Depression

Introduction Depression refers to the patient's inner feelings of heavy feelings, worrying all day, frowning. The heavy ones are worried and depressed, sighing, pessimistic and disappointed, feeling that life is boring, and even thinking that life is not as good as death. Self-feeling, tired, powerless, inferior and self-blame, and even guilty, can lead to self-injury and suicidal ideas or behaviors. Common in mood disorders, bipolar disorder, menopausal depression, schizoaffective psychosis and neurosis. No matter how depressed, depressed or angry you are, you can do something that can actually cheer yourself up, but don't think about it and make some unreasonable things.

Cause

Emotional depression is seen in depressive psychosis or concurrent depression.

an examination

Related inspection

Brain CT examination

It is an enhancement of negative emotional activity. Sadness and depression often dominate. Nothing can make you happy. The lighter mood is low, only showing lack of interest in things that were previously interested, and unwilling to interact with people, but the change in attitude towards people is not obvious. Severe emotional depression is characterized by depression, sadness, sadness, and reduced action.

Differential diagnosis

(1) Emotional high: At this time, the patient's emotional activities are abnormally enhanced, and the performance is relaxed, happy, and self-satisfied. The expression is rich and vivid, and there is no sorrow and trouble, self-confidence, and even exaggeration. Its optimism is contagious and easily resonates with people around. More common in the state of mania.

(2) Euphoria: Although the patients are often happy, there are also experiences that seem to be very satisfying and happy. However, due to the intelligent obstacles, even if the patient is very happy, his facial expressions give him a stupid, stupid feeling. At the same time, the patient himself did not know the reason for the happiness. The content was more monotonous and stereotyped, which made it difficult to resonate with normal people and had no appeal. More common in brain organic psychosis, such as cerebral arteriosclerotic psychosis, senile dementia and paralytic dementia and other diseases.

(3) Anxiety: refers to the patient's state of mind threatening their own safety and other adverse consequences without obvious objective factors or sufficient basis. The patient can be manifested as a dagger, a restlessness, a sigh, a sorrow, a sorrowful sorrow, a feeling of catastrophe, a sorrow, a sorrow, and a sorrow, even if many people persuade, they cannot eliminate their anxiety. More common in anxiety, suspected concept, menopausal depression, neurasthenia and so on.

(4) Apathy: The patient lacks a corresponding emotional response to any stimulus from the outside world. Even if it can cause great sadness or happy things for normal people, such as death and death, long-term reunion, etc., it is also calm, indifferent and expressionless. Indifferent to the things happening around, turned a blind eye, facial expressions are cold and dull. More common in patients with chronic schizophrenia and severe brain organic dementia.

(5) Emotional inversion: It means that there is no coordination between the cognitive process and the emotional activity. At this time, the patient's emotional reaction is not in harmony with the content of the thinking. The patient's grief is happy and happy, and when he is happy, he is suffering. For example, a patient laughed when he received a telegram from his fathers sudden accidental death. When it comes to talking about the persecution of other people using cruel means, it seems that there is nothing like it, even with a smile to tell their own misfortunes.

(6) Emotional outbreak: This is a sudden emotional disorder that suddenly occurs under the influence of psychological factors. The patient can show moodiness, yelling, wrecking, smashing, screaming, crying, or screaming, dancing, laughing, often accompanied by spoiled, artificial, childish and acting colors, sometimes rolling on the ground, extremely violent, the whole The phenomenon is very different, and the change is great, but the perception of the surrounding things is unobstructed and the consciousness is clear. Common in rickets.

(7) irritability: This means that every time a patient feels psychologically irritable or unpleasant, even if it is slight, it is easy to produce a strong emotional reaction. It is easy to get angry, excited, angry, and even furious, quarreling with people; or there may be Impulsive behavior. Common in rickets, neurasthenia, manic state or brain organic psychosis. It is an enhancement of negative emotional activity. Sadness and depression often dominate. Nothing can make you happy. The lighter mood is low, only showing lack of interest in things that were previously interested, and unwilling to interact with people, but the change in attitude towards people is not obvious. Severe emotional depression is characterized by depression, sadness, sadness, and reduced action.

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