Treatments for Depressive disorders
Treatments for Depressive disorders
The list of treatments mentioned in various sources
for Depressive disorders
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Depressive disorders: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Depressive disorders may include:
Hidden causes of Depressive disorders may be incorrectly diagnosed:
- Familial
- Psychological - Stressful events, as perceived by the individual - job loss, relationship failure, identity change, natural disaster, learned helplessness and hopelessness, extreme feelings, negative thinking patterns.
- Social- Environment influences the disorder 60-80% of the time
- Marital problems - in women it can cause depression because they value intimate relationships so much; for men they may withdraw from the relationship
- Parenting styles
- more causes...»
Depressive disorders: Research Doctors & Specialists
Research all specialists including ratings, affiliations, and sanctions.
Drugs and Medications used to treat Depressive disorders:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Depressive disorders include:
- Moclobemide
- Alti-Moclobemide
- Apo-Moclobemide
- Manerix
- Novo-Moclobemide
- Nu-Moclobemide
- PMS-Moclobemide
Unlabeled Drugs and Medications to treat Depressive disorders:
Unlabelled alternative drug treatments for Depressive disorders include:
- Fluoxetine - Seasonal Affective Disorder
- Alti-Fluoxetine - Seasonal Affective Disorder
- Apo-Fluoxetine - Seasonal Affective Disorder
- Gen-Fluoxetine - Seasonal Affective Disorder
- Med-Fluoxetine - Seasonal Affective Disorder
- Prozac - Seasonal Affective Disorder
- Prozac Weekly - Seasonal Affective Disorder
- Sarafem - Seasonal Affective Disorder
Hospital statistics for Depressive disorders:
These medical statistics relate to hospitals, hospitalization and Depressive disorders:
- Depressive disorders accounted for 452,224 patient days in hospitals in Australia 2001-02 (AIHW Hospital Morbidity Database 2001-02, Australia’s Health 2004, AIHW)
- Depressive disorders resulted in 68,450 hospitalisations in Australia 2001-02 (AIHW Hospital Morbidity Database 2001-02, Australia’s Health 2004, AIHW)
- 0.2% (25,852) of hospital consultant episodes were for depressive episodes in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 93% of hospital consultant episodes for depressive episodes required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
Hospitals & Medical Clinics: Depressive disorders
Research quality ratings and patient incidents/safety measures
for hospitals and medical facilities in specialties related to Depressive disorders:
Hospital & Clinic quality ratings » »
Choosing the Best Treatment Hospital:
More general information, not necessarily in relation to Depressive disorders,
on hospital and medical facility performance and surgical care quality:
Medical news summaries about treatments for Depressive disorders:
The following medical news items
are relevant to treatment of Depressive disorders:
Discussion of treatments for Depressive disorders:
Medications: NIMH (Excerpt)
Antidepressants are used most often for serious depressions, but they
can also be helpful for some milder depressions. Antidepressants are not
"uppers" or stimulants, but rather take away or reduce the symptoms of
depression and help depressed people feel the way they did before they
became depressed. (Source: excerpt from Medications: NIMH)
What to do When a Friend is Depressed: NIMH (Excerpt)
There are a variety of antidepressant medications and psychotherapies
that can be used to treat depressive disorders. Some people with milder
forms may do well with psychotherapy alone. People with moderate to severe
depression most often benefit from antidepressants. Most do best with
combined treatment: medication to gain relatively quick symptom
relief and psychotherapy to learn more effective ways to deal with life’s
problems, including depression. (Source: excerpt from What to do When a Friend is Depressed: NIMH)
Buy Products Related to Treatments for Depressive disorders
Book Excerpts: Treatment of Depressive disorders
Treatments of Depressive disorders: Online Medical Books
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Review excerpts from medical books online, free, without registration,
for more information about the treatments of Depressive disorders.
Fontanel depression:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If you detect a markedly depressed fontanel, take the infant’s vital signs, weigh him, and check for signs of shock — tachycardia, tachypnea, and cool, clammy skin. If these signs are present, insert an I.V. line and administer fluids. Have size-appropriate emergency equipment on hand. Anticipate oxygen administration. Monitor urine output by weighing wet diapers.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Major depression:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Depression is difficult to treat, especially in children, adolescents, elderly patients, and those with a history of chronic disease. The primary treatment methods are drug therapy and psychotherapy, particularly cognitive behavioral therapy.
Drug therapy includes tricyclic antidepressants (TCAs) such as amitriptyline, monoamine oxidase (MAO) inhibitors such as isocarboxazid, maprotiline, and trazodone, which has been available for 40 years. A newer class of drugs, the selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine, paroxetine, sertraline, bupropion, venlafaxine, and mirtazapine, are equally effective and have more tolerable adverse effect profiles.
TCAs, the most widely used class of antidepressant drugs, prevent the reuptake of norepinephrine or serotonin (or both) into the presynaptic nerve endings, resulting in increased synaptic concentrations of these neurotransmitters. They also cause a gradual loss in the number of beta-adrenergic receptors.
MAO inhibitors block the enzymatic degradation of norepinephrine and serotonin. These agents commonly are prescribed for patients with atypical depression (for example, depression marked by an increased appetite and need for sleep, rather than anorexia and insomnia) and for some patients who fail to respond to TCAs. MAO inhibitors are associated with a high risk of toxicity; patients treated with one of these drugs must be able to comply with the necessary dietary restrictions.
Maprotiline is a potent blocker of norepinephrine uptake, whereas trazodone is an SSRI. The mechanism of action of bupropion is unknown.
Electroconvulsive therapy (ECT) may be considered in particularly severe or drug-resistant depression. Six to 12 treatments are typically needed, although in many cases improvement is evident after only a few treatments. However, ECT has been associated with later short-term memory loss, heart arrhythmias, and seizure activity. Researchers hypothesize that ECT affects the same receptor sites as antidepressants.
Short-term psychotherapy is also effective in treating major depression. Many psychiatrists believe that the best results are achieved with a combination of individual, family, or group psychotherapy and medication. After resolution of the acute episode, patients with a history of recurrent depression may be maintained on low doses of antidepressants as a preventive measure.
Depression may be experienced differently by members of different cultures. For instance, in some Asian cultures, there are more somatic manifestations of depression than overt psychologic signs or symptoms.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Fontanel depression:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If you detect a markedly depressed fontanel, take vital signs, weigh the infant, and check for signs of shock—tachycardia, tachypnea, and cool, clammy skin. If these signs are present, insert an I.V. line and administer fluids. Have size-appropriate emergency equipment on hand. Anticipate oxygen administration. Monitor urine output by weighing the wet diapers.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Depression, major:
Treatment
(Handbook of Diseases)
Depression is difficult to treat, especially in children, adolescents, elderly patients, and those with a history of chronic disease. The primary treatment methods are drug therapy, electroconvulsive therapy (ECT), and psychotherapy.
Drug therapy
In depression, drug therapy includes tricyclic antidepressants (TCAs) such as amitriptyline, serotonin reuptake inhibitors such as fluoxetine, and monoamine oxidase (MAO) inhibitors, such as isocarboxazid, maprotiline, and trazodone.
❑ The most widely used class of antidepressant drugs, TCAs prevent the reuptake of norepinephrine or serotonin (or both) into the presynaptic nerve endings, resulting in increased synaptic concentrations of these neurotransmitters. They also cause a gradual loss in the number of beta-adrenergic receptors.
❑ After resolution of the acute episode, patients with a history of recurrent depression may be maintained on low doses of antidepressants as a preventive measure.
❑ Selective serotonin reuptake inhibitors, including fluoxetine, paroxetine, and sertraline, are increasingly becoming the drugs of choice. They are effective and produce fewer adverse effects than the TCAs; however, they’re associated with sleep and GI problems and alterations in sexual desire and function.
❑ MAO inhibitors block the enzymatic degradation of norepinephrine and serotonin. These agents are commonly prescribed for patients with atypical depression (for example, depression marked by an increased appetite and need for sleep, rather than anorexia and insomnia) and for some patients who fail to respond to TCAs.
MAO inhibitors are associated with a high risk of toxicity; patients treated with one of these drugs must be able to comply with the necessary dietary restrictions. Conservative doses of an MAO inhibitor may be combined with a TCA for patients refractory to either drug alone.
Maprotiline is a potent blocker of norepinephrine uptake, whereas trazodone is a selective serotonin uptake blocker. The mechanism of action of bupropion is unknown.
ECT
When a depressed patient is incapacitated, suicidal, or psychotically depressed, or when antidepressants are contraindicated or ineffective, ECT is commonly the treatment of choice. Six to 12 treatments usually are needed, although improvement is usually evident after only a few treatments. Researchers hypothesize that ECT affects the same receptor sites as antidepressants.
Psychotherapy
Short-term psychotherapy is also effective in treating major depression. Many psychiatrists believe that the best results are achieved with a combination of individual, family, or group psychotherapy and medication. Therapeutic interventions focus on identifying the patient’s negative thoughts and interpretations and substituting adaptive responses.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Fontanel depression:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Monitor the infant's vital signs and level of consciousness.
▪ Monitor intake and output and watch for signs of worsening dehydration.
▪ Obtain serum electrolyte values to check for an increased or decreased sodium, chloride, or potassium level.
▪ If the infant has mild dehydration, provide small amounts of clear fluids frequently or provide an oral rehydration solution.
▪ If the infant can't ingest sufficient fluid, begin I.V. parenteral nutrition.
▪ If the patient has moderate to severe dehydration, provide rapid restoration of extracellular fluid volume to treat or prevent shock.
▪ Continue to administer I.V. solution with sodium bicarbonate added to combat acidosis. As renal function improves, administer I.V. potassium replacements.
▪ When the infant's fluid status stabilizes, begin to replace depleted fat and protein stores through diet.
▪ Obtain urinalysis for specific gravity and, possibly, blood tests to determine blood urea nitrogen and serum creatinine levels, osmolality, and acid-base status.
Patient teaching
▪ Explain all procedures and treatments to the infant's parents.
▪ Provide emotional support.
▪ Explain ways to prevent dehydration.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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