Depresion

Periodo de 2 semanas. 1 DE LOS 5 DEBE
Periodo de 2 semanas. 1 DE LOS 5 DEBE
Depresión

7 SECRETOS DE LA DEPRESIÓN
Depression is (1) common, (2) often missed, (3) not hard to diagnose if you lookfor it, (4) often severe, (5) often recurrent, (6) costly, and (7) highly treatable. These facts are “secrets” in the sense that they are not well understood by the American public or by manyphysicians
ESTADO DEPRESIVO, PERDIDA DE INTERES, PESO, SUEÑO, AGITACIÓN O RETARDO, PERDIDA DE ENERGÍA, AUTOESTIMA O CULPA, CONCENTRACIÓN DISMINUIDA, MUERTE.
DSM-IV
 At least five of the followingsymptoms present in a 2-week period (including AT LEAST ONE either depressed mood or anhedonia): |
 Depressed mood | Fatigue, loss of energy |
 Loss of pleasure or interest (anhedonia) | Increased senseof worthlessness or guilt |
 Significant weight (appetite) loss or gain | Decreased concentration |
 Insomnia or hypersomnia | Recurrent morbid thoughts or suicidal ideation |
 Agitation orretardation |   |
• Not due to substance abuse, medical illness, or bereavement |
• Significant distress or impairment of functioning |
• Not due to medication or general medical condition |
• Notbetter accounted for by bereavement |

 Ask about duration, persistence, and severity of each symptom. Collaborative sources, such as relatives and past records, will help when the patient’sresponses are ambiguous, insufficient, or distorted by depression. Include your own observations when assessing the patient’s agitation, energy level, concentration, and hopelessness.

Because thevegetative signs of depression may be caused by medical illnesses and medications, the diagnosis of depression in the medically ill should not rest solely on the presence of such factors as fatigue,insomnia, and anorexia. Look also for the cognitive and affective criteria such as poor concentration, a sense of hopelessness or worthlessness, depressed mood, and anhedonia. When in doubt about the...