What Is Easy Depressive Episode
Published on Tuesday, August 16th, 2011 at 8:10 pm and is filed under Mental Disorders
Symptoms of Easy depressive episode
In the clinical picture there is: decreased ability to concentrate and to be attentive, reduced self-esteem and self-confidence, ideas of guilt and self-deprecation, a gloomy and pessimistic attitude to the future, suicidal ideation and self-harm, sleep disorders, loss of appetite. These are common symptoms of a depressive episode that should be combined with a level of depressive mood, which is perceived by the patient as abnormal, and the mood is not episodic, but it covers most of the day and does not depend on the reactive moments. The patient experiences a clear reduction of energy and fatigue, although it can monitor his condition and often continues to work. Behavioral (facial, communication, postural and gestural) bad mood symptoms may be present, but are controlled by the patient. In particular, we see a sad smile, motor retardation, which is perceived as a “muse.”
Sometimes the complaints are the first loss of the meaning of existence, “existential depression.” Usually the diagnosis is noted whether depression occurs without physical symptoms or somatic symptoms.
Diagnosis of Eady depressive episode
1. In the diagnosis should be at least two of the three following symptoms:
- Depressed mood;
- Reduced interest or pleasure from activities that were previously enjoyable fot the patient;
- Decreased energy and fatigue.
2. Two of the additional symptoms:
- Decrease in confidence and self-esteem;
- Unwarranted sense of self-condemnation and guilt;
- Recurrent thoughts of death or suicide;
- Complaints of decreased concentration, indecisiveness;
- Sleep disturbance;
- Changes in appetite.
The most commonly easy depressive episode is easy to differentiate from asthenic condition resulting from overwork, organic, asthenia, asthenic decompensation of personality traits. In fatigue are not characteristic suicidal thoughts and depressed mood and fatigue is worse in the evening. In an organic fatigue often occur dizziness, muscle weakness, fatigue on exertion.
Treatment of Easy depressive episode
The treatment uses benzodiazepines, antidepressants such as: fluoxetine, pirazidol, petilil, gerfonal at an alarming component – Zoloft, lerivon, mianserin. There are prescribed courses of phototherapy, psychotherapy and nootropics. Sometimes the effect is given after 2-3 sessions of nitrous oxide, amytal inhibition of caffeine and intravenous novocaine.