treatment of depression
Terms
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treatment of depression
what are the 9 symptoms of depression?
how many of these are required to be clinically depressed? -
depressed mood
suicidal ideation
guilt
annhedonia
sleep disturbance
change in weight
psychromotor retardation
loss of energy
can't concentrate
5 for 2 weeks - does depression occur more in women or men?
- men
- who attempts and who completes?
- women attempt , men complete
- facts about depression
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risk for 18-44
highest for divorcees, living alone, and urban city
if 1 twin has it - 50% chance the other will too - what can cause depression?
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absence of rewards
stressful life events
lewinsohns model- occur bc doing passive unrewarding things - acting better before feeling better
maladaptive interpersonal behavior - what are the cognitive factors of depression?
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distorted automatic thots- think neg of themselves
maladaptive assumptions- underly auto thots and include should and must
negative schemas-core belief about self
learned helplessness - what does klerman say about depression?
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result of dysfunctional interpersonal relationships
problems in past - what is the outcome of cognitive behavior therapy?
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change - 66%
mainatanence at 12 months
as effective as medication - treatment for depression
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begin with socialization to treatment -
psychoeducation-teach concepts and that they aren't crazy
conceptulization of patient depression
establishing goals - behavioral activatoin
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1st goal of therapy
combines reward planning and activity scheduling - what are the 4 steps to behavioral activation?
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monitor current activities
develop list of rewarding actitives
planning activities
complete activities - graded task assignment
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break tasks into smaller pieces
start activity in session and then extend into homework - what are some other behavioral techniques?
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self reward
decreasing excessive self focus
social skills training
assertiveness training
problem solving training - what are some cognitive interventions?
- help patient identify their own auto thots and maladaptive assumptions
- techniques to challenge
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vertical arrow- why would a guy not think u are attractive- what would happen- what would happen next
double standard- would u think ur sister was an idiot if she failed her biochem test