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major depression
is a common condition seen in the primary care setting and often presents with somatic symptoms. It is potentially a chronic disease with considerable morbidity and a high rate of relapse and recurrence.Major depression has a two-way relationship with chronic diseases and a strong association with increasing age and coexisting mental illnesses (for example, screening can be performed using clinical tools for major depression, such as the Patient Health Questionaire-2, Patient Health Questionaire-9 and Beck Depression Inventory, so that timely treatment can be started. An accurate diagnosis of major depression and its severity is essential for prompt treatment and reduction of morbidity and mortality. This is the first in a series of articles illustrating the approach to treating major depression in primary care. Our next articles will cover suicide risk assessment in a depressed patient and describe the basic principles of management and treatment modalities.
MDD, also known as clinical depression, is a major medical condition that can affect many areas of your life. It impacts mood and behavior, as well as various physical functions, such as appetite and sleep. Depression is a serious mood disorder that affects the entire body, including mood and thoughts. Touch every aspect of your life.
It is important to know that depression is not a weakness or a character defect. It is a chemical imbalance in the brain that needs treatment. The DSM-5 specific criteria for major depressive disorder are described below. Dysthymia (persistent depressive disorder) and depression (major depressive disorder) are very similar.
A history of mania or hypomania is the main feature that distinguishes bipolar disorder from major depression. Clinical depression can cause a person to sleep or overeat, or to almost eliminate those activities. A diagnosis of major depressive disorder (clinical depression) means that you have been feeling sad, depressed, or worthless most days for at least two weeks, while having other symptoms such as trouble sleeping, loss of interest in activities, or changes in appetite. FDA Suicide Warnings Change Antidepressant Prescription Patterns, But Doctors Ignore Lu AA21004 Randomized Clinical Study in Relapse Prevention in Patients With Major Depressive Disorder.
Depression can make it hard to get out of bed in the morning, especially when it keeps you up all night or gives you a restless sleep. Practice parameters for the evaluation and treatment of children and adolescents with depressive disorders. In addition, according to the DSM-5, a manual used to diagnose mental health conditions, you may have other symptoms of major depression. Randomized Controlled Trial Comparing Problem-Solving Treatment with Amitriptyline and Placebo for Major Depression in Primary Care.
For example, a physician will determine if a patient has major depression, chronic depression including dysthymia, seasonal affective disorder (SAD), bipolar disorder, or some other type of clinical depression. Neuroendocrine Response to 5-Hydroxy-L-Tryptophan in Prepubertal Children at High Risk of Major Depressive Disorder. As this contributes to worsening outcomes and may induce mania or rapid cycles, (54-5) any patient who presents symptoms of major depression should be evaluated for possible bipolar disorder. In most cases, PCPs are the first providers to whom people with MDD present mostly somatic complaints.
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