISORDERS : MDD severity
STRESSOR Serotonin - reduced
Sleep, aggression, eating, sexual behaviour, mood
Reduced Tryptophan = reduced serotonin
= low mood in derepressed individual , not in normal.
Dysregulation of HPA axis
Chronic hyperactivity of hypothalamus =
Incresed Cortisol levels
DYSFUN
Unhelpfu
Chronically elevated cortisol = reduced
hippocampus volume " if I'm
affects neuronal atrophy
SEROTONIN
Negative feedback loop
SCHEMA / CORE
Increased cortisol
abstract mental element that serves as
CORTISOL guide to action, a structure for interpreting
info and organised frameworks for solving
problems
NEUROTRANSMITTERS
1.
2.
3.
Ask :
COUNSELLING during last month, have you been
bothered by feeling down, depressed,
MINDFULNESS BASED hopeless?
THERAPIES Little interest or pleasure?
COGNITIVE BEHAVIOURAL THERAPY
(MBCT) (CBT) DIAGNOSIS / RECOGNITION
PSYCHOLOGICAL
THERAPIES SCREENING - PHQ9
Score :
GENETICS
TYPES:
Must remember side effects 0-4 : Normal
SSRIs (Fluoxetine, sertraline)
and relapse prevention 5-9 : minimal depressive symptoms
TCAs (amitriptyline)
10-14 : MDD, mild
SNRIs (venlafaxine)
15-19 : MDD, moderate
Initial interventions for MILD depression 20 or above : MDD, severe
Sleep hygiene
ANTIDEPRESSANTS Self- care strategies
Active monitoring
Antidepressants + antipsychotic medications
with psychological interventions
TREATMENT
DEPRESSIO
Referral to psychiatry
PERSISTANT, NON-RESPONSIVE
DEPRESSION - moderate or severe
ECT :
Electro-convulsive Therapy Mental health refers to
a diagnosable
condition that
significantly interferes
with an individuals
abilities
CORE SYMPTOMS :
Depressed mood
loss of interest (ANHEDONIA)
decreased energy
MAJOR DEPRESSIVE DISORDER
CLASSIFICATION of
(2 must be for atleast 2 weeks)
OTHER SYMPTOMS: DEPRESSIVE DISORDERS : MDD severity
