Depressive neurosis

Introduction to depressive neurosis Depressive neuropathy (depressiveneurosis), also known as dementia disorder, refers to a neurosis characterized by persistent state of mind depression, often accompanied by anxiety, physical discomfort, and sleep disorders. Patients have treatment requirements but no significant exercise. Sexual inhibition or mental symptoms, life is not seriously affected, according to the national 12 regional neurotic epidemiological survey found that the prevalence of this disease is 3.1 . Depressive neurosis is usually caused by psychological events. In the early stage of the disease, patients often have troubles with the incident. Therefore, it is necessary to try to change the patient's wrong thinking about the incident. After the illness, the patient has many unreasonable feelings, such as feeling unsatisfactory. Self-worthy, become a burden to others, no future, etc., these concepts need to be corrected, usually using cognitive correction techniques, while the patient has mental and physical deficiencies and fatigue, you can excite the spirit through shouting and other ways Physical fitness, drug-assisted improvement of mood is good for treatment. Depressive neurosis can achieve ideal results through systematic cognitive and drug treatment. basic knowledge The proportion of illness: 0.03% Susceptible people: more common in women Mode of infection: non-infectious Complications: headache

Causes of depressive neurosis

Psychosocial factors (40%):

The disease is often induced by psychosocial factors, such as couples quarreling, divorce, loved ones, accidental disability, work difficulties, interpersonal tensions, etc., causing patients to worry, anxiety, depression, depression, depression, in normal people Grooming, this depressed emotion disappeared for a short time, but depression in patients with depressive neurosis lasted for a long time, especially in people with depressed personality disorder.

Physical illness (30%):

Serious physical illness and other factors make patients anxious, depressed, frustrated and depressed, people with personality disorders, everything is pessimistic, recalling the past blaming themselves, looking forward to the lack of confidence in the future, facing the difficulties of reality, these people lack confidence , susceptible to depression.

Biochemistry (5%):

Biochemical changes have rarely been shown to have biochemical changes in depressive neurosis, such as decreased levels of norepinephrine or serotonin in the brain, but because depressive neurosis can still improve for antidepressant treatment, The mechanism of depression in the treatment of patients with depressive neurosis is also to be explored.

Depressive neurosis prevention

Depressive neurosis is usually caused by psychological events. In the early stage of the disease, patients often have troubles with the incident. Therefore, it is necessary to try to change the patient's wrong thinking about the incident. After the illness, the patient has many unreasonable feelings, such as feeling unsatisfactory. Self-worthy, become a burden to others, no future, etc., these concepts need to be corrected, usually using cognitive correction techniques, while the patient has mental and physical deficiencies and fatigue, you can excite the spirit through shouting and other ways Physical fitness, drug-assisted improvement of mood is good for treatment. Depressive neurosis can achieve ideal results through systematic cognitive and drug treatment.

Depressive neurosis complications Complications

Can be associated with physical symptoms such as headache, back pain, limb pain and other chronic pain symptoms.

Symptoms of depressive neurosis Common symptoms Resilience madness and lethargy alternate thinking difficulties smirk urinary manganese manure manganese qi physique psychological injury neurosis reaction single episode depression recurrent depression

The degree of depression in this disease is mild and rarely progresses to severity, but the patient description is vivid and specific. If the patient complains that the mood is not smooth, depressed, depressed, and seeing things like wearing a pair of sunglasses, there is a faint feeling around, no interest in work, no enthusiasm, lack of confidence in the second, disappointing pessimism in the future, often feeling weak, Tired. Some patients have suicidal thoughts. This kind of depression changes with time and place, and the volatility is large, but most of the time is depression. Despite this, there is no obvious abnormality in work, study and life, so it is often in good contact with the environment, and people often do not think it is depression.

Depressive symptoms can be accompanied by physical symptoms such as headache, back pain, and pain in the limbs. It is often impossible to detect the cause of these pains. In addition, there are autonomic dysfunctions such as stomach upset, diarrhea or constipation and insomnia. According to the Department of Psychiatry of West China Medical University, about 30% of patients have different degrees of anxiety, and 12% of patients have troubles with irritability. About one-third of the patients have a tendency to blame, three-quarters of the patients feel that life is meaningless, pessimistic about the future, a small number of patients have had suicidal thoughts. Some patients have a suspected sensation. However, there are no obvious symptoms of biological changes such as early waking, circadian rhythm changes and weight loss.

Examination of depressive neurosis

A routine examination is performed based on the clinical symptoms of the patient. Physical symptoms such as headache, back pain, and pain in the limbs often fail to detect the cause of these pains. In addition, there are autonomic dysfunctions such as stomach upset, diarrhea or constipation and insomnia. Psychiatric symptoms such as patients often complained of poor mood, depression, depression, looking at things like wearing a pair of sunglasses, a sense of faintness around, no interest in work, no enthusiasm, lack of confidence, pessimistic disappointment for the future, constant spirit Lost and tired.

Diagnosis and diagnosis of depressive neurosis

diagnosis

1. Meet the diagnostic criteria for neurosis.

2. The main clinical signs of persistent mild to moderate depression are accompanied by at least three of the following symptoms:

(1) Interest decreased, but not lost.

(2) I am pessimistic about the future, but not desperate.

(3) Conscious fatigue, or lack of energy.

(4) The self-evaluation declines but I would like to accept encouragement and praise.

(5) Reluctant to take the initiative to interact with others, but the passive contact is good and willing to accept sympathy and support.

(6) There are thoughts of wanting to die, but there are many concerns.

(7) Consciously ill and difficult to treat, but take the initiative to seek treatment, hope to be cured.

3. None of the following symptoms:

(1) Significant psychomotor inhibition.

(2) Early awakening and symptoms are heavy and light.

(3) Serious guilt or self-sin.

(4) Sustained loss of appetite and significant weight loss (not caused by physical illness).

(5) More than one attempted suicide.

(6) Life cannot take care of itself.

(7) Illusion or delusion.

(8) Serious impairment of self-knowledge.

4. The course of disease is at least 2 years, and the mood is low for most of the course of the disease. If there is a normal rest period, the maximum time is no more than two months.

Differential diagnosis

Since depressive symptoms can occur in many diseases, they should be differentiated from the following diseases.

1. Affective mental disorder depressive episodes, also known as endogenous depression, have no obvious psychosocial factors and start the disease, the condition is heavier, 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 with heavy rhythm changes, early onset of insomnia, significant weight loss due to non-physical factors; 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 decreases, the concept of suicide, self-evaluation is too low 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 disorder is often accompanied by depressive symptoms. It is 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 is mainly caused by anxiety symptoms. If there is sometimes an acute anxiety attack, or reference The test results of the anxiety and depression scales are more likely to be differentiated from depressive neurosis.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.