Diabetes and Depression - Valerie Lambert, LCSW

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Information about Diabetes and Depression - Valerie Lambert, LCSW
Health & Medicine

Published on August 18, 2009

Author: utahdiabetes

Source: slideshare.net

Description

Utah Diabetes Telehealth Program --

Wednesday, August 19, 2009
12:00 p.m. - 1:00 p.m. (MDT)

To participate visit http://health.utah.gov/diabetes/telehealth/telehealth.html

Approximately 20% of the U.S. population and 40% of individuals with diabetes are affected by depression. Not only can depression lead to poor health outcomes, but it can also impact productivity and general quality of life.

To explore the issues surrounding depression and diabetes, Valerie Lambert, LCSW will focus on how to recognize the signs and risk factors which may indicate depression and anxiety in patients with diabetes; how to apply strategies to help someone with diabetes manage or decrease depression/anxiety and increase coping skills; and how to recognize when referral for treatment of depression/anxiety would be appropriate.

An Evil Duo!

What Is Diabetes? (Naïve View) Dietary changes Insulin shots ( cure?) Can’t eat sweets A big bother

Dietary changes

Insulin shots ( cure?)

Can’t eat sweets

A big bother

What Is Diabetes? (Naïve, Newly Diagnosed View) May initially minimize effects Gradually begin to grasp implications

May initially minimize effects

Gradually begin to grasp implications

What Is Diabetes? ( Experienced View) Patient With Family History or Other Second - Hand Experience Patient who has been diabetic for some time

Patient With Family History or Other

Second - Hand Experience

Patient who has been diabetic for some time

Why Worry About Depression in Diabetics? Research findings: Diabetes Depression Depression Diabetes

Why Worry? Comorbid diagnoses = greater impact of both diseases Depressed diabetics have earlier, more severe prevalence of physical problems

Comorbid diagnoses = greater impact of both diseases

Depressed diabetics have earlier, more severe prevalence of physical problems

Why Worry? Diabetics report earlier onset than general population Definite link, bidirectional influence No causation found

Diabetics report earlier onset than general population

Definite link, bidirectional influence

No causation found

Depression Populations

What Is Depression, Anyway? Depression is : A physical & emotional illness Very treatable Very common Often missed if other illness is present Depression is not : Feeling sad or discouraged A character defect or weakness Curable through willpower or denial

Depression is :

A physical & emotional illness

Very treatable

Very common

Often missed if other illness is present

Depression is not :

Feeling sad or discouraged

A character defect or weakness

Curable through willpower or denial

What Is Depression, Anyway? DSM-IV criteria Depressed Mood: Sad, anxious or irritable feelings, flat affect Anhedonia: loss of pleasure in most activities Weight/appetite changes : Decreased weight without dieting, increased weight Sleep Disturbance: Insomnia or hypersomnia

DSM-IV criteria

Depressed Mood: Sad, anxious or irritable feelings, flat affect

Anhedonia: loss of pleasure in most activities

Weight/appetite changes : Decreased weight without dieting, increased weight

Sleep Disturbance: Insomnia or hypersomnia

DSM Criteria, continued Fatigue or lack of energy Psychomotor Changes: Agitated or slower than usual Feelings of Worthlessness or Guilt Impaired Concentration : difficulty making decisions… Thoughts of death /suicide

DSM Criteria, continued

Fatigue or lack of energy

Psychomotor Changes: Agitated or slower than usual

Feelings of Worthlessness or Guilt

Impaired Concentration : difficulty making decisions…

Thoughts of death /suicide

Causes of Depression Genetic Biological Environmental

Genetic

Biological

Environmental

Contributing Factors Personality Traits Childhood Trauma Some Illnesses Some Medications

Personality Traits

Childhood Trauma

Some Illnesses

Some Medications

Effects of Depression Decreased Self-Esteem Unmotivated Appearance Poor Hygiene Loss of Strategies

Decreased Self-Esteem

Unmotivated

Appearance

Poor Hygiene

Loss of Strategies

How Can We Help? Brief Self-assessment Inventories Beck Depression Inventory Mayo Clinic Self Assessment PHQ screener* Brief PHQ screener* *also screens for anxiety

Brief Self-assessment Inventories

Beck Depression Inventory

Mayo Clinic Self Assessment

PHQ screener*

Brief PHQ screener*

*also screens for anxiety

How Can We Help ? Assessment Talk with Patient – MOST IMPORTANT

Assessment

Talk with Patient – MOST IMPORTANT

Treatment Medication Stress Management Problem Solving Refer for Counseling Support Group

Medication

Stress Management

Problem Solving

Refer for Counseling

Support Group

References and Citations For information on references and citations please contact: Valerie Lambert, L.C.S.W. (801) 533-5632 [email_address]

For information on references and citations please contact:

Valerie Lambert, L.C.S.W.

(801) 533-5632

[email_address]

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