Part 2 book “Lippincott’s manual of psychiatric nursing care plans” has contents: Mood disorders and related behaviors, anxiety disorders, somatoform and dissociative disorders, eating disorders, sleep disorders and adjustment disorders, personality disorders, behavioral and problem-based care plans. | S E C T I O N S E V E N Mood Disorders and Related Behaviors M ood can be described as an overall emotional feeling tone. Disturbances in mood can be manifested by a wide range of behaviors, such as suicidal thoughts and behavior, withdrawn behavior, or a profound increase or decrease in the level of psychomotor activity. The care plans in this section address the disorders and behaviors most directly related to mood, but care plans in other sections of the Manual may also be appropriate in the planning of a client’s care (., Care Plan 45: Withdrawn Behavior). 169 C A R E P L A N 2 5 Major Depressive Disorder Depression is an affective state characterized by feelings of sadness, guilt, and low self-esteem. It may be a chronic condition or an acute episode, often related to loss. This loss may or may not be recent and may be observable to others or perceived only by the client, such as disillusionment or loss of a dream. Depression may be seen in grief, the process of a normal response to a loss; premenstrual syndrome (PMS), a complex of symptoms that begins the week prior to menstrual flow; and postpartum depression, which occurs after childbirth and may involve symptoms from mild depressive feelings to acute psychotic behavior. A major depressive episode is characterized by a depressed mood or loss of interest or pleasure in almost all activities for at least 2 weeks, in addition to at least four other depressive symptoms. These include appetite, weight, or sleep changes; a decrease in energy or activity; feelings of guilt or worthlessness; decreased concentration; or suicidal thoughts or activities. A major depressive disorder is diagnosed when one or more of these episodes occur without a history of manic (or hypomanic) episodes. When there is a history of manic episodes, the diagnosis is bipolar disorder (see Care Plan 27: Bipolar Disorder, Manic Episode). The duration and severity of symptoms and .
