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What is Depression?
A common mental disorder that presents with: • Prolonged sadness that persists • Depressed mood • Loss of interest or pleasure • Feelings of guilt • Low self-worth • Disturbed sleep or appetite • Low energy • Poor concentration
Types of Depression
Major Depressive Episode (MDE) • Deep despair, extremely depressed mood,
hopelessness, guilt, suicidal thoughts
Dysthymia (mild depression) • Manage to go to school/work, depressed mood,
low energy, low self-concept
Types of Depression (cont’d)…
Bipolar Disorder • Two extremes: low lows (depression) and high
highs (mania)
Psychosis • Person’s perception of reality has been
disturbed, cannot tell what is real/what is not real
• Psychological “break” with reality
Teens and Depression
• In early teens, 6% of teens are depressed (higher in girls)
• In late teens: o Males – 12% o Females – 21- 24%
How long does it last? o Major Depressive Episode = 8 – 13 months o Dysthymia = 3 years o Relapse is common (32-70%) within 5 years of
an episode
Mental Health Pyramid
Mental illness
Mental health problem
Mental health distress
No distress, problem or disorder
Intentional acts to hurt self, including:
• cutting
• scratching
• burning
• picking scabs
• pulling hair
What is self-harm?
Is it a mental illness?
Not a diagnosable mental illness
Likely a sign of underlying issues
Must be addressed by a trained mental health professional
experiencing intense emotional pain
unsure how to cope, they look for a way to release that pain
physical pain temporarily overpowers their emotional pain
it can become habit-forming
can be “contagious”
Why do they do it?
• Behaviour Therapy (CBT & DBT)
✴can help patients re-route their patterns of thought
✴ focus on what brings them to self harm
• General self care practices can help
• Teaching of healthier coping strategies
How is it treated?
What is an eating disorder?Less deliberate form of self harm, including:
Anorexia•extreme food restriction
Binge Eating•secretive, compulsive overeating for comfort
Bulimia•uncontrollable binge eating, followed by purging