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Treatment & Management of Stress
Treatment of Mood Disorder
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Depression is a major public health problem as a leading predictor of functional disability and mortality.
Optimal depression treatment improves outcome for most patients.
Most adults with clinical significant depression never see a mental health professional but they often see a primary care physician.
A non?psychiatric physician 50% of times misses the diagnosis of the depression.
All depressed patients must be enquired specifically about suicidal ideations.
Suicidal ideation is a medical emergency
Risk factors for suicide are psychiatric known disorders, medical illness, prior history of suicidal attempts or family history of attempted suicide.
The demographic reasons include older age, male gender, marital status (widowed or separated) and living alone.
About 1 million people commit suicide every year globally.
Around 79% of patients who commit suicide contact their primary care provider in the last one year before their death and only one-third contact their mental health service provider.
Twice as many suicidal victims had contacted their primary care provider as against the mental health provider in the last month before suicide.
Suicide is the 10th leading cause of death worldwide and accounts for 1.2% of all deaths.
The suicide rate in the US is 10.5 per 100,000 people.
In the US, suicide is increasing in middle aged adults.
There are 10?40 non?fatal suicide attempts for every one completed suicide.
The majority of suicides completed in US are accomplished with fire arm (57%), the second leading method of suicide in US is hanging for men and poisoning in women.
Patients with prior history of attempted suicide are 5?6 times more likely to make another attempt.
Fifty percent of successful victims have made prior attempts.
One of every 100 suicidal attempt survivors will die by suicide within one year of the first attempt.
The risk of suicide increases with increase in age; however, young adults and adolescents attempt suicide more than the older.
Females attempt suicide more frequently than males but males are successful three times more often.
The highest suicidal rate is amongst those individuals who are unmarried followed by those who are widowed, separated, divorced, married without children and married with children in descending order.
Living alone increases the risk of suicide.
Unemployed and unskilled patients are at higher risk of suicide than those who are employed.
A recent sense of failure may lead to higher risk.
Clinicians are at higher risk of suicide.
The suicidal rate in male clinicians is 1.41 and in female clinicians it is 2.27.
Adverse childhood abuse and adverse childhood experiences increase the risk of suicidal attempts.
The first step in evaluating suicidal risk is to determine presence of suicidal thoughts including their concerns and duration.
Management of suicidal individual includes reducing mortality risk, underlying factors and monitoring and follow up.
Major risk for suicidal attempts is in psychiatric disorder, hopelessness and prior suicidal attempts or threats.
High impulsivity or alcohol or other substance abuse increase the risk.
Every time my mind is full fill with negativity and I take very tension for small things what should I do for positive and depressed free.Please tell.
Hi i am Not getting sufficient sleep in the night. I was suffering from depression between 2012 to 2015.In january 2016 I met a psychiatrist and I get recovered from depression. I am stable now but since 7 days I am not getting sufficient sleep. I am taking these medicines 'lamitor od 100, ativan 2, mirtaz 15 and amisulpride am also doing regular exercise since 1 month. After waking up also feeling sleepy. Sleep is not properly completed.
I have a series of incidents that happened and hampered my courage and behavior. 1. My distant uncle passed away in a train accident (which was informed to me first on a call by a stranger passerby) - 2006 2. My aunt passed away (which was informed to me on a call) - Nov 2015 3. My dad had a sudden BP surge and had a clot in brain (mom call me and asked me to rush to home) -May 2016 4. My dad got the same problem again (mom call me to have a look at dad wen she was at work) and I was alone with him. Admitted him in hospital, was outside ICU entire day until everyone cud return from work - Jun 2016 5. My grandma passed away (which was informed on call by my cousin) -March 2017 6. Husband was detected diabetic suddenly -2016 7. I had an ectopic pregnancy Surgery - Jun 2017 8. Husband sugar levels fluctuating wit ayurvedic medicines With all these continuously happening I hv become depressed and don't enjoy life. -I am scared of receiving any calls -I don't enjoy a single second of life.
I am 23 years old. from past 10-15 days I am suffering from dizziness in the head. I am not able to concentrate on my studies. When I try to study I am not able to memorize things. And also I have noticed that I oftenly forget things to do. Please tell me what to do. Also I am feeling weakness in my body.
Having problem with my memory. I tend to forget many things at a time, some times small things some time big. Cannot understand what is the problem.
Sometimes my anxiety level rises high and I also begin to sweat how can I keep my anxiety levels under control? I've heard magnesium supplements can help one in keeping it low. Please advice.
I am depressed now. Whatever I am trying to do is going to fail. What should I do to overcome from that situation. Please give me a solution. I ca beer it any more.
Am viraj thakker 30 years of an age having anxiety symptoms such as derealisation depersonalisation. Brain fog. Panic disorder. Light headed. Fear of public. Since 3 n half years. I consulted cyketrist for the same Dr. Has given me pari c 25 .vitamin d3 and toficlam 50 and I feel energetic after having all these tablet. Please suggest whether I will be alright soon.
People who are constantly troubled by the fear of physical illness or who excessively feel worried about their health are commonly referred to as hypochondriacs. This phenomenon is called somatic symptom disorder, also known as hypochondria or hypochondriasis. Despite the evidence of medical tests proving that they do not suffer from any disease or illness, hypochondriacs are perpetually worried about their health. This is mainly because of their misinterpretation of minor health problems or normal body functions as something serious. Somatic symptom disorder affects both males and females equally, and it usually happens during early adulthood.
Causes and symptoms: Their complaints may range from minor issues like pain or stress to more serious problems concerning breathing or headaches. Hypochondriacs rarely try to deceive themselves, and they genuinely believe that they have health problems, however unrealistic their beliefs might be. The exact causes are indefinite and unknown, but they generally arise from considerable physical or sexual abuse in their early childhood. Moreover, parents or close relatives suffering from the disorder may also induce such fears into the child, who would eventually behave in a similar pattern later in adulthood.
Diagnosis: Diagnosis of the disorder can be very troublesome, mainly because of their inherent conviction that they are suffering from physical illness. However, the disorder can be treated through proper supportive care or psychotherapy. Antidepressants and anti-anxiety drugs are also used sometimes.
Dealing with the disorder: Hypochondria can often lead to a chronic condition, which can be long lasting. Although there are no definite ways of preventing it, there is one method to reduce the intensity of the symptoms and help patients cope up with the disorder. It is by providing them a supportive and understanding environment, one in which they can fight the distress and trouble that comes along with the somatic symptom disorder. If you wish to discuss about any specific problem, you can consult a General Physician.