Clinical Symptoms and Treatment of Severe Depression - Melancholic and Psychotic Depression
Sanil Rege covers the symptoms of severe depression with a focus on melancholic and psychotic features in depressive disorder.
Melancholic and psychotic depressions are both severe forms of depression associated with a high degree of morbidity and suicide risk.
Features of Severe melancholic and psychotic depression:
👉 psychomotor disturbance
👉 impaired cognitive functioning (frontal-subcortical circuits)
👉 slowing of mental and motor activity
👉Physical symptoms, e.g. constipation, menstrual irregularities, lowered BP
👉 Ruminations – themes of hopelessness, pessimism, self-accusation, self-derogation, feelings of inadequacy and of being a failure
👉 Periods of agitation
👉More significant biological and genetic determinants than psychosocial
👉Shows a minimal response to placebo
👉Show a superior response to biological treatments such as broad-spectrum antidepressant medication and electroconvulsive therapy rather than to psychotherapy.
👉 Psychotic depression presents with delusions: nihilistic, obsessional guilt, poverty and hypochondriacal are common themes
⛑ Patients with psychotic depression have double the risk of dying than non-psychotic depression and higher odds of completed suicide. [Vythilingam M et al., 2003]., [Gournellis R et al., 2018]
Psychotic depression is best conceptualised as melancholic depression with psychotic features (e.g. delusions, hallucinations, guilty ruminations).
Treatment requires broad-spectrum antidepressants in melancholic depression and augmentation strategies as second and third-line treatments.
Psychotic depression requires antidepressants and antipsychotics as initiating treatments
Read more on melancholic and psychotic depression: https://psychscenehub.com/psychinsights/melancholic-and-psychotic-depression-diagnosis-and-management/
Видео Clinical Symptoms and Treatment of Severe Depression - Melancholic and Psychotic Depression канала PsychScene Hub
Melancholic and psychotic depressions are both severe forms of depression associated with a high degree of morbidity and suicide risk.
Features of Severe melancholic and psychotic depression:
👉 psychomotor disturbance
👉 impaired cognitive functioning (frontal-subcortical circuits)
👉 slowing of mental and motor activity
👉Physical symptoms, e.g. constipation, menstrual irregularities, lowered BP
👉 Ruminations – themes of hopelessness, pessimism, self-accusation, self-derogation, feelings of inadequacy and of being a failure
👉 Periods of agitation
👉More significant biological and genetic determinants than psychosocial
👉Shows a minimal response to placebo
👉Show a superior response to biological treatments such as broad-spectrum antidepressant medication and electroconvulsive therapy rather than to psychotherapy.
👉 Psychotic depression presents with delusions: nihilistic, obsessional guilt, poverty and hypochondriacal are common themes
⛑ Patients with psychotic depression have double the risk of dying than non-psychotic depression and higher odds of completed suicide. [Vythilingam M et al., 2003]., [Gournellis R et al., 2018]
Psychotic depression is best conceptualised as melancholic depression with psychotic features (e.g. delusions, hallucinations, guilty ruminations).
Treatment requires broad-spectrum antidepressants in melancholic depression and augmentation strategies as second and third-line treatments.
Psychotic depression requires antidepressants and antipsychotics as initiating treatments
Read more on melancholic and psychotic depression: https://psychscenehub.com/psychinsights/melancholic-and-psychotic-depression-diagnosis-and-management/
Видео Clinical Symptoms and Treatment of Severe Depression - Melancholic and Psychotic Depression канала PsychScene Hub
Показать
Комментарии отсутствуют
Информация о видео
Другие видео канала
Depression and Psychosis - Overview and Personal Recovery | Dr Timmy FrawleyHow to Spot Severe Depression vs Feeling DepressedHow to Taper Antidepressants to Avoid a Withdrawal (Discontinuation) Syndrome?How to Develop a Psychiatric Formulation and Management PlanHow to Spot the 9 Traits of Borderline Personality DisorderAre There Similarities Between the Neurobiology of ADHD and Binge-Eating Disorder - Prof KatzmanNeurobiology of Sleep - Circadian Rhythms, Sleep-Wake Cycle and InsomniaHow to Diagnose and Treat Akathisia - Insights from Dr Sanil Rege (Consultant Psychiatrist)Persistent Depressive Disorder (Chronic Depression) and CBASPHow to recover from depressionHow to Perform a Mental State Examination (MSE) in PsychiatrySchizophrenia in Women – Role of Estrogen and Novel Treatments - Prof Jayashri KulkarniWhat is Psychotic Depression?Fibromyalgia | Symptoms, Associated Conditions, Diagnosis, TreatmentWhat is Melancholic Depression?Inside the Mind of the Examiner - Insights for the RANZCP OSCE and Critical Essay (CEQ) examVA Disability Ratings for Depression and AnxietyThe Role of Glutamatergic Signaling in Major Depressive DisorderWhat is Psychotic Depression? EXPLAINEDCould a drug prevent depression and PTSD? | Rebecca Brachman