Mental Health Diagnosis Concept Map
Pathophysiology Risk Factors
Mental Health
Imbalance of neurotransmitters (serotonin, Diagnosis Family history of depression
norepinephrine, dopamine) (Galvao et al., 2021) Chronic stress or trauma
Genetic factors and Environmental stressors Medical conditions (e.g.,
Chronic medical conditions (e.g., HTN, stroke) hypothyroidism, chronic pain)
Major Depressive
Disorder (MDD)
Pharmacology
Diagnostic Procedures
Antidepressants (e.g., SSRIs, SNRIs, TCAs) Clinical interview and mental status exam
Adjunct medications (e.g., anxiolytics, mood PHQ-9 or other depression screening tools
stabilizers) (Sanches et al., 2021) Laboratory tests (to rule out medical
causes)
Psychological assessment
Physical Assessment (Signs and Symptoms)
Depressed mood
Anhedonia (Sawchuk, 2022)
Changes in sleep, appetite, energy
Complications
Feelings of worthlessness or guilt
Suicidal ideation/attempts, self-harm
Difficulty concentrating
Substance abuse, impaired function
Recurrent thoughts of death or suicide
Physical health problems (Sawchuk,
2022).
Nursing Diagnosis
Impaired Mood: Client exhibits persistent feelings of Nursing Interventions
sadness, hopelessness, and low self-worth.
Hopelessness: Client expresses a negative outlook on the Establish therapeutic relationship
future and a belief that their situation will not improve. Provide emotional support and validation
Ineffective Coping: Client has difficulty utilizing healthy Educate on depression and treatment options
strategies to manage their depression and associated stressors Monitor for suicidal ideation (Wagner, 2024).
(Wagner, 2024).
Encourage participation in therapy
Promote healthy lifestyle changes
Social Isolation: Client withdraws from social interactions
and support networks due to their depressive symptoms.
Reference List
Galvao, A. C. de M., Almeida, R. N., de Sousa, G. M., Leocadio-Miguel, M. A., Palhano-Fontes, F., de Araujo, D. B., Lobão-Soares, B., Maia-de-
Oliveira, J. P., Nunes, E. A., Hallak, J. E., Schuch, F. B., Sarris, J., & Galvão-Coelho, N. L. (2021). Pathophysiology of major depression by
clinical stages. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.641779
Sanches, M., Quevedo, J., & Soares, J. C. (2021). New agents and perspectives in the pharmacological treatment of major depressive disorder.
Progress in Neuro-Psychopharmacology and Biological Psychiatry, 106, 110157. https://doi.org/10.1016/j.pnpbp.2020.110157
Sawchuk, C. (2022, October 14). Depression (major depressive disorder). Mayo Clinic.
https://www.mayoclinic.org/diseases-conditions/depression/symptoms-causes/syc-20356007
Wagner, M. (2024, September 22). Major depression: Nursing diagnoses & care plans. NurseTogether. https://www.nursetogether.com/major-
depression-nursing-diagnosis-care-plan/