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Up | Definition and criteria | Classification | Clinical presentation | Grading depression | Depression in women | Management

Clinical presentation of depression

 

    Core symptoms

     Physical

 

                                                                                                   

                 

                      Dejected look.                            Insomnia (decreased sleep).                         Agitation.

 

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Dejected look.   

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Decreased libido (loss of sex drive).

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Insomnia (decreased sleep).

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Psychomotor retardation (slowed activity).

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Weight loss.

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Aches & pains. (muscle fatigue). Head ache, backache.

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Constipation.

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Loss of

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Agitation.

               

    

 Psychological

 

 

                                                                                                                   

 

        Loss of drive, energy & initiative.                       Poor concentration.                                Low mood 

 

 

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Loss of drive, energy (or fatigue) and initiative.

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Loss of interest or pleasure.

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Poor concentration.

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Low mood (depressed mood or sadness ).

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Feelings of guilt / Pessimism / Worthlessness.

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Morbid thoughts ( suicidal thoughts ).

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Perceptual abnormalities- delusions ,hallucinations (auditory).

 

       Social

         

                                                                                                    

 

           Neglect of family & friends.                           Poor work efficiency.                                Withdrawal.

 

 

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Neglect of family and friends.

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Poor work efficiency.

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No social mixing.

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Withdrawal. (from society, family, friends)

                      

             

Symptoms encountered in 100 patients of depression

                                                

Symptoms  

  % of patients

Reduced energy levels

97

Impaired concentration

84

Anorexia (decreased appetite) 

80

Initial insomnia (decreased sleep)

77

Loss of interest      

77

Difficulty starting activity  

76

Worry more than usual  

69

Subjective agitation

67

Slowed thinking   

67

Difficulty with decision making 

67

Terminal insomnia (decreased sleep) 

65

Suicide ideation or plans 

63

Weight loss    

61

Tearfulness  

61

Movement slowed

60

Increased irritability   

60

Feels "will never get well"   

56

Constipation  

43

Rumination (repeated feelings) of worthlessness  

38

Decreased libido 

36

Anxiety attacks

36

Rumination (repeated feelings) of guilt                       

32

Delusions (misinterpretation of things)               

27

Multiple somatic (physical) symptoms

25

Suicide attempts 

15

                                                        

                                         

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