Process - Physician - Fraser Health Authority

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WHAT CAUSES DEPRESSION?People become depressed for a wide variety of reasons.Research has identified a number of factors associatedwith causing and continuing the depressed state. Thediagram below shows the five major factors: situation;thoughts; emotion; physiology; and action. Each ofthese areas of your life can play a role in the developmentof depression, and depression itself can havean impact on all of them. On the following pages weconsider each of these factors in more detail.ACTION• social withdrawal• reduced activitylevel• poor self-carePHYSIOLOGY• altered sleep• low energy• changes in brainchemistrySITUATION• loss• isolation• conflict• stressEMOTION• discouragement• sadness• despair• numbness• anxietyTHOUGHTS• negative thinkinghabits• harsh self-criticism• unfair & unrealisticSELF-CARE DEPRESSION PROGRAM6 ANTIDEPRESSANT SKILLS WORKBOOK
WHAT CAUSES DEPRESSION?SituationDepression is often triggered by very stressful life situations.If your attempts to cope with these situations byimproving or accepting them have not been successful,you may begin to feel overwhelmed and hopeless. Thenthe risk of a depressive episode increases. Some situationsthat can be associated with depression include:■ Major life events, particularly involving loss. Eventssuch as the death of a loved one, moving, divorce,financial setbacks, or job loss are major disruptionsin one’s life.■ Lack of contact with other people. Social isolationis a significant risk factor for depression.■ Relationship conflict. Times of conflict inpersonal relationships, whether marital or family,are extremely stressful and can contribute to theonset of depression.■ Stress related to your physical health. This isespecially true for health problems that are chronic,cause a lot of pain or disability, and only get partlybetter with treatment. Some physical illnesses ortheir treatments can trigger depression by theireffects on the body. For example, hypothyroidism(a condition in which the thyroid gland secretestoo little thyroid hormone) is often associatedwith fatigue and depression.That doesn’t mean people only get depressed whenthings are going badly. Some people get depressedwhen their life has been going smoothly: depressionjust seems to come out of nowhere! Antidepressantskills like the ones taught in this book are just asuseful for these people.■ Stress related to your job. This can takethe form of employment uncertainty (notknowing whether your job will continue),friction with supervisors and co-workers,or overwork (human beings were neverdesigned to work 16 hours a day,either in an occupation oraround home).SELF-CARE DEPRESSION PROGRAM7 ANTIDEPRESSANT SKILLS WORKBOOK
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SteppedCareLevel 1PSP Mental Health
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Fold back this page before administ
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CBISCOGNITIVE BEHAVIOURAL INTERPERS
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Table of ContentsINTRODUCTION. . .
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IntroductionThe following modules h
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TipsTeachingSelling Strategies• E
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Flow ChartsThis module contains flo
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Patient NeedsTryThe Circle of Depre
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AnxiousSymptomsTryOverwhelmedChaoti
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Assessment ModuleThe Assessment Mod
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5 Energy levela. How would you rate
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15 Phobiasa. Any unrealistic or exc
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21 CAGEHow many drinks might you ha
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DIAGNOSTIC SCREENING WORKSHEET (CON
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Problem List Action PlanACTIVATIONR
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Self-Assessment QuestionnaireName:
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Self-Assessment ProfilePleaser: Hig
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Self-Assessment ProfileOver-Thinker
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Understanding Depression- Frequentl
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Depression: System-Wide CrashDepres
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Activation ModuleThe Activation Mod
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Depression’s Energy BudgetEvery d
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Small GoalsThe concentration, fatig
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Problem SolvingDepression can make
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Chunk the DayStrategies that give p
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Appreciation Exercise“Good for Me
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The Circle of DepressionCognitive-b
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Common Thinking ErrorsThe situation
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THOUGHT CHANGE PROCESS (CONTINUED)T
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Thought StoppingDepression often ma
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Good Guilt / Bad GuiltA world witho
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Setting LimitsMost of us like to be
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Is Anger a Problem for You?Tom arri
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Stress ResponseIntroduction to Rela
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Variation - Box BreathingABDOMINAL
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Body ScanPurpose• Body scan is a
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Stress BustersPurpose• Shorter te
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MindfulnessPurpose• Mindfulness i
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BreathMINDFULNESS MEDITATION (CONTI
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Healthy Habits for SleepingDepressi
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IT’S TRUE: YOU ARE WHAT YOU EAT!
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The Wellness WheelPHYSICALGROWTHSEL
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CBISCognitive Behavioural Interpers
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FLOW CHARTS……………………
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PANIC DISORDER• Anxiety “System
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The Many Faces of AnxietyPanic Diso
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Medical ConsiderationsMost Common M
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Anxiety“System-Wide Explosion”A
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Resources for Self-HelpOnline Resou
Page 99 and 100: GAD: Self-Assessment QuestionnaireN
Page 101 and 102: GAD: Self-Assessment ProfileHard Dr
Page 103 and 104: How Anxiety WorksTHOUGHTSBODYFEELIN
Page 105 and 106: Panic CircleEvent (public speaking)
Page 107 and 108: Your Emotional Thermometer• Imagi
Page 109 and 110: Anxiety EquationAnxiety arises out
Page 111 and 112: 2. When something bad happens, I wo
Page 113 and 114: Coping CardsAnxious people often ma
Page 115 and 116: Problem SolvingAnxiety is strengthe
Page 117 and 118: Example: Kelly begins by making a l
Page 119 and 120: D.E.S.C. ScriptAssertiveness doesn
Page 121 and 122: Application forPsychiatric Medicati
Page 123 and 124: APPENDIX 2: WOMEN’S MENTAL HEALTH
Page 125 and 126: Pharmacotherapy in the Perinatal Pe
Page 131: FAMILY PHYSICIAN GUIDE | ADDRESSING
Page 134 and 135: Olanzapine (Zyprexa)Tablets, wafers
Page 136 and 137: Consortium forOrganizationalMentalH
Page 138 and 139: 3. Gather details on current andpre
Page 140 and 141: Task Two: ADVISE1. Provide meaning
Page 142 and 143: SUPPORTED SELF‐MANAGEMENT FOR DEP
Page 144 and 145: TABLE OF CONTENTSIntroduction 1What
Page 146 and 147: INTRODUCTIONTake a moment now to as
Page 148 and 149: WHAT IS DEPRESSION?The two most com
Page 152 and 153: WHAT CAUSES DEPRESSION?ThoughtsEach
Page 154 and 155: WHAT CAUSES DEPRESSION?EmotionDepre
Page 156 and 157: WHAT CAUSES DEPRESSION?ActionDepres
Page 158 and 159: WHAT CAN YOU DO ABOUT DEPRESSION?MI
Page 160 and 161: MORE ABOUT MEDICATIONMedication is
Page 162 and 163: ANTIDEPRESSANT SKILLSIn this sectio
Page 164 and 165: REACTIVATING YOUR LIFEStep 1: Ident
Page 166 and 167: REACTIVATING YOUR LIFESmall DutiesE
Page 168 and 169: REACTIVATING YOUR LIFEStep 2: Choos
Page 170 and 171: REACTIVATING YOUR LIFEStep 3: Set r
Page 172 and 173: REACTIVATING YOUR LIFEStep 4: Carry
Page 174 and 175: THINKING REALISTICALLYNegatively di
Page 176 and 177: THINKING REALISTICALLYStep 1: Learn
Page 182 and 183: THINKING REALISTICALLYStep 4: Pract
Page 184 and 185: SOLVING PROBLEMS EFFECTIVELYStep 1:
Page 194 and 195: REDUCING THE RISK OF RELAPSEPlan ah
Page 196 and 197: Congratulations! You have now made
Page 198 and 199: SUGGESTED READINGON DEPRESSION AND
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DIETThe Canada Food GuideGuidelines
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SLEEPStress, anxiety, and depressio
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CAFFEINECaffeine stimulates the sym
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CHALLENGING DEPRESSIVE THOUGHTSSitu
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PROBLEM SOLVINGACTION ADVANTAGES DI
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AnxietyDementiaDementiaBipolar155
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Practice Support ProgramGeneralized
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Montreal Cognitive Assessment(MoCA)
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Serial 7s: Administration: The exam
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Appendix CNAME OF PATIENTStandardiz
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Item 11Scoring WORLD backwards (ins
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Appendix CStandardized Mini Mental
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SCORING THE MOOD DISORDERQUESTIONNA
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FORM 4MENTAL HEALTH ACT[ Sections 2
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CommunityMHSU ReferralFormBounceBac
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REFERRAL FORMMental Health and Subs
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MENTAL HEALTH AFTER HOURSPLEASE LEA
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DOCUMENTATION REQUIRED UPON REFERRA
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Adult Eating Disorders ProgramRefer
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Medical History:Medical causes of l
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Who Are We?This is a specialized pr
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Fraser South Eating Disorders Progr
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Fraser South Eating Disorders Progr
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Fraser East:This program is part of
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Fact SheetPanic Disorder GroupDoes
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Fact SheetGeneralized Anxiety Group
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4 th Floor Sherbrooke Centre Tel (6
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Early Psychosis Intervention Progra
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*Additional Resources*For Informati
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Mental Healthand Addiction… suppo
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Fraser Health Mental Healthand Addi
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ADDICTION SERVICESAddiction Service
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ADDICTION SERVICESYouth Addictions
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ADDICTION SERVICES6. Long-term Resi
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MENTAL HEALTH SERVICESMental Health
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MENTAL HEALTH SERVICESDelta Mental
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MENTAL HEALTH SERVICES4. Community
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MENTAL HEALTH SERVICESMinistry of E
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MENTAL HEALTH SERVICES7. Residentia
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Mental Health & AddictionsHEALTHY L
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Client name: ______________________
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Client name: ______________________
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Taking Wellness to Heart! Metabolic
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Mental Health and Substance Use Rev
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Collaborative Care Process Map-Epis
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Fax the Special Authority Request t
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o o o o o o o • • • o o o o o
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Process - Physician - Fraser Health Authority

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