Affect
outward representation of a person's internal state of being
objective finding based on the nurse's assessment
Anergia
abnormal lack of energy
may result in psychomotor retardation
Anhedonia
absence of happiness or pleasure in aspects of life that once made them happy
Bereavement Exclusion
when clinicians would not diagnose a person with depression in the first 2 months following a significant loss
Deep Brain Stimulation
treatment whereby electrodes are surgically implanted into specific areas of the brain to stimulate those regions identified to be underactive in depression
Electroconvulsive Therapy
highly effective somatic treatment
brief seizures (30-60 seconds) are deliberately induced by an electrical current transmitted through electrodes attached to head while person is under general anesthesia
Light Therapy
first line treatment for seasonal affective disorder
30-45 minutes of exposure daily to a 10,000 lux light source
Major Depressive Disorder
a persistently depressed mood lasting for a minimum of 2 weeks
Persistent Depressive Disorder
dysthymia
feelings of depression occur most of the day for the majority of days
last at least 2 yrs in children and adolescents and 1 year in adults
Premenstrual Dysphoric Disorder
a cluster of symptoms that occur in the last week before the onset of a woman's period
Serotonin Syndrome
rare effect of SSRI
sx include abdominal pain, diarrhea, sweating, fever, tachycardia, elevated BP, altered mental state (delirium), myoclonus, increased motor activity, irritability, hostility, and mood change
life threatening
Suicidal Ideation
could be relatively mild or persistent and involving a plan
patient fantasizes about their funeral or death and wanting to die
Transcranial Magnetic Stimulation
noninvasive treatment modality
uses MRI strength magnetic pulses to stimulate focal areas of cerebral cortex
Vagus Nerve Stimulation
stimulation results in boosting level of neurotransmitters which improves mood and enhances action of antidepressants
Vegetative signs of depression
alterations of activities that support physical life and growth
eating, sleeping, elimination, and sex