apathetic
Introduction
Introduction Apathy is a mental anomaly. It is a major symptom of depression. It is mainly characterized by low mood, reduced interest, pessimism, slow thinking, lack of initiative, self-blame and self-blame, poor diet, poor sleep, worry about suffering from various diseases, and feeling a lot of discomfort.
Cause
Cause
When people encounter sudden setbacks or personal wishes are not satisfied, they will have a painful experience, and emotional sorrow is temporary, and they can adapt quickly. However, in some children with poor genetic quality and early experience, depression can last for a long time, and some even last for more than a few years. This kind of long-term or too serious depression constitutes the so-called depressive symptoms and mental wilting. In addition, the pressure on yourself is too great, lack of sleep, excessive brain use, irregular rest time, too frequent sexual life, and irregularities may lead to mental disability.
Examine
an examination
Related inspection
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In the International Classification of Diseases-20, depressive episodes do not include depression states that occur in bipolar disorder. Therefore, depressive episodes only include first episodes of depression or recurrent depression. There are three general criteria for depressive episodes under the International Classification of Diseases - 20:
1. Depressive episodes must last at least 2 weeks.
2. In the patient's past life, there is no episode of mania or mania that is sufficient to meet the criteria of frivolous or manic.
3. The most common cases to be excluded: The seizure is not due to the use of psychoactive substances or any organic mental disorder. The symptoms of depressive episodes fall into two broad categories, which can be roughly referred to as core symptoms and additional symptoms.
Clinical manifestations:
(1) Physiological manifestations: poor appetite, loss of appetite or increase, significant reduction or increase in body weight, insomnia or lethargy.
(B), psychological performance: depression, depression or fall to the bottom, hopeless, easy to tears, sadness, irritability, fear and fear, loneliness, boredom, weak feelings, dissatisfied with themselves.
(3) The following behavioral changes may be common manifestations in children and adolescents: sudden decline in homework, sudden start of restlessness, sudden slow movement of body movements, monotonous speech or silence, unexplainable emotional agitation, inability to explain Interpretation often cries.
(4) Severe depression patients are accompanied by symptoms such as useless delusions, sinful delusions, punishable delusions, disease delusions, poverty delusions, auditory hallucinations, etc., often making doctors misdiagnosed as schizophrenia.
Diagnosis
Differential diagnosis
First, endogenous depression: that is, lazy, staying, changing, worrying, and worrying about "five signs" (brain biogenic amines are absolutely insufficient).
Second, occult depression: low mood and depression symptoms are not obvious, often manifested as various physical symptoms, such as heart palpitations, chest tightness, middle and upper abdominal discomfort, shortness of breath, sweating, weight loss, insomnia.
4. Adolescent depression: It can lead to learning difficulties, distraction, memory loss, overall decline or sudden decline in grades, tired of learning, terrorism, truancy or refusal.
Fifth, secondary depression: If some patients with hypertension, after taking antihypertensive drugs, the mood continues to be depressed and depressed.
6. Postpartum depression: It is especially an abnormal psychology that causes a child to have strong guilt, inferiority, hatred, dislike or dislike of the child. Crying, insomnia, inability to eat, depression, is a common symptom of this type of depression.
Seven, white-collar depression: young women with depression, neuroendocrine system disorders, normal physiological cycle is also disrupted, a variety of symptoms, in addition to mental depression, depression, doing nothing, love sulking, over-consideration, insomnia, Other major psychiatric symptoms such as dreams, dizziness, and forgetfulness, such as anorexia, nausea, vomiting, abdominal distension and other symptoms of digestive and dysfunction, irregular menstruation, menstrual pain and other gynecological symptoms are not uncommon.
