diabetes and depression - valerie lambert, lcsw
DESCRIPTION
Utah Diabetes Telehealth Program -- Wednesday, August 19, 200912:00 p.m. - 1:00 p.m. (MDT)To participate visit http://health.utah.gov/diabetes/telehealth/telehealth.htmlApproximately 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.TRANSCRIPT
An Evil Duo!
What Is Diabetes? (Naïve View)
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
What Is Diabetes? (Experienced View)
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
Why Worry?
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 illnessVery treatableVery commonOften missed if other
illness is present
Depression is not:Feeling sad or
discouragedA character defect or
weaknessCurable through
willpower or denial
What Is Depression, Anyway?DSM-IV criteriaDepressed Mood: Sad, anxious or irritable
feelings, flat affect
Anhedonia: loss of pleasure in most activitiesWeight/appetite changes : Decreased weight
without dieting, increased weight Sleep Disturbance: Insomnia or hypersomnia
DSM Criteria, continued Fatigue or lack of energyPsychomotor Changes: Agitated or slower
than usualFeelings of Worthlessness or GuiltImpaired Concentration : difficulty making
decisions… Thoughts of death /suicide
Causes of DepressionGenetic
Biological
Environmental
Contributing Factors Personality Traits Childhood Trauma Some Illnesses Some Medications
Effects of DepressionDecreased Self-EsteemUnmotivatedAppearancePoor HygieneLoss 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
How Can We Help ?
Assessment
Talk with Patient – MOST IMPORTANT
Treatment 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