Depression Assessment
- Anergia
- Self Neglect
- Decreased Libido
- Vegetative Signs
- Sad Affect
- Worthlessness
- Guilt
- Anger and Irritability
- Ineffective Problem Solving
- Slowed Thinking
SIG E CAPS for Major Depressive Disorder (MDD)
- Sleep Problems
- Interest Deficit
- Guilt or Worthlessness
- Energy Loss or Fatigue
- Concentration Difficulty
- Appetite Changes
- Psychomotor Retardation or Agitation
- Suicidal Ideation
- 5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
Suicide Risk Factors
- Depression
- Previous Attempt
- No Support System
- Access to Firearms or Medications
- Substance Abuse
- Physical or Sexual Abuse
- Chronic Illness or Pain
- Extremes of Age
Suicide Assessment
- SAD PERSONS Scale
- Direct (Overt) Statements
- Indirect (Covert) Statements
- Giving Away Prized Possessions
- Sudden Improvement in Mood
- Putting Personal Affairs in Order
- Detail of Plan
- Availability of Means
- Proposed Method
- Safe Environment
- One-on-One Monitoring
- No Suicide Contract
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
- Depression
- Anxiety
- Selective Serotonin Reuptake Inhibitors
- Paroxetine
- Sertraline
- Escitalopram
- Fluoxetine
- Sexual Dysfunction
- Serotonin Syndrome
- Treat with Cyproheptadine
Fluoxetine (Prozac)
- Inhibits Reuptake of Serotonin
- Depression
- Sexual Dysfunction
- CNS Stimulation
- Weight Changes
- Serotonin Syndrome
- No MAO-Is
- No Anticoagulants / Antiplatelets
- Suicide Risk
- Delayed Onset of Action
Tricyclic Antidepressants (TCAs)
- Inhibits Reuptake of Norepinephrine and Serotonin
- Depression
- Bipolar Disorder
- Fibromyalgia
- Sedation
- Orthostatic Hypotension
- Anticholinergic Effects
- Cardiac Toxicity
- Delayed Effect
- Do Not Stop Abruptly
Tricyclic Antidepressants (TCAs) Indications
- Major Depression
- Bedwetting
- Fibromyalgia
- OCD
- -Iptyline or -Ipramine Suffix
- Amitriptyline
- Desipramine
- Clomipramine
- Imipramine
- Nortriptyline
Tricyclic Antidepressant (TCA) Antidote
- Sodium Bicarbonate (NaHCO3)
Monoamine Oxidase Inhibitors (MAO-Is)
- Atypical Depression
- Increase Levels of Amine Neurotransmitters
- "Takes Pride In Shanghai"
- Tranylcypromine
- Phenelzine
- Isocarboxazid
- Selegiline
Monoamine Oxidase Inhibitor (MAOI) Contraindications
- Wine and Cheese
- Hypertensive Crisis
- Serotonin Drugs
- Serotonin Syndrome
Major Depressive Disorder with Peripartum Onset
- Sleep Problems
- Interest Deficit
- Guilt or Worthlessness
- Energy Loss or Fatigue
- Concentration Difficulty
- Appetite Changes
- Psychomotor Retardation or Agitation
- Suicidal Ideation
- 5 Symptoms Including Depressed Mood or Anhedonia for 2 Weeks
- Onset No Later Than 1 Year After Delivery