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Sleep disturbances, Interest loss, Guilt/worthlessness, Energy loss, Concentration problems, Appetite changes, Psychomotor changes, Suicidal ideation
| Disorder Type | Duration | Key Features |
|---|---|---|
| Major Depressive Disorder | ≥2 weeks | Severe symptoms, significant impairment |
| Persistent Depressive Disorder | ≥2 years | Chronic, less severe than MDD |
| Seasonal Affective Disorder | Seasonal pattern | Related to light exposure changes |
A 45-year-old patient states, "I feel hopeless and wonder if my family would be better off without me." This requires immediate suicide risk assessment and safety precautions. Ask directly about suicidal ideation, plan, and means.
| Drug Class | Examples | Key Nursing Considerations |
|---|---|---|
| SSRIs | Fluoxetine, Sertraline | Monitor for serotonin syndrome, GI effects |
| SNRIs | Venlafaxine, Duloxetine | Monitor BP, discontinuation syndrome |
| Tricyclics | Amitriptyline, Nortriptyline | Cardiotoxic, anticholinergic effects |
Antidepressants may increase suicidal thoughts in patients under 25 years old, especially during the first few weeks of treatment.
Sexual dysfunction, Serotonin syndrome, Restlessness, Insomnia
| Concept | Correct Understanding | Common Mistake |
|---|---|---|
| Grief vs Depression | Grief is normal response to loss; depression is persistent mood disorder | Assuming all sadness is depression |
| Therapeutic Communication | Use reflection, open-ended questions | Giving advice or false reassurance |
When answering depression-related questions, always consider safety first, then therapeutic relationship, then specific interventions.
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