DEPRESI

Pembimbing :
dr. Tri Rini Budi Setyaningsih, Sp. KJ

Oleh:
Intan Mawaridhatul Ulla(G4A017078)
Farhan Ichsan (G4A018047)

Bagian Ilmu Kedokteran Jiwa

RSUD Prof. Dr. Margono Soekarjo
Fakultas Kedokteran Universitas Jenderal Soedirman
BACKGROUN
(DSM V)

D
Depression
• Depressed mood
• Loss of interest
• Insomnia or fatigue d

• Somatic complaint
• Thought of death, suicidal
ideation, or suicde attemts
epidemiology
Halverson, 2019

1.5 -3 1

Around 7.6% of US citizen have depression

d
What causes
depression?

Genetik Stressor Hubungan orang tua-anak Depresi Vaskular

Risk of Suicide

EVERY EPISODE OF DEPRESSION HAS

CHANCE FOR SUICIDE
Risk factor of suicide:
Male
d
Alone
Not married
Hopeless
Suicide idea
Suicide attempt
Serious condition of medical illness
 Diagnosis criteria for depression
1. 5/more symptoms
• Depressed Mood
• Loss Of interest or Pleasure
• Significant Weight Loss
• Insomnia/ Hypersomnia d

• Psychomotor Agitation/Retardation
• Fatigue/Loss of Energy
• Feelings of Worthlessness or Excessive guilt
• Diminished ability to think/concentrate
• Recurrent thoughts of death
2. Cause significant distress/impairement
in:
– Social
– Occupational
– Other important areas of
functioning
d
3. Not Substance Effects/ another
medical condition
4. Manic/Hypomanic Episode (-) Before
Classification of depression

d
Differential diagnosis
1. Manic Episodes with irritable
mood or mixed episodes
2. Mood disorder due another
medical condition
d
3. Substance/Medication-Induced
Depressive or bipolar disorder
4. ADHD
5. Sadness
 Treatments
Pharmacologic Therapies Nonpharmacologic Education
• SSRI •CBT •For Patient
•Psychotheraphy •For Family
• SNRI
•ECT
• TCA
• MAOI
d

• Atypical antidepressant
Prognosis

• Self Limiting Disease

• With Good Treatment, 70-80% patient can
achieve significant symptom reduction
• Study about Psychotic depression (Tohen, d
et al., 2012)
– Achieve Remission (86%)
– But only 35% functional recovery
– In 2 Years, 50% patient have a new
episode