Neurotic depression

Introduction Depressive neurosis, also known as neuropathic depression, is caused by psychosocial factors and is often related to the patient's personality deviation; it is a neurotic disorder characterized by persistent low mood; often accompanied by anxiety and physical discomfort And sleep disorders. The patient has treatment requirements, but there is no obvious motor inhibition or hallucinations, delusions, and life work is not seriously affected.

Cause

1. Psychosocial factors: This disease is often induced by psychosocial factors, such as husband and wife quarrels, divorce, accidental disability of relatives, work difficulties, interpersonal tensions, etc., as well as serious physical illnesses, etc., causing patients to worry, anxiety As a result, depression, depression, and depression occur. 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, ignorance, lack of energy, pessimism in everything, memories of condemnation in the past, lack of confidence in the future, and difficulties in the face of reality. These people are obviously lack of self-confidence and have a sense of self-test.

2. Biochemical changes: Biochemical changes are rarely demonstrated in depressive neurosis. Such as the brain norepinephrine or serotonin levels decreased. However, depressive neurosis can still be improved for antidepressant treatment. Therefore, the mechanism of antidepressants in the treatment of depressive neurosis is also to be explored.

an examination

Related inspection

EEG check EEG sharp wave

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) The interest has subsided but has not been lost;

(2) pessimistic disappointment about the future, but not desperate;

(3) consciously tired or weak, or lack of energy;

(4) The self-evaluation declines but is willing 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) attempted suicide more than once;

(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

Differential diagnosis of neurosis depression:

1. Affective mental disorder depressive episode: also known as endogenous depression, no obvious psychosocial factors and onset, 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; history of serious suicide attempts or attempted suicide Family history, past bipolar episodes, or three episodes of unipolar depressive episodes, are easily differentiated from depressive neurosis.

2. neurasthenia: sometimes there are 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. There is little interest in diminishing, suicidal concept, self-evaluation. Inferiority, depression is not a persistent depression and is easily identifiable.

3. Schizophrenia: There are often 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: often accompanied by depressive symptoms, difficulty in identification, some people even called 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.

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