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Major depressive disorder
Major depressive disorder entails a mood disorder that results to unending feelings of sadness
and losing interest in day-to-day life activities. To some extent, the patient feels worthless and
sees no meaning in life (American Psychiatric Association, 2013).
.
Signs and symptoms
Outburst over
pey issues
and minor
things
Feelings of
being sad,
easily
irritated
Loss of interest in
sex and normal
hobbies such as
swimming, playing
football e.tc
Slow body reexes
i.e. mo on, speech
Low appe te or
otherwise
ea ng too much
resul ng to
weight gain
Feelings of being
red all me, loss of
energy of indulging
in any actvity
Too much of sleep
evening during odd
hours or lack of
sleep altogether
Differential Diagnoses
Bipolar I and II
disorders.
Persistent depressive
disorder
Disruptive mood
dysregulation
disorder
Cyclothymic disorder
Mood swings that
range from highs
(mania) to lows
(depression).
More chronic type of
depression visible
through persistent
mood swings
Severe anger High and lows moods
throughout
Irritability
Loss of sleep or too
much sleep
Picky and easily
irritated by minor
issues
Milder than those of
Bipolar 1
(APA, 2013);
Incidence
There is an estimated
17 million people in
America who have
experienced one or
more incidences of
MDD
This number is huge
since it represents more
than 6% of the entire
United states adult
population.
The ratio of women
with MDD was higher
as compared to that of
men at 9% and 5%
respectively.
Development and
Course
The age of onset is
still not clear
However, inherited
habits and traits can
initiate the condition
at an early age.
Drug and alcohol may
trigger MDD.
Hormonal changes
especially in women
results to the
development of
MDD.
Prognosis
Females had a higher
response rate to
MDD
Early detection and
intervention helped
in controlling and
managing MDD
The rate of stress
influenced the levels
of MDD
(APA, 2013);
Considerations in relation to client’s Age, Gender and culture
Very small social friends Physical health problems such as
severe headaches that are
unexplained
Socially unavailable
Unclear speech and
thought process
Appearing isolated
and detached
Low self-worth
(feelings of
worthlessness
Irritability and difficult in coping
up with the rest
Feelings of wanting to commit
suicide
Poor in remembering events
(APA, 2013); Brunoni, A. R. et al. (2017).
(APA, 2013);
Used
independentl
y or with
medications
Diminishes recurrent
chances
For Children
For
Adolescents
CBT to manage
the symptoms of
MDD
Group
therapy
They control
MDD by
managing serotine
function in the
brain
Citalopram
(Celexa)
Sertraline
(Zoloft)
Non-pharmacological
treatment
Pharmacological
treatment