Grief

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Prep4USMLE Forum » USMLE Step 2 CK Forum » Psychiatry & Ethics

Grief

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4 Posts

tongsaa
Forum Junior

Topics: 15
Posts: 52

07/25/07 - 06:16 PM

can anyone tell me how to diff grief response from major depressive d/o in a patient who had lost family member recently. Thanks

DrVirgo
Forum Hero
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Topics: 1042
Posts: 3,344

07/26/07 - 06:35 AM

Less than one year: normal grief
More than one year: depression

Grief: symptoms come and go
returns to baseline within a couple months
Treatment: supportive, meds don't help but therapy can.

Depression:
pervasive and unremitting
MAY threaten SUICIDE
Do NOT return to baseline
Treatment: Antidepressants.

Grief is normal. Depression is pathological.

___________________
Our greatest glory is not in never falling, but in rising every time we fall.

tongsaa
Forum Junior

Topics: 15
Posts: 52

07/28/07 - 08:26 PM

thanks...

gr8doc
Forum Senior

Topics: 8
Posts: 210

08/07/07 - 06:35 PM

Suicidal ideation, weight loss, Anhedonia, Guilt (SWAG) is seen in Depression.

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