Dr. Roxanne Dryden-Edwards is an adult, child, and adolescent psychiatrist. She is a former Chair of the Committee on Developmental Disabilities for the American Psychiatric Association, Assistant Professor of Psychiatry at Johns Hopkins Hospital in Baltimore, Maryland, and Medical Director of the National Center for Children and Families in Bethesda, Maryland.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
A depressive disorder is a syndrome (group of symptoms) that reflects a
sad, blue mood exceeding normal sadness or grief.
Depressive disorders are characterized not only by
negative thoughts, moods, and behaviors but also by specific changes in
bodily functions (for example, eating,
sleeping, and sexual activity).
One in 10 people will have a depressive disorder in their lifetime, and in
one of 10 cases, the depression is a fatal disease as a result of suicide.
Some types of depression, especially
bipolar depression, run in families.
While there are many social, psychological, and environmental risk factors for developing depression, some are particularly prevalent in one gender or the other, or in particular age or ethnic groups.
There can be some differences in symptoms of depression depending on age, gender, and ethnicity.
Depression is diagnosed only clinically in that there is no laboratory
test or X-ray for depression. Therefore, it is crucial to see a health
professional as soon as you notice symptoms of depression in yourself, your
friends, or family.
The first step in getting appropriate treatment is a complete physical and
psychological evaluation to determine whether the person, in fact, has a
Depression is not a weakness but a serious illness with biological,
psychological, and social aspects to its cause, symptoms, and treatment. A
person cannot will it away. Untreated, it will worsen. Undertreated, it will
There are many safe and effective medications, particularly the SSRIs,
that can be of great help in depression.
For full recovery from a mood disorder, regardless of whether there is a
precipitating factor or it seems to come out of the blue, treatments with
medications and/or electroconvulsive therapy (ECT) and psychotherapy are
In the future, through depression research and education, we will continue to improve our treatments, decrease society's burden, and hopefully improve prevention of this illness.
Reviewed by William C. Shiel Jr., MD, FACP, FACR on 5/15/2012
ICU psychosis is a disorder in which patients in an intensive care unit (ICU)
or a similar setting experience a cluster of serious psychiatric symptoms.
Another term that may be used interchangeably for ICU ps"...