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Depression


Depressive syndrome - a combination of melancholy mood with a decrease in mental and physical activity. Assessment of the severity of depression is within the competence of the psychiatrist, since its external signs do not always reflect the severity of the condition and the risk of possible suicide. Suicidal attempts, refusal to eat, anxious motor excitation of the patient require urgent hospitalization in a psychiatric hospital. Agitated depression is a mixed state, when sadness is combined not with inhibition, but with excitation of the motor sphere and anxiety: patients are torn, they do not find a place for themselves; This is the first sign of a possible suicide.
Emergency treatment of depressions, which have become one of the most common mental disorders, begins with the intramuscular injection of teaserc (1-2 ml of a 2.5% solution); due to the presence of suicidal tendencies, it is desirable to quickly increase the dose of the drug (under the control of blood pressure) to calm the patient. At the same time, an antidepressant is prescribed for a sedative effect (amitriptyline or triptizol orally up to 200 mg per day). In cases of severe melancholia, you can start with intramuscular or intravenous administration of amitriptyline (injected slowly!) 20–40 mg 3-4 times a day. If the medicine is given to such a patient in pills, the medical worker should not move away from him until he is convinced that the medicine has been taken completely. Such patients should immediately consult a psychiatrist to decide on the transfer to a psychiatric hospital, in terms of which it is only possible to carry out the required full supervision and care. When sending a depressed patient, you should carefully examine his belongings to prevent the seizure of objects that he could use on the road for suicide or attacks on others.

With depression, the development of delusional experiences occurring in the manner of self-accusation and self-abasement is possible. In this case, therapy should include the means used to relieve the manifestations of delirium.
In modern medical practice, hidden, “masked” depression is increasingly common, with somatovegetative components taking the first place, and psychopathological disorders remain in the background. This form of depression is more common in old age and in women; it also has a high risk of suicide. The establishment of a diagnosis will help the presence of such signs as low mood (not necessarily dreary!), Somatovegetative complaints (loss of appetite, weight loss, dry mouth, constipation, amenorrhea, decreased libido, sleep disturbance, fatigue, feeling of heaviness in the body, etc. ), daily mood swings (in the morning - worse, in the evening the mood improves). Treatment of latent depression usually does not require emergency psychiatric care, but routinely conducted therapy for somatovegetative disorders must be combined with the administration of small doses of broad-spectrum antidepressants (amitriptyline, pyrazidol up to 12.5-25 mg) and tranquilizers (better than phenazepam up to 2-3) mg). For the treatment of somatisation anxiety and depression, in recent years, serotonergic antidepressants such as Paxil, Prozac, Fevarin, and Xanax (alprazolam) have appeared, simultaneously providing a calming, antiphobic and antidepressant effect (with minimal side effects).
Patients with latent depression require the same close supervision, although they are much less “striking” than patients with agitated depression.
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Depression

  1. Depression
    Depression is a mental disorder, the main features of which are: a decrease in mood (hypothymia), a negative, pessimistic assessment of oneself, one’s position in the surrounding reality, one’s future. Along with this, depression is often accompanied by inhibition, a decrease in the motivations for activity, dysfunctions in the work of many organs and systems.
  2. Depression
    Depression is a condition characterized by a triad of symptoms: depressed, depressed, melancholy or anxious mood, decreased mental activity and decreased motor activity. The term depression comes from the Latin word deprimo, meaning "to oppress." This triad constitutes the core of the clinical picture. Accompanied by depression can be a variety of clinical
  3. Depression
    Physical blocking This description applies to those who have PSYCHOTICAL DEPRESSION. Those who suffer from temporary emotional depression caused by adverse life circumstances or some unpleasant event, it is better to refer to the articles AGORAHOBIA, ALARM or ANXIETY. The main symptoms of depression are: loss of interest in daily activities, feeling
  4. Depression
    Depression is a mood disorder characterized by sadness and pessimism. The causes of depression are unknown, but the basis of its pharmacotherapy is the hypothesis that the manifestations of the disease are due to a deficiency of dopamine, norepinephrine and serotonin in the brain or dysfunction of the receptors of these mediators. With major depression, the level of cortisol in the blood is increased by 50% and its circadian rhythm is disturbed.
  5. Depression
    The manifestations of depression are very diverse and vary depending on the form of the disease. The most typical symptoms of this disorder are listed below. The most typical manifestations of depression Emotional manifestations • Sadness, suffering, depressed, depressed mood, despair. • Anxiety, feeling of internal tension, waiting for trouble. • Irritability. • Guilt feelings, ideas of self-blame. •
  6. Depression
    Cause The most common cause of depression is mental stress. Also, depression is possible due to overwork, brain injury (possibly in the past), prolonged and severe disease of internal organs, surgery, prolonged pain, poor blood supply to the brain, congenital mental impairment of the integrity of the personality. Symptoms Depressed, joyless
  7. Depression Scale
    The questionnaire was developed for the differential diagnosis of depressive states and conditions close to depression, for screening diagnostics in mass studies and for the purpose of preliminary, pre-medical diagnostics. Test adapted by T.I. Balashova. Full testing with processing takes 20-30 minutes. The subject marks the answers on the form. Depression level (UD) is calculated using the formula: UD
  8. 8.1. ALARM AND DEPRESSION
    Among all psychopathological syndromes encountered in somatic practice, anxiety and depression are the most common. These disorders are usually considered in a single continuum. Anxiety and depression are often combined with somatic disorders (comorbid conditions), make them more severe, prognosis. Timely treatment of them significantly optimizes internal therapy.
  9. Treatment of depression
    The leading treatment for depression today is psychopharmacotherapy. Along with medications, methods of physical, phyto, and psychotherapy with elements of psychocorrection and other socio-rehabilitation methods are widely used. Psychotherapy, conducted in conjunction with medicinal treatment, (mainly aimed at correcting depressive distortion of thinking, reducing aggression,
  10. Depression in patients with myocardial infarction
    In recent decades, it has been established that depressive and anxiety disorders increase the risk of developing MI (Todaro JF et al., 2003). In a multicenter randomized study GISSI-2, it was found that 40% of patients in the preceding 3 months before the development of MI experienced a depressed mood. Other researchers report that depression develops as a result and complication of MI (Honig A. et.
  11. Depression of the ST segment as a manifestation of vegetative dystonia
    Other changes in the ECG caused by impaired tone of the autonomic nervous system should include ST segment depression, which is noted in hypersympathicotonia. In the differential diagnosis takes into account the characteristic clinical picture; depression of the ST segment, revealed in young people, especially women, often with concomitant tachycardia, without typical angina pectoris manifestations. This
  12. Depression and mania alternately (cyclothymia)
    Cause Cyclothymia or other mental illnesses and disorders in relatives. Symptoms Chronic instability of mood, frequent depression, alternating with elevation of mood. Instability usually develops at a young age and takes a chronic course. First aid. Needs psychological help, self-treatment.
  13. Postpartum depression
    Most mothers go through a specific condition in the first or second week after giving birth. They feel sad, discouraged and anxious about their ability to care for a newborn baby. In part, hormones can be blamed, as well as lack of sleep. Your body is completely exhausted by pregnancy and childbirth, making you feel as if your life is completely
  14. From fashion to depression and disease
    People who learn about what I do always ask me: “Doctor, what should I eat?” Americans are obsessed with the desire to find the right formula for nutrition. Since 1990, when I moved to New York, I witnessed the implementation of many bizarre theories that took hold of the minds of the entire country’s population, brought about industry restructuring and ultimately led to
  15. About depression in general. Let's talk?
    This is what I want to draw your attention to now ... How do we experience bodily diseases? When we do not intend to be ill at your pleasure, of course. At the first sign of a cold, we climbed into a hot bath, had tea with raspberries and honey, poured mustard into our socks, drank a glass or two of vodka with pepper, covered ourselves warmly, and in the morning — like cucumbers! To whom such concern for themselves, swallow a couple or two
  16. How to help a depressed person?
    Before assisting anyone, it is necessary to check whether a person wants to be helped. People who are in deep depression usually do not want any help. Attempting to help such a person and his refusal to help cause us bitterness and frustration. Most often, these people say: “Leave, go about your business. I am fully capable of adjusting my life myself. I do not
  17. Depression and other conditions of the affective spectrum, causing an immediate physical threat to the patient
    DIAGNOSIS This group includes conditions characterized by low, depressed mood, anxiety, delayed thinking, motor retardation with active suicidal thoughts, tendencies, auto-aggressive actions that pose a danger to patients' lives or a serious threat to their health. The intensity of suicidal impulses is determined by the severity of anguish, the degree
  18. Mood Disorders
    In case of mood disorders, a person is engulfed in severe depression or mania (rapid mood elevation), or at times relive depression, at times mania. Mood disorders are divided into depressive disorders, in which a person has one or more periods of depression, but no periods of mania, and bipolar disorders, in which periods of depression are replaced by periods
  19. Psychological aspects of myocardial infarction
    The disease is a stressful factor, it is accompanied by a whole range of emotions, changes in life plans, the future outlook, changes motivation and has in addition to medical, psychological and social aspects. The personal response to the disease depends on the duration of the disease, its severity and the intellectual capabilities of the person. According to the literature it is known that
  20. Interpretation of ST segment changes
    Lead selection. The highest quality results when conducting a test with a load is achieved using 12-channel ECG recording. Allocation V5 is the most informative. In patients without prior myocardial infarction with a normal ECG at rest, depression of the ST segment, induced by exercise, limited to lower leads (III, aVF), has little diagnostic value.
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