Depression and pain 1 Hurting bodies and suffering minds often require the same treatment. 2 Brain pathways. The convergence of depression and pain is reflected in the circuitry... 3 Depression, disability, and pain. Depression contributes greatly to the disability caused by... 4 Treating pain and depression in combination.
The behavioral study and treatment of depression. In M. Hersen, R.M. Eisler & P.M. Miller (Eds), Progress in behavior modification. NY: Academic Press. Long, J.W., & Ryback, J.J., (1995). The Essential Guide to Prescription Drugs 1995. Depression. NY: Perennial.
People in pain who are also depressed become extremely heavy consumers of medical services, even if they have no severe underlying illness. But that doesn't mean they receive better treatment; studies show that they actually use fewer mental health services than other patients with mood disorders.
Part of the Psychology Commons Recommended Citation Allison, Barbara Ann Marie, "Case study of a client diagnosed with major depressive disorder" (2005). Theses and Dissertations. 958.
identify small, achievable goals the pt. can meet; provide support and encouragement; break down tasks into small parts for the severely depressed pt. (ex: rather than encouraging the pt. to get dressed, have pt. focus on putting on a T-shirt); encourage independence
a painful and debilitating illness that affects all areas of one's life; it can take a variety of forms and affect all age groups; people who suffer from depression usually see everything with a more negative attitude - they cannot imagine that any problem/situation can be solved in a positive way; it is more common in women, but may be underdiagnosed in men (who tend to mask emotional disorders with behaviors such as alcohol abuse)
encourage the patient to speak about his/her concerns without judgement; use open-ended questions, such as "Tell me what concerns you today"; avoid blanket reassurance like "you are doing fine"; avoid minimizing the pt's feeling as in "you're lucky you have a job" (these comments may alienate a pt. who is not feeling fine); help a patient who verbalized hopelessness to focus on describing his feelings and concerns; then discuss one concern at a time to prevent it from being overwhelming for the patient; promote a trusting relationship
encourage the pt. to challenge negative thoughts; for example, identify and alternative solution to a problem; or, encourage one example as to why the patient is a good parent
the classic image of a depressed person does not fit all patients; some may have more physical signs (loss of appetite, insomnia, early morning awakening) and NOT display the outward sadness that is usually associated with depression