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Data 2fimages 2f4dzyfvxfsuuzw9xfujow 190305 s0 khan hina depression intro
04:08
Depression
Data 2fimages 2ftihhuoasqla3nwiuciqx 190305 s1 khan hina clinical presentation
15:31
Clinical Presentation
Data 2fimages 2fceh3terbqwaycp7c4imu 190305 s2 khan hina risk factors
15:56
Risk Factors
Data 2fimages 2fbdpkycmcr06s7nrxhkqz 190305 s3 khan hina diagnosis and assessment
09:51
Diagnosis and Assessment
Data 2fimages 2fbp1alnpbrroi5quowf7u 190305 s4 khan hina management
07:43
Management

Lecture´s Description

This sqadia.com medical video lecture is the elaboration of depression, risk factors associated with depression, diagnosis and assessment and how to manage mild, moderate and severe depression.

Clinical Presentation

In this section, Dr. Hina Khan elaborates the depressive mood. Central feature of depression can be distinguished from dejection. Uncharacteristic tearfulness is common. Clinical features represent loss of interest and loss of energy in activities like work and hobbies. Increased rate of depression is seen in females specially at the time of menopause.

Risk Factors

Sociodemographic factors are associated with lower self-esteem, self-blaming cognitive styles. Psychosocial factors include events affecting parent-child emotional bonds, parental separation, childhood abuse.  Hypertension and diabetes are the biological factors contributing to cause depression. Next is the elucidation of psychiatric co-morbidity.

Diagnosis and Assessment

Nonspecific symptoms include headache, lower back pain, weakness and tiredness. Diagnosis is made on basis of history and mental state. Areas to consider in history for the assessment of depression follows recent life events, difficult ongoing life circumstances, family history of psychiatric disorders. Dr. Hina Khan elaborates aetiological models of depression such as psychodynamic or interpersonal, cognitive, and neurotransmitters.

Management

Mild depression can be managed through counselling or problem-solving therapy, cognitive behavioral therapy, self-help programmes. In moderate/severe depression, antidepressant is the first line of choice for management. Electroconvulsive therapy is used for severely depressed patients. Alternative antidepressants are also discussed in this section.

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