The Different Types of Depression
Depression is not a one-size-fits-all condition. Mental health care professionals have long recognized that patients have a tendency to display reasonably distinct clusters of clinical symptoms, and they increasingly regard such clusters as subtypes of depression.
The bounds between subtypes are often fuzzy, with a few overlap of symptoms, and not every depression expert agrees on the classification system. But clinical research suggests that parsing depression into subtypes is advantageous in guiding treatment plus gauging the long-term outcome for patients.
Anxious depression covers the large gray area where signs of anxiety and depression co-exist or overlap. Patients normally have feelings of worthlessness and pessimism, excessive worrying and guilt, and are unable to enjoy things. The disorder is expressed physically in diminished appetite, poor sleep with frequent awakenings, and restlessness and psychomotor agitation.
The disorder might have its origins early in life among kids of a unique temperament type who are frightened by novelty. Both anxiety and depression may be the results of abnormaly high degrees of hormones driving the human body's stress response system.
br> Anxious depression typically poses a treatment dilemma for doctors. Many aim to use antidepressants that have sedating properties, although it is not clear that they have to, said Dr. Fava. Studies show that with the antidepressants work equally well against this type of depression, although high doses may be required. Still, in practice physicians have a tendency to suggest a combination of drugs for such patients, normally a tranquilizer along with an antidepressant.
Melancholic depression is often a synonym for severe depression, and it is much more common among those hospitalized for depression than some of those in the neighborhood. Affected persons lack pleasure in just about all activities and don't react to pleasurable stimulation. They could experience extreme slowness to move or agitation. Their depression is frequently worse each day and it is accompanied by lack of appetite and weight loss.
Melancholic depressives may also ruminate within the same thoughts and experiences, and feel excessive guilt. Their depression assumes a life of its very own: the more episodes they've, the more autonomous such episodes seem, less likely to be set off by stressful events. And patients do not react to psychotherapy, no less than not before successful medications, reported J. Craig Nelson, M.D., of Yale.
Studies he among others have conducted reveal that the most helpful drugs because of this kind of disorder aren't the SSRIs but agents that block the reuptake of norepinephrine as well as of serotonin. "Some drugs," he was quoted saying, referring to dual-action agents like venlafaxine and mirtazapine, "may treat more symptoms."
Psychotic depression used to be another term for severe depression, but the more refined the tools scientists affect dissect the disorder, the harder distinctive this variety appears, especially biologically. Besides this being kind of depression severe, life-impairing and marked by suicide attempts, it really is combined with delusions that reflect the depressed mood and guilt patients feel.
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The bounds between subtypes are often fuzzy, with a few overlap of symptoms, and not every depression expert agrees on the classification system. But clinical research suggests that parsing depression into subtypes is advantageous in guiding treatment plus gauging the long-term outcome for patients.
Anxious depression covers the large gray area where signs of anxiety and depression co-exist or overlap. Patients normally have feelings of worthlessness and pessimism, excessive worrying and guilt, and are unable to enjoy things. The disorder is expressed physically in diminished appetite, poor sleep with frequent awakenings, and restlessness and psychomotor agitation.
The disorder might have its origins early in life among kids of a unique temperament type who are frightened by novelty. Both anxiety and depression may be the results of abnormaly high degrees of hormones driving the human body's stress response system.
br> Anxious depression typically poses a treatment dilemma for doctors. Many aim to use antidepressants that have sedating properties, although it is not clear that they have to, said Dr. Fava. Studies show that with the antidepressants work equally well against this type of depression, although high doses may be required. Still, in practice physicians have a tendency to suggest a combination of drugs for such patients, normally a tranquilizer along with an antidepressant.
Melancholic depression is often a synonym for severe depression, and it is much more common among those hospitalized for depression than some of those in the neighborhood. Affected persons lack pleasure in just about all activities and don't react to pleasurable stimulation. They could experience extreme slowness to move or agitation. Their depression is frequently worse each day and it is accompanied by lack of appetite and weight loss.
Melancholic depressives may also ruminate within the same thoughts and experiences, and feel excessive guilt. Their depression assumes a life of its very own: the more episodes they've, the more autonomous such episodes seem, less likely to be set off by stressful events. And patients do not react to psychotherapy, no less than not before successful medications, reported J. Craig Nelson, M.D., of Yale.
Studies he among others have conducted reveal that the most helpful drugs because of this kind of disorder aren't the SSRIs but agents that block the reuptake of norepinephrine as well as of serotonin. "Some drugs," he was quoted saying, referring to dual-action agents like venlafaxine and mirtazapine, "may treat more symptoms."
Psychotic depression used to be another term for severe depression, but the more refined the tools scientists affect dissect the disorder, the harder distinctive this variety appears, especially biologically. Besides this being kind of depression severe, life-impairing and marked by suicide attempts, it really is combined with delusions that reflect the depressed mood and guilt patients feel.
More details about depression browse our web portal: click here