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Does anyone know of links, (previous cases) where the vet is connected for Major Depressive Disorder and linked to hypertension, back and neck problems or something like that?

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Hello Billy boy...

here is a link...


Go to this section K for the chart...but the whole manual is helpful for anyone with MDD it list many other conditions secondary to MDD that the VA reconizes..hope this link helps


K. Do Medical Conditions Contribute to Symptoms?


To identify patients who may be experiencing depressed symptoms as a result of an underlying medical



Table 2 includes many of the pathobiologies associated with depression. Simultaneous treatment is often

required for both the medical problem and psychiatric symptoms. Additionally, there is often a strong

association between the level of disability from the medical condition and the depressive symptom requiring


A useful mnemonic for remembering these is [TIC]2p2m2d3. The mnemonic stands for:

· Trauma

· Tumor

· Infection - immune and autoimmune

· Cardiac/vascular

· Congenital/heriditary

· Physiologic - seizure

· Metabolic malignancy

· Degenerative

· Drug toxicity

· Demyelinating.

VHA/DoD Clinical Practice Guideline for the Management of Major Depressive Disorder in Adults

Module A-Primary Care Setting-Annotations Page 14

Patients with chronic pain may also have associated mood disturbance. This may be encountered among

individuals suffering conditions such as Chronic Obstructive Pulmonary Disease (COPD), or Asthma, or more

commonly, bone pain with cancer.

Table 2. Pathobiologies Related to Depression

Pathology Disease

Cardio/vascular Coronary artery disease

Congestive heart failure

Uncontrolled hypertension



Vascular Dementias

Chronic Pain Syndrome Fibromyalgia,

Reflex sympathetic dystrophy,

Low back pain (LBP),

Chronic pelvic pain

Bone or disease related pain

Degenerative Presbyopia


Alzheimer’s disease

Parkinson’s disease

Huntington’s disease

Other Neurodegenerative diseases

Immune HIV (both primary and infection-related)

Multiple Sclerosis

Systemic Lupus Erythematosis (SLE)


Infection Systemic Inflammatory Response Syndrome (SIRS)


Metabolic/Endocrine Conditions

(include renal and pulmonary)

Malnutrition, Vitamin deficiencies


Addison’s Disease

Diabetes Mellitus

Hepatic disease (cirrhosis)

Electrolyte disturbances

Acid-base disturbances

Chronic Obstructive Pulmonary Disease (COPD) or



Neoplasm Of any kind, especially pancreatic or central nervous

system (CNS)

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  • HadIt.com Elder

Thank you MT that was a nice up.

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dadburnit, I wish I had this info b4 my DRO Hearing, but will save it in my ammo locker.

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