MEDICAL CONDITIONS THAT OFTEN REQUIRE SPECIAL ATTENTION

1
MEDICAL CONDITIONS THAT OFTEN REQUIRE SPECIAL
ATTENTION

• Cardiac conditions Depression secondary to
  hospitalization, medical procedures Loss both
  perceived and real Life style changes and
  anxiety.
• Spinal cord injury and understanding stages of
  recovery (denial, anger, grief, loss, depression,
  accommodation and positive anger)

2

• Diabetes Life style changes and anger, loss of
  functioning, sexuality issues, compliance issues,
  adolescents and self harm
• Dialysis clients (hemo. and peri.) Dependency
  issues with care givers, insurance and
  technology, Passivity, OBS and dementia, bipolar
  spectrum, medication issues

3

• Cancer Confusion, paranoia, depression, suicide,
  awareness and honesty
• Transplant recipients Identity confusion,
  obsession with donor, depression (medications and
  surgery), hopefulness/despair, post transplant
  letdown, continued restrictions, familial
  response sets

4
ILLNESS THAT CAN CONTRIBUTE TO MANIA

• Brain tumor
• Syphilis
• Delirium
• Encephalitis
• Metabolic changes
• MS

5
DRUGS THAT CAN CONTRIBUTE TO MANIA

• Stimulants
• Steroids
• Antidepressants
• Cocaine
• Psychostimulants

6
COMMOM DISORDERS THAT MANY CONTRIBUTE TO ANXIETY

• Adrenal tumor
• Alcoholism
• Angina Pectoris
• Cardiac arrhythmia
• Coronary insufficiency
• Hypoglycemia
• Hyperthyroidism
• Menieres disease
• Post-concussive syndrome (injury)

7
DRUGS THAT MAY CONTIBUTE TO ANXIETY

• Psychostimulants
• Appetite suppressant
• Asthma meds
• Caffeine
• Cocaine
• Nasal decongestants
• Energy drinks
• Steroids

8
ILLNESS WHICH MAY CONTRIBUTE TO DEPRESSION

• Certain medical d/o's can produce biochemical
  changes that effect central neurotransmitters
  which can trigger a latent depressive disorder.
• Addisons disease chronic adrenal insufficiency
  resulting in low production of adrenal hormones
• Hyperkalema high potassium levels

9

• AIDS
• Anemia
• Apnea
• Chronic infection (TB, Mononucleosis)
• Chronic pain
• Cushings Disease Endocrine disorder caused by
  high levels of cortisol. Tumor in pituitary gland
• Diabetes

10

• Hypothyroidism 5-10 of all depressions
• Infectious Hepatitis
• Cancer
• Malnutrition
• Lupus
• Colitis
• Uremia
• Menopause
• Post partum hormonal change

11
DRUGS WHICH CAN CONTRIBUTE TO DEPRESSION

• Antihypertensives Reserpine, Inderal, Catapres,
  Aldomet
• Corticosteroids and other hormones Cortisone,
  Progesterone, Estrogen
• Antiparkinson medications Sinemet, Symmetrel,
  Levodopa
• Antianxiety medications Valium, Serax, Librium,
  Ativan, Centrex, Xanax (often anxiety proceeds
  depression agitated depression and antianxiety
  meds are given without good work up)
• Alcohol