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Created with Fabric.js 1.4.5 MDD is a significant mental health problem that disrupts a person's mood and adversely affects his psychosocial and occupational functioning Major DepressiveDisorder Major DepressiveDisorder How do i get healthy? How do i get healthy? Depression Symptoms? Depression Symptoms? are twice as likely to develop MDD SIGE CAPS SLEEP (INSOMNIA) INTEREST GUILT ENERGY CONCENTRATION APPETITE PSYCHOMOTORAGITATION SUICIDAL IDEATION DSM-V Criteria Did You Know? Did You Know? NON-PHARMACOLOGICAL PHARMACOLOGICAL Anti - depressant 1. Selective serotonin reuptake inhibitor ( SSRIs) eg. setraline , fluoxetine2. Serotonin and noradrenaline reuptake inhibitors (SNRIs) eg. Duloxetine3. Noradrenergic and specific serotonergic antidepressant ( NaSSA) eg. Mitrazapine4. Reversible inhibitors of MAO-A (RIMA) eg. Maclobemide5.Tricyclic and tetracylics eg. Clomipramine , amitriptyline 1 .Psychoeducation2. Cognitive behavioural therapy3. Supportive psychotherapy4. Interpersonal therapy5. Group therapy6. Family theraphy Major depressive disorder(in children and adolescents, mood can be irritable)5 or more of 9 symptoms(including at least of the symptoms either (1) depressed mood or (2) loss of interest or pleasure)present in the same 2-week periodand represent a change from previous functioning. Depressed mood (subjective or observed) Loss of interest or pleasure Change in weight or appetite Insomnia or hypersomnia Psychomotor retardation or agitation (observed) Loss of energy or fatigue Worthlessness or guilt Impaired concentration or indecisiveness Thoughts of deah or suicidal ideation or suicide attempt In Malaysia , a cross sectional studydone among adult primary care attendees reported the prevalenceof MDD 5.6%. 30-50% of MDD are not detected and often under-recognized.Furthermore,suicide occur in up to15% of hospitalized patients withsevere MDD.Self-mutilation (cutting or burning)is one wayin which individuals show they are depressed Women Aetiologies1. Genetic predisposition2. Biochemical3. Hormones4. Psychososial References :1 . Clinical practice guidelines of Major Depressive Disorder 20072. Mayo Clinic :
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