MEDI7212 Lecture Notes - Lecture 80: Duloxetine, Antihypertensive Drug, Transcranial Magnetic Stimulation
Document Summary
Important to ask directly about depression using brief screening tools or just asking "are you depressed" since they don"t present with typical sx. Suicide rates in elderly are the highest of any age group: depression prevalence declines with age (5-10% older people present to gp with diagnosable depression, risk factors of depression. Family hx: prior depressive episodes, ageing changes in neurotransmission. Specific medical diseases: chronic medical condition with pain or loss of function (cancer, post- stroke, ad, parkinson, mi, drug exposure, physical function lost. Psychological unresolved conflicts: memory loss and dementia, personality disorder. Loss of independence (no driver license: depression has increased mortality and morbidity. Sad or depressed mood or loss of interest or pleasure in nearly all activities. It may be the initial presentation of undiagnosed mental disorder: differential causes - gord, medications, sleeping disorders, chronic pain, medical disorders imitating depressive sx.
