"Tom is 35 and works in advertising. He has had a stressful time over the past 12 months and work pressures have been high. He also separated from his long-term girlfriend about 5 months ago. Tom has withdrawn from many of his usual activities and, when he does meet up with friends, he is quieter than normal and he doesn’t seem to express enthusiasm for anything. Colleagues have noticed that he isn’t as eager to pitch to potential clients and is content to take a back seat in meetings, whereas he was often at the centre of things before. On occasions he has been quite short-tempered with people, although he is usually mild-mannered. Tom is struggling to fall asleep at night and has complained that he is waking up fairly early in the morning too, without being able to return to sleep." There have been two previous episodes when Tom experienced similar difficulties: he had some time off work a couple of years ago and in his mid-twenties Tom struggled after his father died.
After reviewing the case of my patient Tom, I have come to the conclusion that he suffers from depression. At this stage of analysis of this case, we can look at the symptoms and signs shown by the patient and match them with the symptoms and signs of depression. Looking at the DSM IV (Diagnostic Statistic Manual 4) we can understand that the most basic symptoms of depression include loss of interest or pleasure in daily activities for more than two weeks, being in a mood that is different from
Depression is pervasive in both mental health and medical settings. In the US, the number of discharges with major depressive disorder as first-listed diagnosis was estimated 395,000 for 2010. The CDC also cites the percentage of persons 12 years of age and older with depression in any 2-week period at an estimated 8% between 2007-2010 (CDC, 2015). The American Psychiatric Associates guidelines on treatment of Major Depressive Disorder recommend the ongoing monitoring of symptoms among patients. Specifically, the APA recommends “systemically assessing symptoms of illness and the effects of treatment”. Consideration is given to matching clinical observations with clinician and/or patient administered rating scale measurements for initial and ongoing evaluation (American Psychiatric Association,
In the American Psychiatric Association’s Diagnostic & Statistical Manual (APA, 2000) the symptoms of depression are: loss of interest or enjoyment in activities; changing in weight and appetite; changes to sleep pattern; loss of energy; feeling worthless or guilty; suicidal thoughts; poor concentration and being either agitated or slowed up.
Depression is a common mental disorder, characterized by sadness, loss of interest or pleasure, feelings of guilt or low self-worth, disturbed sleep or appetite, feelings of tiredness, and poor concentration. Depression can be long-lasting or recurrent, substantially impairing an individual’s ability to function at work or school or cope with daily
Many suspect the sickness to be entirely emotional and void of any logic. Yet this belief is largely untrue. Depression is not simply a “mood” . In fact, there are many physical consequences of the illness. Those with depression have unusually slow speech and movements, suffers from little to no appetite, finds him or herself feeling worse after sleep, and other many physical issues
Depression is defined as “an alteration in mood that is expressed by feelings of sadness, despair, or pessimism” (Neeb’s, 397). There are seven types of depressive disorders which are major depressive disorder, dysthymic disorder, postpartum depression, major depressive disorder with seasonal pattern, substance-induced depressive disorder, depressive disorder associated with another medical condition, and premenstrual dysphoric disorder. Each type of depression has it’s own criteria for a patient to be diagnosed under. Depression often goes hand in hand with anxiety disorders, psychotic disorders, substance use disorders, eating disorders, and personality disorders (ATI, 97).
Depression is an affective disorder, demonstrating many symptoms such as “hopelessness, helplessness, personal devaluation, and extreme sadness” (depression, 1).Though sadness is something everyone experiences, people who have
296.32 (F33.1) Major Depressive Disorder, recurrent episode, moderate severity, with anxious distress. Ms. Client meets eight of the nine diagnostic criteria for Major Depressive Disorder (MDD). Specifically, during several periods of time she experienced depressed mood, diminished interest in things she enjoyed to do, hypersomnia, psychomotor agitation, fatigue, feelings of worthlessness, decreased concentration, and suicidal thoughts without intent. Additionally, as Ms. Client expressed, these symptoms are source of continuing distress and interfere with her academics and social functioning. Also, her symptoms started four years prior to the psychological assessment and persisted intermittently since then, lasting for several weeks to several months, with the most recent period of extended length (enduring two weeks) approximately one year ago. Since the last episode she has experienced these symptoms for two to three days at a time. Although the last episode that met the criterion of two weeks duration occurred approximately a year ago, the symptoms have not disappeared, but they occur periodically since then and when they do, they cause considerable distress and impairment in functioning. Thus, the disorder cannot be coded as ‘in partial or full remission’. The specifier ‘with anxious distress’ was given, because Ms. Client reports feelings of difficulty in concentration because of worry and restlessness.
Jordan is a 36-year-old man with a diagnosis of depression. Depression is a broad diagnosis which the ICD-10 classification system requires the patient to present with at least four out of the ten depressive symptoms to be formally diagnosed (NICE 2009, World Health Organisation 2010). For a formal diagnosis of depression, the DSM-V system requires five or more of the nine possible
Depression is the most common mental disorder, not only for adults, but for children and teenagers as well. The DSM-IV classifies depression as a mood disorder. It states that an individual has suffered a “major depressive episode” if certain symptoms persist for at least two weeks, including a loss of enjoyment in previously pleasurable activities, a sad or irritable mood, a significant change in weight or appetite, problems sleeping or concentrating, and feelings of worthlessness. These symptoms of depression fall into four categories: mood, cognitive, behavioral, and physical. Depression affects how individuals feel, think, behave, and how their bodies work. People with depression may experience symptoms in any or all of the
We can start with the decrease of a virtual function such as respiration.We have found several mood disorders marked by the loss of interest and the pleasure to live. (2009 F.A Davis Company).The list of disorders that link to depression include dysthymia,major depressive disorder,bipolar disorders,seasonal affective disorders postpartum depressive disorders,and also mood disorders,that are caused by substance abuse and many other medical conditions. (2009 F.A Davis Company).Many conditions can trigger depression from anxiety to neurologic disorders. A simple screening tool for depression that the U.S Preventative Services Task Force recommends that a patient should have it done in a primary care setting.(2009 F.A Davis Company).Screening
In order to be clinically diagnosed with depression, the patient must have exhibited this feeling as well as a number of symptoms for a period of at least two weeks. Currently it is estimated that approximately 85% of those affected can be successfully treated by a physician (Holtz, Stokes, 1138).
People of all ages, backgrounds, and walks of life have felt depressed and unhappy at some time in their lives. These periods of sadness usually pass after a short time, but for some people, this feeling can remain for weeks, months, and even years. (1) This prolonged state of unhappiness is called major (or clinical) depression and is characterized by a persistent sad or "empty" mood, loss of interest in favorite activities, difficulty concentrating, and many other symptoms. It is not simply a mental state but an illness that interferes with the way people feel, function, and think.(2)
Depression “is a mood disorder that is characterized by a sad, blue mood that goes above and beyond normal sadness and grief” (MedicineNet.com). The depressive disorder consists of negative thoughts, moods, and behaviors as well as physical changes such as eating, sleeping, and developing aches and pains. 1 in 10 people will get depression in their lifetime. It is important for people to know that depression is a serious medical illness that could result in death through suicide. Since blood tests do not have the ability to diagnose depression at the moment, doctors have to confront the patient to describe their symptoms that they believe they are developing. Doctors have to collect their patient’s medical history, their substance abuse,
Depression. This is most likely to occur when the patient doesn’t understand their condition. As the conditions progress in stages the patient will tend to become more depressed if they are not made to understand what they are suffering from. Long duration of treatment will also result in more depression and hence it is important to adhere to appointments where such discussions can take place.
Depression has numerous causes and effects which affect not only the person but the people around them. Depression doesn’t have a specific cause; in most cases it’s different for everyone. It is a common, treatable mental illness that can be experienced at any time in life. It is often described with feeling sad, unhappy, miserable, or “down in the dumps”. Most people have these feelings on occasion. There are several types of depression. These different types of depression describe slight, but often important, diagnostic differences. True clinical depression interferes with mood disorder in everyday life for weeks, months, or even years. Most people think depression affects only one