Clinical Characteristics of depression

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  • Created by: 08rmorris
  • Created on: 05-04-15 12:14
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  • Clinical Characteristics of depression
    • becomes an illness when it has to be treated
      • Persisting low mood
        • impacting on functionality
    • Physical/behavioural symptoms
      • Appetite is usually reduced
        • but can increased (comfort eating) and tends to be unhealthy
      • Sleep disturbances occur
        • insomnia tends to be most common  with problems in falling asleep and early morning waking
          • But hypersomnia can also occur
            • this is excessive sleeping and may be an attempt to escape reality
              • Sleep disturbances results in tiredness and feelings of lethargy or restlessness
      • Sex drive is usually reduced
    • Perceptual symptoms
      • auditory hallucinations may occur
        • psychotic
        • Which are extreme forms of self-critical delusions as the hallucinations often involve voices that are abusive and critical of the depressive
    • Cognitive symptoms
      • Depressives may have slow, muddled thinking
        • And difficulty in making decisions
          • may be causal in some reactive depressives
          • Pessimistic, negative, and in severe cases suicidal thinking may occur
            • A negative self concept can lead to faulty thinking
              • when the individual is overly critical of him- or herself this can develop into delusions
            • Beck's cog. trias
    • Motivational symptoms
      • Depressives show a lack of interest (apathy) in their appearance, work, home and others
        • There is also reduced activity due to their lack of interest and energy
          • Adaptive? x-ref SAD
    • Social symptoms
      • Depressives usually show social withdrawal because they do not gain pleasure from social interaction
        • May feel they have nothing to contribute and do not want people to see them in their depressive state
    • Emotional/mood symptoms
      • Anhedonia refers to a loss of pleasure in activities previously enjoyed
        • related to social withdrawal
      • Diurnal moos variations may occur, in which the mood changes throughout the day being particularly low on a morning and improving a little as the day progresses
        • x-ref biorhythms
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