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Thread: Depression disorder

  1. #1
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    Talking Depression disorder

    Depression disorder




    Trigger 1

    Ramla a 40-year-old, nurse describes experiencing headaches for the last 3 months.
    She indicates that they feel like tightness around her head. They are present most of the time, worse when she awakens, better during the day, and intensify at night. Trauma, fever, neurologic and visual disturbances are not reported. She was told that is a form of tension headache.

    When asked about her problems, Ramla begins to weep. Since separating from her husband with the intent to divorce, a few months ago, she had been doing well, but she is now feels low mood state; upon his recent marriage. She is often tearful when alone, has stopped taking walks, and has lost interest in pleasurable things, such as dining and reading.
    She has low energy and motivation, but she is still able to work and explains that work takes her mind off her problems. She has no suicidal thoughts, but does not have happy thoughts.

    Trigger 2

    Ramla admits having trouble sleeping but denies excessive daytime sleepiness.
    General examination was normal apart of looking deeply sad, tearful and withdrawn. Her Epworth sleepiness scale score is 8. The patient us diagnosed as depression disorder.

    Trigger 3

    Ramla knows that she is depressed but wants reassurance about her headaches. She steadily refuses to take any antidepressants because she has heard that they all cause weight gain. She agrees, however, to take something to help her sleep. Sleep hygiene measures are reviewed and reinforced, and she is prescribed eszopiclone (3 mg at bed night).

    Trigger 4

    In the next visit, one week after, Ramla states that she is sleeping much better and gets up with her alarm clock. She feels a bit tired when she first gets up, but this quickly dissipates after her shower. On the other hand, Ramla still feels quite low. She is prescribed fluoxetin (20-mg tablets), and told to take half a tablet initially in the morning and then to be increased to 1 full tablet. Her visit one-month later shows her to be noticeably improved.
    She has more energy, and feels brighter.

    Objectives:

    1- Anatomical & physiological basis of mood.
    2- Mood changes: history taken & manefistations.
    3- Assessment of suicid.
    4- Headache: history taken.
    5- Sleeping disorders: types, relation to mood disturbances.
    6- Depression: definition, types, pathophysiology, clinical features.
    7- Epworth sleeping scale.
    8- Anxiety.
    9- sleep-hygiene measures.
    10- Eszopiclone: pharmacology, side effects.
    11 Anti-depressant.
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  2. #2
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    The best way to get over stress, depression and anxiety is to take a break from your regular schedule, go out, and take good sleep. This helps in clearing the mind and try consulting a specialist who can suggest you as how you can get over your problem. There are various prescription drugs to get over anxiety and depression, but these should only be used in accordance with the instruction of a physician and going on anti depressants should be the last option. You can even ****EDITED**** online as there are various pharmacies which can provide you with online prescription. Rather than going on drugs, one should look for the reason behind there problem . Keeping your self busy and changing the schedule also helps sometimes to get over stress and depression.

  3. #3
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    Quote Originally Posted by johosh View Post
    The best way to get over stress, depression and anxiety is to take a break from your regular schedule, go out, and take good sleep. This helps in clearing the mind and try consulting a specialist who can suggest you as how you can get over your problem. There are various prescription drugs to get over anxiety and depression, but these should only be used in accordance with the instruction of a physician and going on anti depressants should be the last option. You can even ****EDITED**** online as there are various pharmacies which can provide you with online prescription. Rather than going on drugs, one should look for the reason behind there problem . Keeping your self busy and changing the schedule also helps sometimes to get over stress and depression.
    ****EDITED***
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  4. #4
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    Hi,

    Depression can also be viewed as a mental disorder that is characterized by a deep feeling of sadness and lack of hope that does not go away. Statistics indicate that more women than men suffer from this disorder.

    Antidepressants, tranquilizers or anti-manic drugs are widely used to cure depression.

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