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DEPRESSION
DEPRESSION
MOOD
MOOD DISORDER
DISORDER
MAJOR
MAJOR DEPRESSIVE
DEPRESSIVE BIPOLAR
DYSTHYMIC CYCLOTHYMIC
SCHIZOAFFECTIVE
DEPRESSION
Depression is an illness
It is common and treatable
Heart
•BP HR , T
•Arryththmias
Muscle atropy
Reproduktif
•Amenorrhea
•FSH
Clinical Features of Depression
Hallucinations
Auditory
Etiology
1. Biochemical
imbalance in neurotransmitter
e.g : Serotinin
Monoamine
Epinephrine
2. Environment
`- Divorce
- Death of a loved one
- Long term alcohol use
- Chronic Physical illness
- Serious injury
- Low self – esteem
- Loss of job
- Marital Problem
3. Physical illness
Antidepressant Drugs
GROUP DRUG DOSE
Amitriptyline 75-150mg dly
TRICYCLIC
Imipramine 75-150mg dly
Dothiepin 75-150mg dly
Clomipramine 75-150mg dly
Antidepressent Drug
Indication
• Severe depression with paranoid
• High suicidal risk
• failure to response to
anti depression drugs
• depressive stupor
Psychological Support
a. Psychotherapy
• interacts between patient and
therapist
• increase insight .
• Decreased symtoms.
b. Counseling