Depression and Anxiety Disorder Essay.

Many people feel apprehensive and miserable every now and then, but when does it take over their whole lives? Losing a loved one, doing poorly in school or work, being bullied and other hardships might lead a person to feel sad, lonely, scared, nervous and/or anxious. Some people experience this on an everyday basis, sometimes even or no reason at all. Those people might have an anxiety disorder, depression, or both. It is highly likely for someone with an anxiety disorder to also be suffering from depression, or the other way around. 50% of those diagnosed with depression are also diagnosed with an anxiety disorder.Depression and Anxiety Disorder Essay.

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What is depression?
“Depression is a condition in which a person feels discouraged, sad, hopeless, unmotivated or disinterested in life in general. When these feelings last for a short period of time, it may be a case of “the blues”” (Understanding the Facts), but when such feelings last for more than two weeks and when the feelings interfere with daily activities it is likely that you may be in a major depressive state.Depression and Anxiety Disorder Essay.
Depression isn’t just a state of being, or someone’s mood. There are different types of depression, and each of those types have their own lists of symptoms and treatments, all similar but they have some differences.
Major Depression is a type of depression that makes you lose interest in activities you usually enjoy, you have lack energy, trouble concentrating, you change your eating and sleeping habits, you become extremely sad most of the time and have thoughts of suicide. You will probably be diagnosed sooner, if you suffer from this, because in a short amount of time you will be a completely different person, if you’re usually a happier person in general.Depression and Anxiety Disorder Essay.

Discussion 7

Important Assessments

Depression can be classified as moderate, mild or extreme, based on the degree and effect of symptoms and the severity of physical dysfunction or disability caused by them. Each of the depression evaluations should comprise a complete history and review, plus a psychiatric status evaluation. Functional, behavioral and social problems still need to be explored. In addition, a medical history detailing prior periods of stress or elevation in mood, reaction to previous therapy and the presence of comorbid psychiatric health disorders should be reported. The evaluation of patient safety and danger to others is critical. Suicidal motive should be determined on a daily basis. At the end of the day, a nurse professional can collect a third-party background from caregivers or family members   if the person accepts and is necessary.Depression and Anxiety Disorder Essay.

How to Decide the Appropriate Diagnosis

Effective diagnosis is determined using the complete version of the PRIME-MD clinically rated scale. It includes 26 yes/no questions about the symptoms encountered in the past month and integrates witnessed and recorded behavior. It takes an average of 8.4 minutes to execute. If there is a psychiatric concern that a patient is stressed, the pre-test likelihood is similar to 50% and the post-test risk after a positive test (with a 5/9 cut-off value) is 94 percent.Depression and Anxiety Disorder Essay.

Evidence-based Interventions

Evidence-based treatments that I would prescribe are Cognitive Behavioural Therapy (CBT). This therapy has been effective in a variety of respects. It is intended to be standardized short-term therapy with an average of 12-16 or 16-20 sessions, but this can differ depending on the person (Delgadillo et al., 2018). Based on the nature of the depression, CBT depression strategies continue with behavioral activation, which includes encouraging the person to plan tasks that they are great at and enjoy. This may also mean making the person interact more with family or friends and enjoy more time outdoors.Depression and Anxiety Disorder Essay.

Screening Tools

The Hamilton rating scale is a screening tool used for depression that is appropriate for outpatient settings. The Hamilton Depression Rating Scale is very helpful for assessing the extent of depression of an individual both before, and after therapy focusing on psychotherapeutic intervention. This tool has a type list of 21 items, but the ranking is based on 17 of those items (Kobak, 2010). The assessment takes about 20 minutes along with the results of the ranking. 8 objects are rated on a 5 point scale of 0 which means not present and 4 meaning severe. Nine are graded from 0 to 2. This method has a specificity of 86.4 percent and a precision of 92.2 percent.Depression and Anxiety Disorder Essay.