Mental Health Diagnosis Concept Map
Pathophysiology Mental Health
Risk Factors
Diagnosis
Altered serotonin, norepinephrine, and dopamine Metabolic syndrome
levels Depression (major Hypertension
Thyroid dysfunction contributing to depression depressive disorder) Obesity
Deficiency in vitamin D affecting brain function Bipolar disorder Vitamin D deficiency
Anxiety disorders
Pharmacology Suicidal ideation
Adjustment disorders Diagnostic Procedures
Antidepressants: Beck Depression Inventory
(BDI) for depression severity
Selective serotonin reuptake inhibitors (SSRIs) Thyroid function tests (TSH, T3,
(e.g., Escitalopram) T4)
Physical Assessment (Signs and Symptoms)
Complications
Depressed mood, sadness Increased risk of cardiovascular
Fatigue, lack of energy diseases
Weight gain (metabolic syndrome-related) Poor quality of life
Suicidal thoughts or ideation Increased risk of suicide and
Difficulty concentrating
Nursing Diagnosis Nursing Interventions
Risk for suicide related to depressive symptoms Conduct suicide risk assessments (using structured tools)
Ineffective coping related to mental health disorder Provide emotional support and active listening
Altered thought processes related to mood disorder Encourage physical activity and healthy lifestyle habits
Imbalanced nutrition related to metabolic syndrome Educate patients about the role of vitamin D, thyroid
Chronic low self-esteem related to persistent depressive function, and metabolic health in mental well-being
symptoms Ensure proper pharmacological treatment adherence
Fatigue related to thyroid dysfunction Refer high-risk patients to mental health specialists
Risk for falls related to muscle weakness from vitamin D Develop crisis intervention plans for suicidal patients
deficiency Advocate for better suicide prevention training in
Reference List
Bojar, I., Raczkiewicz, D., & Sarecka-Hujar, B. (2020). Depression, metabolic syndrome, serum TSH, and vitamin D concentrations in rural and
urban postmenopausal women. Medicina, 56(10), 511. https://doi.org/10.3390/medicina56100511
Chand, S. P., & Arif, H. (2023). Depression. StatPearls. https://www.ncbi.nlm.nih.gov/books/NBK430847/
DrugBank. (2025). Escitalopram (DB01175). DrugBank Online. Retrieved February 14, 2025, from https://go.drugbank.com/drugs/DB01175
Wärdig, R., Engström, A.-S., Carlsson, A., Wärdig, F., & Hultsjö, S. (2022). Saving lives by asking questions: Nurses’ experiences of suicide risk
assessment in telephone counselling in primary health care. Primary Health Care Research & Development, 23(e65), 1–8.
https://doi.org/10.1017/S146342362200055X