depression
Introduction
Introduction Depression, also known as depressive disorder, is characterized by significant and persistent low mood and is the main type of mood disorder. Clinically, the depression is not commensurate with its situation. The depression of emotions can range from sullen to grief, inferiority depression, and even pessimism. There may be suicide attempts or behaviors, even stupor, and some cases have obvious anxiety and motor agitation. In severe cases, psychotic symptoms such as hallucinations and delusions may occur.
Cause
Cause
1. Psychosocial factors Depressive neurosis is often induced by psychosocial factors, such as husband and wife quarrels, divorce, accidental disability work, emotional interpersonal relationships, and serious physical illnesses, causing patients to worry Anxiety, resulting in depression, depression, and depression. After the normal person has been groomed, this depressed emotion disappears for a short time. However, patients with depressive neurosis have a longer duration of depression, especially those with depression. Therefore, the course of patients with depressive neurosis is slowly delayed. People with personality disorders are characterized by low mood, low language, meditation, and lack of energy. These people are obviously lack of self-confidence and have a sense of self-test.
2. Biochemical changes such as decreased levels of norepinephrine or serotonin in the brain. However, since depressive neurosis can still be improved for antidepressant treatment, the mechanism of antidepressant treatment of depressive neurosis is also to be explored.
Examine
an examination
Related inspection
Cerebrospinal fluid magnesium brain CT examination of brain glucose metabolism imaging
For patients suspected of depression, in addition to a comprehensive physical examination and neurological examination, attention should also be paid to auxiliary examinations and laboratory examinations. To date, there are no specific examination items for depression. Therefore, the current laboratory tests are mainly to exclude depression caused by physical and physical diseases. There are two types of laboratory tests that have implications, including the dexamethasone suppression test (DST) and the thyrotropin-releasing hormone inhibitor test (TRHST).
Diagnosis
Differential diagnosis
Differential diagnosis
1. Affective mental disorder Depressive episodes, also known as endogenous depression, have no obvious psychosocial factors and start the disease, the condition is severe, often mental retardation, depressive symptoms can be accompanied by psychotic symptoms, such as delusions, hallucinations, Self-blame and self-blame, there are still biological changes, such as depression, often have a heavy rhythm change, early wakefulness, insomnia, non-physical factors, significant weight loss, serious suicide attempts or attempted suicide history and family History, a history of bipolar seizures, or three episodes of unipolar depressive episodes, are easily differentiated from depressive neurosis.
2. neurasthenia sometimes has depressive symptoms, but the clinical manifestations of neurasthenia are mainly characterized by excitement and fatigue. Depressive symptoms are not the first symptoms, but secondary symptoms, few interest reduction, suicidal concept, low self-evaluation Etc. Depression is not a persistent depression and is easy to identify.
3. Schizophrenia often has special thinking disorders and common symptoms such as hallucinations and delusions. Although accompanied by depressive symptoms, it is not difficult to distinguish from depressive neurological symptoms.
4. Anxiety disorders are often accompanied by depressive symptoms, which are difficult to identify. Some people even call it anxiety and depression syndrome. But it is important to first distinguish who is the primary symptom. Anxiety disorders are mainly characterized by anxiety. If you have an acute anxiety attack, or refer to the test results of the anxiety and depression scale, it is easier to identify with depressive neurosis.
