Medical conditions or disease states can affect depression in one of two ways: (1) cause a depressive state or (2) potentiate an existing depressive state.
Endocrine
Hypothyroidism Cushing Disease
Hyperthyroidism Menopause
Hyperparathyroidism Diabetes
Adrenal Insufficiency
Neurologic
Normal Pressure Hydrocephalus Seizure Disorders
Alzheimer’s Type Dementia Parkinson’s Disease
Multiple Sclerosis Head Injury
Brain Tumors Chronic Pain
Migraine Headache
Metabolic
Electrolyte Imbalance Uremia
Hypercalcemia Gout
Pernicious Anemia Porphyria
Gastrointestinal
Abdominal Cancer Chronic Abdominal Pain
Colitis Islet Cell Adenoma
Hepatitis
Nutritional
B-12 or Iron Deficiency Obesity
Inanition Dehydration
Alcoholism
Other
Systemic Lupus Erythematosus Urinary Tract Infection
Bilateral Cataracts Hypertension
Rheumatoid Arthritis Sinus Arrhythmias
Influenza
Medications and Depression
Drug-induced depression can easily be overlooked. This can be of special importance in working with patients on benzodiazepines, antiparkinson agents, or patients who are alcoholics.
Antihypertensives
Reserpine Hydralazine Propranolol
Clonidine Methyldopa Guanethidine
Stimulants
Amphetamine Methylphenidate Cocaine
Steroids
Cortisone Dexamethasone
Antiparkinsonian Drugs
Levodopa Levodopa Carbidopa
Hormone
Estrogen Progesterone
Other
Cimetidine Benzodiazepines Barbiturates
Narcotics Neuroleptics Digitalis
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