Psych NUR 881

report by the client

eg: elated; euphoric; depressed; dysthymic; labile (up and down continuously); cyclothymic (short periods of mild depression and mania)

physical manifestion of client's mood

• -Incongruent: mood and affect don't match
• -Flat affect: does not demonstrate emotion
• -Blunted: Limited expression
• -Sad: body language implies sadness; eye contact downcast; stooped posture; facial expression

• Feelings
• -shown by patient
• -identified by provider on assessment

• Prior episode of depression
• Family history of depressive disorder
• Lack of social support (need at least 1)
• Lack of coping abilities
• Presence of stressors
• Current substance use/abuse
• Medical co-morbidity

Depression correlates to increased glucocorticoids or corticotropin releasing factor; decrease in amount of monoamine neurotransmitters; increased stress; genetics

Combined neuro-bio-psycho-social etiology

Anxiety often present with depression