Common Mental Disorders Depression - New Zealand Doctor

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Mania continued... Mate Mäori Melancholic depression Mindfulness-based cognitive therapy (MBCT) Minor depression Mood stabilising drug Older adult Omphalocele Oppositional defiant disorder Overanxious disorder • increase in goal-directed activity (either socially, at work or school, or sexually) • psychomotor agitation, or excessive involvement in pleasurable activities that have a high potential for painful consequences (eg, engaging in unrestrained buying sprees, sexual indiscretions, or foolish business investments) Ill health or uncharacteristic behaviour among Mäori which is related to spiritual causes and may take several forms, with both physical and mental presentations. It requires expert cultural assistance 160 Depression distinguished by characteristic somatic symptoms and psychomotor change, with the loss of pleasure in all, or almost all, activities or a lack of response to usual pleasurable stimuli A form of cognitive therapy that develops a person’s ability to be attentive and aware of their negative thoughts but not react to them. The idea is to change the person’s relationship with their negative thoughts, rather than the content of their thoughts A mood disorder with depressive signs and symptoms that are just below the threshold for diagnosis of major depression A drug used to prevent moods from cycling and shifting, used for disorders characterised by intense and sustained mood shifts such as bipolar disorder. Most mood stabilisers are anticonvulsants, with the important exception of lithium Aged 60–65 years or over A birth defect of the abdominal wall in which the infant’s intestines or other abdominal organs protrude outside the abdominal wall in a sac An ongoing pattern of hostile and defiant behaviour towards authority figures, which goes beyond the bounds of normal age-appropriate behaviour. It is strongly associated with progression to the more serious Conduct Disorder. Term for Generalised Anxiety Disorder (GAD) occurring in children 152 Identification of Common Mental Disorders and Management of Depression in Primary Care
Glossary, abbreviations and acronyms Pharmacokinetics Placebo Problem-solving therapy Psychodynamic psychotherapy Psychomotor agitation and retardation Psychotic symptoms Rangatahi Screening Self-management Sleep hygiene Somatic/somatisation The study of the movement of drugs into, within and out of the body ie, what the body does to the drug A physically inactive substance given as part of a clinical research trial. It has no specific pharmacological activity against illness A structured psychological intervention that focuses on learning to cope with specific problem areas and where the therapist and patient work collaboratively to identify and prioritise key problem areas, break problems down into specific manageable tasks, solve problems, and develop appropriate coping behaviours A psychological intervention in which the therapist and patient explore conflicts and how these are represented in current situations and relationships, and patients are given an opportunity to explore feelings and conflicts, originating in the past. Therapy is non-directive and patients are not taught specific skills such as thought monitoring or problem-solving Psychomotor activities are the physical movements related to mental processes. Agitation is displayed by unintentional and purposeless motions (eg, incoherent conversation, expansive gesturing, pacing and hair twirling) and retardation by a slowing of thought processes, speech and physical movements Hallucinations and/or delusions Adolescent A test performed on a large number of people to identify those who have a disorder, used routinely over and above customary clinical assessment Engagement in activities that protect and promote health, monitoring and management of the symptoms and signs of illness, management of the impact of illness on functioning, emotions and interpersonal relationships and adherence to treatment regimes Behavioural practices that promote effective sleep Related to the body rather than the mind: somatisation refers to the expression of a mental event via physical symptoms or a physical disorder Identification of Common Mental Disorders and Management of Depression in Primary Care 153
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Identification of Common Mental Dis
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Statement of intent Evidence-based
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Endorsements Te Ao Maramatanga New
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3.6 Clinical features of common men
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List of figures 3.1 When to refer a
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About the guideline Foreword The Ne
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About the guideline Guideline devel
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About the guideline Paediatric subg
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About the guideline Royal New Zeala
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Algorithm 1 Management of depressio
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Algorithm 2a Management of severe d
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Algorithm 2c Management of mild dep
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• limited access to psychiatrists
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Asian peoples About 7% of the New Z
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12-month period amongst adults atte
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Table 1.2 Prevalence of common ment
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1.4 Etiology of common mental disor
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The ‘hopelessness theory’ 94 co
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Sexuality Data from the Christchurc
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Since those who are affected by sui
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2.3 Managing depression: the steppe
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to informed consent. 152 There is a
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3 Recognition and assessment of com
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Chapter 3 Recognition and assessmen
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Good practice points Management of
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Box 4.1 Whänau Ora The concept of
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If the young person/rangatahi/tamar
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Exercise There was insufficient evi
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at any timepoint. Treatment as usua
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5 Recognition and assessment of com
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6 Management of depression in adult
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Chapter 6 Management of depression
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Recommendations continued... Women
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during pregnancy, of which up to 6%
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Secondary care evidence Based on ev
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Advice for women It may be helpful
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Social networks appear to be an inf
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Page 130 and 131: This evidence comprised two recent
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Page 145 and 146: 9 Models of care 9.1 Introduction V
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Page 158 and 159: Appendix A: Guideline development p
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Page 170 and 171: Information about mental disorders
Page 172 and 173: Dysthymia Dysthymia is a chronic lo
Page 175 and 176: Glossary, abbreviations and acronym
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Page 181 and 182: References 1. The MaGPIe Research G
Page 183 and 184: References 38. Tse S, Tong K, Hong
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Page 187 and 188: References 107. Halligan SL, Murray
Page 189 and 190: References 143. Dejesus RS, Vickers
Page 191 and 192: References 179. Shaffer D, Scott M,
Page 193 and 194: References 215. Garralda ME, Bowman
Page 195 and 196: References 249. Zwaanswijk M, Verha
Page 197 and 198: References 283. Linde K, Berner M,
Page 199 and 200: References 318. Henkel V, Mergl R,
Page 201 and 202: References 353. Rush AJ. STAR*D: wh
Page 203 and 204: References 386. Ward E, King M, Llo
Page 205 and 206: References 417. Kirsch I, Deacon BJ
Page 207 and 208: References 451. Zigmond AS, Snaith
Page 209 and 210: References 486. Appleby L, Warner R
Page 211 and 212: References 520. Irwin M, Artin KH,
Page 213 and 214: References 557. Agnew F, Pulotu-End
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Common Mental Disorders Depression - New Zealand Doctor

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