which SSRI has mild antihistamine effects.
Citalopram
Episodic Depression
Depression occurring in distinct episodes.
Unipolar Depression
Depression without manic episodes.
SIGECAPS
Symptoms: Sleep, Interest, Guilt, Energy, Concentration, Appetite, Psychomotor,
Suicidal thoughts.
Diagnosis Criteria for depression
5 of 9 symptoms for 2+ weeks required.
Duration of Depression Episode
Typically lasts 6-12 months.
Psychotherapy
Therapeutic treatment involving talking and counseling.
Cognitive Behavioral Therapy (CBT)
Focuses on changing negative thought patterns.
what neurotransmitters are increased with antidepressants
Medications that increase serotonin, dopamine, norepinephrine.
Time for Antidepressants to Work
Full effect may take up to 2 months.
what therapy is used for treatment resistant depression
ECT
Melancholic Depression
Severe, non-reactive episodes of depression.
Atypical Depression
Mood reactive; symptoms worsen with sad events.
Postpartum Depression
Occurs weeks after childbirth due to hormonal changes.
Seasonal Affective Disorder
, Depression linked to seasonal changes, especially winter.
Treatment for Seasonal Depression
*Bright light therapy, medications, or therapy.
Psychotic Depression
Includes paranoia, delusions, and hallucinations.
Dysthymia
Chronic depression lasting at least 2 years.
Mania
Elevated mood and energy, hallmark of bipolar disorder.
DIGFAST
Criteria for mania:
Distractibility
Indiscretion,
Grandiosity,
Flight of Ideas,
Activity increase,
Sleep decreased
Talkativeness.
Bipolar Type 1
Mania with psychosis and delusions , severe episodes .One manic episode qualifies
for diagnosis.
Bipolar Type 2
HYPOmania and major depressive episodes present.
Hypomania criteria
Elevated mood lasting 4 days, not impairing.
Rapid Cycling criteria
At least 4 mood episodes in 12 months.
Frequent mood episode shifts in bipolar disorder.
Depakote is used for
Effective for mania and maintenance treatment.
what does lamictal treat & is it safe in pregnancy