1 : In a world full of problems, good solution is to laugh.

That’s why
handog namin ang show that will give everybody a hint on how to
solve their problems. Hi Philippines! Hello ngoy! This is PROBLEM-
HEALERS show.
Every week, we will solved different problems for every people. I’m
Jesamae Uy, who is with u always and, my beautiful, cutilicious partner
Stephannie Madrio.

2 : Aside from us, our beloved specialist will also be here to watch and
help us find the solution of the problem for every week. And they are,
the BOGS TA TALATALATA BOGS TALALA advisers^_^.

1 : And, the advisers that will help us for this week are the respectable
specialist, “Madam Nheriza Garcia” and “ Sir Ahmad Sarip”. Sir,
Madam, welcome to problem-healers. Now, Are you ready to know our
problem for today?

2: Game naba kayong sumakay?

1: If you are, then, Well, just relax and fasten your seatbelt, coz
PROBLEM-HEALERS is now ready to guide you. This is their show,

2: this is their time,

1 & 2: its ShowTime!!

1: Let’s watch this.

“As an outline, today, we will going to learn about depression or
depressive disorders particularly its
>definition
>symptoms, the common or other symptoms
>categories with its symptoms
>etiology
> the psychotherapeutic management which include the Nurse-Pt
relationship and the Milieu Management of this disorder
>Prognosis

1: Before we will approach or ask advises to our respectable specialist

for today, let’s know first what is this depression means, its symptoms,
its categories, and of course its etiology.
2: Yeah! So, let’s go first with its definition. Everyone experiences
variations in mood, blues that come and go, disappointments, the
normal grief that accompanies the loss of someone you love. But a
severe or prolonged depression that interferes with the ability to
function, feel pleasure, or maintain interest is not a mere case of the
blues, right partner?

1: Absolutely! Well, It is an illness. Depression or depressive disorder

is an illness that involves the body, mood and thoughts. It affects the
way a person eats and sleeps, the way you feel about yourself, and the
way you think about things. A depressive disorder is not a sign of
personal weakness or a condition that can be willed or wished away.
People with a depressive illness cannot merely "pull themselves
together" and get better.Without treatment, symptoms can last for
weeks, months, or years.
2 : Mia’s symptoms are just the common one. Other symptoms include
fatigue, thoughts of death, decreased libido, psychomotor agitation.,

3: Oopz, what do you mean by psychomotor agitation partner?

2: well, psychomotor agitation is a kind of restlessness or muscular

activity associated with mental tension. Example of that are pacing,
tapping fingers or feet, abruptly starting and stopping tasks,
meaninglessly moving objects around, and more.
2 : not just that, we also have Private verbal berating of self or scolding
angrily yourself in private. Maybe they’ll do it in the mirror or anywhere
where no one can see or hear them. Another are Spontaneous crying
without apparent cause,Dependency and Passiveness.

1 : You know what partner, this depressive disorder was divided into 3
categories.

2: Ooh really? Hmmn, I didn’t know that at first.

1: Now, you will know.. The categories of depressive disorder are MDD
(Major Depressive Disorder), Dysthymic Disorder and lastly Depressive
disorder not otherwise specified.

1: Now, what is the difference between these categories?

Well, when I say MDD..it is a disorder where the maladaptive
functioning is at least 2 weeks period that is a clear change from
previous levels of functioning. So, in that 2 weeks, a person
experiences atleast 5 of this symptoms.

2: what are those symptoms of MDD partner?

1: You really can’t wait partner. Here it is, LET’S WATCH THIS. 
2: you think that’s it? Hmmn.. MDD also categorizes itself into 5.
It can MDD for that occurs in younger populations called atypical
depression. For elderly persons and may be misdiagnosed as dementia
called melancholic depression. Post-partum depression that occurs in
the first 30 days after giving birth. Psychotic Depression that is a
person has delusions and hallucinations in conjunction with the mood
disturbance and the last one is the seasonal change most often
beginning in fall or winter and remitting in spring.
• So now partner, where do you belong from those 5 categories?
(Lough)

1: gosh partner…. What do you think of me? Thinking of you?

Ahahahha….
2: haha… no partner. Im just kidding…

1: Now… lets find out what are those predisposing factors to children
and adolescences with MDD… hmmmm… partner, can you give some
of those predisposing factors?

2: yes of course partner! Those are the loss of parents through

divorce, separation or death…

1: yes partner.. even me, if I am on that situation. Gosh! I don’t know

what to do…(lough)

2: haha.. okey.. 2nd partner..

1: go on partner…

2: offering general leads partner? Ahahaha….

1: communication technique partner… ehehe…. So much for that..

gooooo…

2: ok.. 2nd is death of other person close to child such as siblings.

Grandparents, relatives or friends.

1: talking about death again… what else?

2: death of pet partner…

1: pet? Sure partner…?

2: yes… remember,,, were talking also about children,

1: ohh.. yah I forgot…

2: another, move to another neighborhood or town.

1: yes! How about you partner, have you experience that? How does
it feel?

2: yes partner, its feeling lonely, depress of course….

1: ohh.. how sad.. but now im sure you recovered all those feelings…
right?

2: gotcha! Heheheh….

1: now, I will add some more predisposing factors partner..

2: ok its your turn,,,

1: academic problems or failure…

2: partner! I so much agree with that… you know what my biggest fear
in life is failure.. Specially in academic. Gosh! Can’t handle it…

1:: relax partner! Just trust yourself, I know your intelligent.. you can
handle it..

2: go on partner…

1: last one partner, physical illness or injury that might require

hospitalization and or prolonged treatment.

2: hmmm… so we should be careful partner..

1: yah……. We should!

1: now, we are about to talk dysthymic disorder. First we should know

what is the meaning of this disorder.

2: let me be the one to define that partner…

1: no problem partner…
2: dysthymic disorder Is diagnosed when a person has a depressed
mood for at least 2 years and when 3 other criteria for depression are
met.

1: 2 years? It too long partner… me, if im depress it takes 1-2 days

only… ahaha…..

2: me too partner…. Hmmmmm

1: we have prepared a video for an example of dysthymic disorder,,,

LET’S WATCH THIS.. 

1: what can you say about the video partner?

2: it’s a love story… the girl was so obsessed with her partner…
hmmmmm…

1: so maybe now there are few guys are true or loyal to his gf,…
hmmmm…

2: who are they??

1: let’s not talk about that…. Let’s just continue about dysthymic
disorder.

2: ok partner, anyways there are objectives signs Of DD. Those are

alteration of activity.

1: if we say alteration of activity it is a psychomotor retardation or

agitation.

2: altered social interactions. Means that withdrawn and often seek

social isolation over social interaction with others.

1: if we have Objective signs, there are also subjective symptoms.

2: yes! The subjective symptoms of DD are alteration of affect means

subjective feelings that cause unbearable pain and anguish such as:
• Anger
• Anxiety- a companion of depression
• Apathy- continually present in depressed persons because the
moment the pain becomes too great, they shunt down and become
apathetic.
• Bitterness
• Dejection – lowness of spirits
• Denial of feelings
• Despondency – the state of feeling or showing discouragement,
dejection, or depression(desperate)
• Guilt

1: also:
• Hopelessness- feeling incapable of solution, management or
accomplishment
• Helplessness- the state that of feeling that one lacks protection
or support
• Uselessness
• Loneliness- being without company
• Low self-esteem- overall effective sense
• Sadness- affected with or expressive of grief or unhappiness
• Sense of worthlessness- a feeling of total devaluation

2: next subjective symptoms are the alteration of cognition. This

includes:
• Ambivalence and indecision
• Inability to concentrate
• Confusion
• Loss of interest and motivation
• Pessimism
• Self- blame
• Self- depreciation
• Self – destructive thoughts
• Thoughts of death and dying
• Uncertainty

3. And the last one is the alterations of a physical nature. This includes:
• Abdominal pain
• Anorexia
• Chest pain
• Constipation
• Dizziness
• Fatigue
• Headache
• Indigestion
• Insomnia
• Menstrual changes
• Nausea and vomiting
• Sexual dysfunction