Tuesday, June 18, 2024

What Is The Worst Type Of Depression

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Both ICD10 and DSMIV classify clinically important depressive episodes as mild, moderate and severe based on the number, type and severity of symptoms present and degree of functional impairment. shows the number of symptoms required by each diagnostic system, which are less specific than DSMIV. The prescriptive symptom counting approach of ICD10 tends to lend itself to using symptom counting alone to determine severity.

Number of symptoms required in ICD10 and DSMIV for a diagnosis of depressive episode/major depression .

As ICD10 requires only four symptoms for a diagnosis of a mild depressive episode, it can identify more people as having a depressive episode compared with a DSMIV major depressive episode. One study in primary care in Europe identified two to three times more people as depressed using ICD10 criteria compared with DSMIV . However another study in Australia found similar rates using the two criteria but slightly different populations were identified , which appears to be related to the need for only one of two core symptoms for DSMIV but two out of three for ICD10. These studies emphasise that, although similar, the two systems are not identical and that this is particularly apparent at the threshold taken to indicate clinical importance.

Types Of Depression: What Are The Different Kinds Of Depression

Depression is a serious health problem. It can happen to anyone, of any age or race. People are sometimes ashamed to talk about their feelings or they dont know how to tell what depression is. Depression has many different types some of the most common ones include major depressive disorder , dysthymia, postpartum depression , and seasonal affective disorder . This article will talk about different types of depression. Tell people it is okay if you feel sad, and then they can help you.


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  • Signs And Symptoms Of Depression

    Although there are many types of depression, there are certain symptoms that are common across depressive disorders. These symptoms provide the foundation for depression self-evaluations and diagnostic processes used by mental health professionals.

    For example, the PHQ-9 often asks questions such as How often have you been bothered by feeling tired or having little energy? and How often have you caught yourself speaking or moving slower than usual? to assess fatigue, which is a hallmark symptom of depression. The more severe the depression, the more frequently these symptoms tend to occur.

    You may have depression if you have experienced at least some of the following symptoms nearly every day for at least two weeks:

    • Feelings of sadness, anxiety, or emptiness
    • Feelings of hopelessness
    • Difficulty concentrating or making decisions
    • Loss of interest in activities and hobbies
    • Suicidal thoughts or actions

    If you experience suicidal thoughts, you are not alone. Call the National Suicide Prevention Lifeline at 273-8255 to speak with a trained counselor and find help near you.

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    Mild Depression And Moderate Depression

    Mild depression and moderate depression tend to cause symptoms that are similar to severe depression, except these are less extreme.

    This doesnt mean that these types of depression are insignificant. Mild and moderate depression can still affect you on a daily basis, although youre more likely to experience small improvements in your symptoms from day-to-day.

    How Is Masked Depression Different From Depression

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    The terminology masked depression was largely used in the 1970s and 1980s to describe patients who complained of somatic symptoms, without any identifiable organic disorder.

    However, the Diagnostic and Statistical Manual of Mental Disorders 5th edition do not categorize masked depression as a mental disorder. The International Classification of Diseases 10th Revision only briefly mentions single episodes of masked depression not otherwise specified under the category of other depressive episodes.

    Several terms like atypical depression, depression equivalent, vegetative equivalent, depression without depression, and hidden depression can be used to describe masked depression. Masked depression is critical for practitioners to identify because of the predominance of somatic symptoms over cognitive and affective symptoms.

    When a person is suffering from depression, he/she has affective symptoms like feelings of hopelessness, worthlessness, helplessness, low mood, anhedonia, lack of motivation cognitive symptoms like difficulty concentrating, slow processing of information, difficulty in decision making, suicidal ideation. But these symptoms are not visible in masked depression as concretely as in MDD.

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    Depression Types Unique To Women

    Although women are at higher risk for general depression, they are also at risk for two different depression types that are influenced by reproductive hormonesperinatal depression and premenstrual dysphoric disorder .

  • Perinatal depression. This type of depression includes major and minor depressive episodes that occur during pregnancy or in the first 12 months after delivery . Perinatal depression affects up to one in seven women who give birth and can have devastating effects on the women, their infants, and their families. Treatment includes counseling and medication.
  • PMDD. This type of depression is a severe form of premenstrual syndrome, or PMS. Symptoms of PMDD usually begin shortly after ovulation and end once menstruation starts. Selective serotonin reuptake inhibitors , such as fluoxetine and sertraline , may reduce symptoms.
  • Here Is What They Had To Say:

    1. Wanting to say whats on your mind, but you cant even explain it.2 So you just cry because you dont even know what youre feeling. Brenda A.

    2. The exhaustion. Not only physically, but also mentally. Mentally exhausted from having to apologize for who you are. Mentally exhausted from trying to convince yourself you deserve to be here, be alive. Physically and mentally exhausted from living. Im tired, so tired. Abbie K.3. The black hole I feel in the core of my being. It sucks in life, motivation, concentration, etc. To use another metaphor: its drowning in the

    3. The black hole I feel in the core of my being. It sucks in life, motivation, concentration, etc. To use another metaphor: its drowning in the the ocean in the middle of a tempest. Mark M.

    4. Literally not showering for months. Not changing your clothes for weeks. Not combing your hair for days. Not brushing your teeth for weeks. With depression, hygiene goes out the window. Zoe S.

    5. When Im having an episode but Im not so far gone and part of my rational mind is still present telling me theres no reason to feel the way I do, yet the dark part of my mind still wont release its grip. So Im crying and feeling like Im unloved and worthless yet part of me is still conscious enough to know its a lie, but Im just not strong enough to take back control. Its the most confusing time. Steve H

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    Postpartum Depression: Sadness After Having A Baby

    A whopping 85 percent of new moms feel some sadness after their baby is born but for up to 16 percent of women, that sadness is serious enough to be diagnosable as a type of depression.

    Postpartum depression is characterized by feelings of extreme sadness, anxiety, fatigue, loneliness, hopelessness, suicidal thoughts, fears about hurting the baby, and feelings of disconnect from the child. This depression type can occur anywhere from weeks to months after childbirth, and Halaris says that it almost always develops within a year after a woman has given birth.

    “It needs prompt and experienced medical care,” he says and that may include a combination of talk and drug therapy.

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    Symptoms of depression can occur along a spectrum both in duration and severity. Mild depression can occur during periods of stress but resolve with time and may not require any specific treatment. Moderate to severe depression causes chronic symptoms and usually requires at least one form of treatment, if not multiple treatments.

    Generally speaking, severe depression requires some type of treatment to find some relief. Additionally, depression severity can change over time, growing increasingly worse or alternating between mild and severe during the same depressive episode.

    If someone has severe depression, they may self-harm, have suicidal thoughts, or be at risk for attempting suicide. If you are severely depressed, help is available to help you manage your symptoms and ensure your safety and well-being.

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    Antenatal And Postnatal Depression

    Women are at an increased risk of depression during pregnancy and in the year following childbirth . This time frame may also be referred to as the perinatal period.

    The causes of depression at this time can be complex and are often the result of a combination of factors. In the days immediately following birth, many women experience the baby blues, which is a common condition related to hormonal changes, affecting up to 80 per cent of women who have given birth.

    The baby blues, or the general stress of adjusting to pregnancy or a new baby, are common experiences, but are different from depression.

    Depression is longer lasting and can affect not only the mother, but her relationship with her baby, the childs development, the mothers relationship with her partner and with other members of the family.

    Up to one in 10 women will experience depression during pregnancy. This increases to 16 per cent in the first three months after having a baby.

    Track Triggers And Symptoms

    Keeping track of moods and symptoms might help a person understand what triggers a depressive episode. Spotting the signs of depression early on may help them avoid a full-blown depressive episode.

    Use a diary to log important events, changes to daily routines, and moods. Rate moods on a scale of 1 to 10 to help identify which events or activities cause specific responses. See a doctor if symptoms persist for 14 days or more.

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    Personal Factors That Can Lead To Depression

    Personal factors that can lead to a risk of depression include:

    • family history depression can run in families and some people will be at an increased genetic risk. However, this doesnt mean that a person will automatically experience depression if a parent or close relative has had the condition.
    • personality some people may be more at risk because of their personality, particularly if they tend to worry a lot, have low self-esteem, are perfectionists, are sensitive to personal criticism, or are self-critical and negative
    • serious medical conditions these can trigger depression in two ways. Serious conditions can bring about depression directly or can contribute to depression through the associated stress and worry, especially if it involves long-term management of a condition or chronic pain
    • drug and alcohol use can both lead to and result from depression. Many people with depression also have drug and alcohol problems.

    Your Mood Gets Worse At Certain Times Of Day

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    Changes in how you experience symptoms might also suggest worsening depression.

    Your symptoms may have previously remained mostly stable throughout the day.

    Now, you notice they intensify in the morning or evening. Or perhaps they feel much worse on some days instead of remaining fairly consistent from day to day.

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    You Spend More Time Alone

    With depression, you might find it challenging to enjoy the company of others for a number of reasons.

    You may not feel up to socializing simply because you have less energy. Emotional numbness can make the social interactions you usually enjoy seem pointless.

    Feelings of guilt, irritability, or worthlessness can also complicate your mood and make avoidance seem like the safer option.

    Theres nothing wrong with spending time alone when you enjoy it. An increasing sense of loneliness, on the other hand, can make your mood even worse. You might begin to feel as if no one understands or cares about your experience.

    Helping Someone With Depression

    When you see a family member or friend experiencing an episode of depression, its normal to want to reach out and lend a hand. But when it comes to depression, what you can do to help isnt always clear.

    Loved ones of a person with depression may remain silent, fearful of making the situation worse or alienating the person they care about. And while more people are becoming aware of depression and its effects, stigma tied to the condition persists and prevents people from discussing it.

    If you think a loved one could be experiencing a depressive episode, there are ways you can offer support.

    Below are some articles that offer guidance for people who want to learn how they can best support a loved one who has depression.

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    The Worst Symptoms Of Depression We Don’t Talk About

    Depression is often shrouded in misunderstanding. Some believe it means simply being sad and unmotivated, when really, the symptoms of depression often have a way of infiltrating everything, from the smallest, most unsuspecting details of life, to the biggest, most significant aspects of life. And trying to explain this often feels like trying to hold onto water as soon as you start to grasp it, it slips from your grip.

    Thatswhy we asked people in our Mighty mental health community who struggle with depression to share the worst symptoms of depression people typically dont talk about. By opening the dialogue and trying to put words to these symptoms, we can continue to deepen our understanding and uncloak the misunderstanding that leads to the creation of shame and stigma.

    Here is what they had to say:

    1. Wanting to say whats on your mind, but you cant even explain it. So you just cry because you dont even know what youre feeling. Brenda A.

    2. The exhaustion. Not only physically, but also mentally. Mentally exhausted from having to apologize for who you are. Mentally exhausted from trying to convince yourself you deserve to be here, be alive. Physically and mentally exhausted from living. Im tired, so tired. Abbie K.

    3. The black hole I feel in the core of my being. It sucks in life, motivation, concentration, etc. To use another metaphor: its drowning in the the ocean in the middle of a tempest. Mark M.

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    Some people who are depressed may think about hurting themselves or committing suicide . If you or someone you know is having thoughts about hurting themselves or committing suicide please seek immediate help. The following resources can help:

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    What Are The Treatments For Depression

    Many helpful treatments for depression are available. Treatment for depression can help reduce symptoms and shorten how long the depression lasts. Treatment can include getting therapy and/or taking medications. Your doctor or a qualified mental health professional can help you determine what treatment is best for you.

    • Therapy. Many people benefit from psychotherapyalso called therapy or counseling.7,8 Most therapy lasts for a short time and focuses on thoughts feelings and issues that are happening in your life now. In some cases understanding your past can help but finding ways to address what is happening in your life now can help you cope and prepare you for challenges in the future.With therapy, youll work with your therapist to learn skills to help you cope with life, change behaviors that are causing problems and find solutions. Do not feel shy or embarrassed about talking openly and honestly about your feelings and concerns. This is an important part of getting better.Some common goals of therapy include:
    • Getting healthier
    • Making sense of past painful events
    • Identifying things that worsen your depression
    • Having better relationships with family and friends
    • Understanding why something bothers you and creating a plan to deal with it
  • Dont stop taking an antidepressant without first talking to your doctor. Stopping your medicine suddenly can cause symptoms or worsen depression. Work with your doctor to safely adjust how much you take.
  • Common Types Of Depression

    If you or a loved one are struggling with depression, contact the Substance Abuse and Mental Health Services Administration National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.

    For more mental health resources, see our National Helpline Database.

    When people think about depression, they often divide it into one of two thingseither clinical depression which requires treatment or regular depression that pretty much anyone can go through. As a condition, depression can be a difficult concept to grasp since we refer to it as both the symptom of a condition and a condition itself.

    From a medical standpoint, depression is defined as a mood disorder that causes a persistent feeling of depressed mood or sadness and the often profound loss of interest in things that usually bring you pleasure.

    Depression affects how you feel, think, and behave and can interfere with your ability to function and carry on with daily life. There are many different causes of depression, some of which we dont fully understand. Seven of the more common types of depression include the following.

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    What Are The Signs And Symptoms

    Major depression symptoms vary from person to person. To receive a diagnosis of major depressive disorder, some of these signs and symptoms must be present for at least two weeks. Anyone who has questions should consult their doctor.

    • Continued feelings of sadness, hopelessness, pessimism, emptiness
    • Fatigue, lack of energy
    • Insomnia or other sleep issues such as waking up very early or sleeping too much
    • Anxiety, irritability, restlessness
    • Lack of interest or joy in hobbies and activities
    • Changes in appetite, leading to weight loss or weight gain
    • Moving, talking, or thinking more slowly
    • Forgetfulness
    • Trouble concentrating, thinking clearly, or making decisions
    • Vague aches and pains, such as headaches, joint pain, back pain, or digestive problems
    • Thoughts of death or suicide, or suicide attempts

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