NURS 3554 Chapter Notes - Chapter 14: Hypertensive Crisis, Vagus Nerve Stimulation, Obsessive–Compulsive Disorder
Document Summary
Depressive disorders classified: disruptive mood dysregulation disorder, dysthymic disorder, premenstrual dysphoric disorder, hormonal imbalance, substance abuse depressive disorder, alcohol constant cns depressant, depressive disorder associated with another medical condition. Leading cause of disability in the united states: children and adolescents, older adults, agi(cid:374)g does (cid:374)ot (cid:373)ea(cid:374) (cid:455)ou"re depressed, comorbidity anxiety, schizophrenia, substance use. Etiology: many factors are involved with depression, genetic influences, evidence supports neurotransmitter involvement, serotonin, norepi, stressful life events, diathesis-stress model, cognitive theory learned helplessness. Interpersonal therapy (it: cognitive behavioral therapy (cbt, time-limited focused psychotherapy, behavior therapy, group therapy. Increases level of neurotransmitters serotonin and norepinephrine: amitriptyline (elavil) Other treatments for depression: electroconvulsive therapy (ect) Good for treatment resistant: transcranial magnetic stimulation. Not very long, can return back to work after lunch hour. Resistant to medication treatment and other alternative therapies: vagus nerve stimulation. Periodic stimulation up vagus nerve to help increase mood. Pulse generator every 30 seconds, periodically over 24 hours: deep brain stimulation.
