Three major symptoms of depression?

summary

Depression, also known as depressive disorder, is the main type of mood disorder, which is characterized by significant and lasting depression. Clinically, depression is not commensurate with the situation. Depression can change from melancholy to grief, low self-esteem, depression, even pessimism, suicide attempt or behavior; Even the occurrence of numbness; Some patients had obvious anxiety and motor agitation; Serious person can appear hallucination, delusion and other psychotic symptoms. Each attack lasts for at least 2 weeks, the elderly or even several years. Most of the cases have the tendency of repeated attacks. Most of the attacks can be relieved, and some of them may have residual symptoms or become chronic. Three major symptoms of depression? Let's talk about it

Three major symptoms of depression?

The main performance is significant and lasting emotional depression, depression and pessimism. Light people are unhappy, unhappy, and their interests are declining, while heavy people are depressed, pessimistic, and desperate. The depressive mood of typical patients has the rhythm of morning heavy and night light. On the basis of low mood, patients will have lower self-evaluation, a sense of uselessness, hopelessness, helplessness and worthlessness, often accompanied by self accusation, delusion of guilt and hypochondriac delusion in serious cases, and hallucination in some patients.

The patient's thinking Association speed is slow, the reaction is slow, the thinking is blocked, and he realizes that "the brain is like a rusty machine" and "the brain is like a layer of paste". Clinically, the active speech is reduced, the speech speed is obviously slowed down, the voice is low, and it is difficult to answer. In serious cases, the communication can not be carried out smoothly.

The patient's will activity was significantly inhibited. Clinical manifestations: slow behavior, passive life, lazy, do not want to do things, do not want to contact with people around, often sitting alone, or lying in bed all day, living alone, alienating relatives and friends, avoiding social contact. In severe cases, they even ignore the physiological needs such as eating and drinking and personal hygiene. They are unkempt and slovenly, and even develop into silence, immobility and non eating, which is called "depressive stupor". However, after careful mental examination, the patients still show pain and depression. Patients with anxiety may have symptoms such as restlessness, finger grasping, rubbing hands and feet or pacing up and down.

matters needing attention

Drug therapy is the main treatment for moderate or above depressive episodes. At present, the first-line antidepressants in clinic mainly include selective serotonin reuptake inhibitors (SSRI, which represents fluoxetine, paroxetine, sertraline, fluvoxamine, citalopram and escitalopram), serotonin and norepinephrine reuptake inhibitors (SNRI, which represents venlafaxine and duloxetine) Norepinephrine and specific serotonin antidepressant (Nassa, representative drug mirtazapine) etc. Traditional tricyclic and tetracyclic antidepressants and monoamine oxidase inhibitors are less used because of the large adverse reactions.