Major Depressive Disorder (MDD)

The treatment of choice for the MDD, MDD Recurrent, and Dysthymia; will be Psychotropic medication, CBT, Interpersonal Treatment,

Major depressive disorder is one of the most common mental disorders, with a 12-month prevalence of 6.7% of adults in the United States (NIMH). There is no definite etiology of depression, but several risk factors have been identified. Functional and structural changes in the brain have also been explored. The most common treatment for depression is the use of drugs that act on monoamine transmitters, including norepinephrine, dopamine, and serotonin. Decreases in these transmitters, especially serotonin, were hypothesized to play an important role in the cause of depression (Breedlove & Watson, 2013). The serotonin hypothesis led to the development of selective-serotonin reuptake inhibitors (SSRIs), which increase the amount of serotonin in the brain. Further research suggests that the serotonin hypothesis is not entirely accurate and the neurobiology of depression is much more complex. The “chemical imbalance” explanation of depression may not reflect the full range of causes and may be given greater credibility by patients and doctors than is supported by evidence based research.

Major depressive disorder, we all have probably heard of it, but do we really know what is it is ? Major depressive disorder is “a mood disorder that causes a persistent feeling of sadness and loss of interest… major depressive disorder or clinical depression, affects how you feel, think and behave and can lead to a variety of emotional and physical problems”(Mayo Clinic Staff). Having this disorder puts you in a very unstable position because you are constantly feeling depressed so it affects the way you think and feel and that can be very dangerous. Sometimes this happens to a person for one day, but put yourself in the shoes of someone who experiencing this for more than two weeks? When you have major depressive disorder, the signs of depression disorder can last for two weeks or more(myers646). This dis order must be treated immediately because “depression may make you feel as if life isn 't worth living”(Mayo Clinic Staff). Feeling this way can lead you to doing things that you can not take back such as committing suicide and sadly that can happen when you have major depressive disorder. Kiyohara and Yoshimasu conducted a research that showed that 90% of suicides have were dealing with major depressive disorder(qtd. in The World Health Organization). Throughout this paper I will be discussing the causes, symptoms and treatment when dealing with major depressive disorder.

Mental disorder is a common term to refer people’s mental health conditions in Canada and internationally. People who have studied Hamlet, a play that’s written by William Shakespeare, know that Ophelia is one of the characters who suffer from a mental disorder, which known as major depressive disorder. At the beginning of the play, Ophelia’s mental state is very healthy, she falls in love with her boyfriend Hamlet, yet their relationship is controlled by her father. During the play, Ophelia experiences a transformation of her mindset, which causes by Hamlet. As the play closer to the end, the death of Polonius, father of Ophelia, makes Ophelia’s mental becomes more unstable, which leads her to suicide at the end. Thus, due to all the unhappy events that happen to Ophelia’s life all at once, the psychological harms slowly turn Ophelia becomes insane and eventually brings her to death.

d. A nurse gives a PRN dose of an antipsychotic drug to a patient to prevent violent acting out because

In an attempt to better understand depression in today’s youth, I have chosen to explore the depths of Major Depressive Disorder and how it affects the young people in our society. Depression amongst school age children and adolescents are the primary focus. The prevalence, adversities, and treatment of the depression are discussed as well. After exploring these few facets of the disorder, I will talk briefly about the Ecological Model developed by Urie Bronfenbrenner and Morris in 1998 that is used by counselors to help evaluate and assess the children who are referred by teachers or medical

Depression is a clinical condition associated with the normal emotions of bereavement and sadness. However, this condition does not pass on when the external causes of these emotions dissolve and is usually inconsistent to their cause. In essence, the classic severe conditions of depression have not been attributed to external precipitating cause. One of the most common conditions of depression is Major Depressive Disorder (MDD), which is a psychiatric condition that impairs moods, behavioral patterns, and thoughts for a protracted duration. This psychiatric illness tends to impair the patient’s social functioning and quality of life due to its impacts on cognitive functioning. Some of the most common symptoms of the condition include difficulty in concentration, weight change, minimal interest in pleasure, high rate of suicide, and physical impairment. The severity of this disease was evident in the year 2000 when the World Health Organization ranked it as the fourth cause of disability and premature death across the globe.

The typical description of a disease would be something that causes unwanted effects on the body; however, mental illnesses show few physical symptoms and cause problems that outsiders can rarely see. Major Depressive Disorder (MDD), to be specific, is a complex disorder that occurs when a person has five of the following symptoms: a depressed mood, diminished pleasure, weight loss or gain, insomnia, lethargy, problems with concentrating, fatigue, feeling worthless, or having thoughts of suicide (Myers 3). While MDD is chronic, depression is the infrequent counterpart. The official etiology of depression is important because it is widespread and is becoming increasingly more common. Knowing why an illness occurs, in theory, can help physicians

This is a 47-year-old male with a 12/15/2005 date of injury. A specific mechanism of injury has not been described.

296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.

The term major depressive disorder was created by a group of US clinicians in the mid-1970s as part of proposals for diagnostic criteria based on patterns of symptoms (Spitzer et al, 1975). MDD made its first appearance in the third edition in the Diagnostic and Statistical Manual of Mental Disorders (DSM III) (Phillip, Maier & Demo, 1991). MDD is a mental disorder characterized by an impairment of functioning in one or more areas of life due to a depressed mood and loss of interest in activities combined with other symptoms for a minimum of two weeks (APA, 2013, 161).

Having MDD has also led LB to have changes in cognitive, and behavioral domains and lead to problems with her social and interpersonal relationships. LB’s feelings of depression have caused her to feel helpless and suffer with low self worth. She has lost interest in her normal activities, like hanging out with friends. LB also stated in this case study that she had occasional episodes of feeling like she was in a dream state, which is a symptom of depression referred to as depersonalization, where one feels detached from their body. This patient also expressed that she is constantly worried about her physical appearance and whether she had done something wrong, for instance, unknowingly upsetting her teachers and peers. All of these feeling have lead to her having low self worth, and more importantly lead her to have suicidal thoughts. LB said that she has felt feel like the world was coming down on her, which would lead her to think about committing suicide by letting herself drown in the pool at her school. LB also had behavioral changes due

Major Depressive Disorder is a common psychiatric disorder, with an estimated point prevalence of 4.7% of the global population. (Ebert et al., 2017) The negative consequences are profound and impact health related quality of life, workplace performance and sick days, and interpersonal relationships. The global economic toll of MDD was estimated to be $800 billion in 2010 and is rising. In the US alone, the incremental economic burden of individuals with MDD in 2010 was estimated to be $210.5 billion, with approximately half of the total incremental costs associated with the workplace. Despite evidence of the inherent harms and long-lasting effects of cognitive symptoms, MDD treatment remains primarily directed at managing mood symptoms, with

Thus far, I have learned that Depression is a serious illness that affects a person’s interpersonal and occupational functioning which includes working, eating, sleeping, studying, or enjoying friends and activities. On occasion, everyone has feelings of sadness, being down, or feeling “blue”; however, depression is marked by chronic lack of functioning on a daily basis with no resolve. For this paper, I will thoroughly examine the etiology, prevalence rates, and symptoms of Major Depressive Disorder. In addition, I will explore Cognitive Behavior Therapy and Mindfulness-Based Cognitive Therapy for treating MDD. By examining the findings of CBT and MBCT studies for treating MDD, I can be more knowledgeable and better prepared for treating clients with MDD in the future.

Jessica is a twenty-eight-year-old married female who works at a large hospital. She has high expectations for herself because she has graduated with honors at both college and medical school. For the past few weeks, she has been feeling tired and unhappy. She has had a demanding and high stressful job at a large hospital for two years. She feels that she is unable to perform well at her job and has trouble concentrating at work and at home. She is uninterested in her usual activities and has many negative thoughts that keep her awake at night. Two diagnoses that best fit this case study are Major Depressive Disorder and Generalized Anxiety Disorder.