How is depression diagnosed?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on September 20, 2024
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The diagnosis of depression in clinical settings involves four aspects:

First, the collection of medical history, which includes understanding the onset, progression, treatment, and outcome of the illness, as well as past treatment experiences, etc.

Second, psychiatric assessment, involving examinations with the patient concerning their sensations, perceptions, consciousness, thinking, emotions, intelligence, memory, self-control, willpower, and other aspects.

Third, the use of scales to measure depression, which includes self-rating scales or observer-rating scales for depression to assess the severity of the patient's condition.

Fourth, through related auxiliary examinations, excluding physical illnesses that may cause symptoms of depression.

Ultimately, the diagnosis of depression is determined by integrating information from these four areas.

Other Voices

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Written by Pang Ji Cheng
Psychiatry and Psychology
58sec home-news-image

How is depression diagnosed?

The diagnosis of depression in clinical settings involves four aspects: First, the collection of medical history, which includes understanding the onset, progression, treatment, and outcome of the illness, as well as past treatment experiences, etc. Second, psychiatric assessment, involving examinations with the patient concerning their sensations, perceptions, consciousness, thinking, emotions, intelligence, memory, self-control, willpower, and other aspects. Third, the use of scales to measure depression, which includes self-rating scales or observer-rating scales for depression to assess the severity of the patient's condition. Fourth, through related auxiliary examinations, excluding physical illnesses that may cause symptoms of depression. Ultimately, the diagnosis of depression is determined by integrating information from these four areas.

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Written by Pang Ji Cheng
Psychiatry and Psychology
54sec home-news-image

Can someone with mild depression go to work?

Patients with mild depression can go to work. Those with mild depression may exhibit lighter symptoms such as mood decline, fatigue, and decreased interest. Often, patients may have difficulty sleeping; however, their social functions or most other functions are generally unaffected, with only minor impacts on their work and social activities. If patients are functionally capable of handling their jobs, depressive symptoms can be improved through behavioral training. Therefore, in clinical practice, patients with mild depression are encouraged to continue working, which further activates their energy and motivation, enhancing their positivity and initiative, and improving treatment outcomes. Additionally, psychotherapy and pharmacotherapy can also achieve good therapeutic effects for patients with mild depression. Systematic and standard treatments should be continued to ultimately reach clinical recovery.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Treatment of Depression

The treatment of depression in clinical settings primarily utilizes pharmacotherapy, psychotherapy, and physical therapy. Pharmacotherapy, as the first-line treatment for depression, mainly relies on selective serotonin reuptake inhibitors such as paroxetine, fluoxetine, sertraline, escitalopram, venlafaxine, and duloxetine. Adequate dosages and treatment duration with a systematic approach are essential when using pharmacotherapy. Secondly, psychotherapy. The main psychotherapeutic approaches include cognitive-behavioral therapy, psychoanalytic therapy, and interpersonal therapy, which aim to improve the patient's irrational cognitions and rebuild their cognitive framework. Thirdly, physical therapy. In clinical practice, physical therapy mainly encompasses electroconvulsive therapy and transcranial magnetic stimulation, both of which can yield significant therapeutic outcomes. (Specific medications should be used under the guidance of a physician.)

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Written by Du Rui Xia
Obstetrics
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How to relieve postpartum depression

When postpartum depression occurs, the family must provide comprehensive care. For example, it is important to ensure that the new mother gets enough sleep by having family members take care of the baby and handle daily tasks. It is recommended that the mother and baby sleep separately to allow the mother sufficient rest, which can also help alleviate depression. Additionally, choosing a room with plenty of sunlight and ventilating it by opening windows daily can also reduce the symptoms of postpartum depression. More importantly, family members need to communicate psychologically with the new mother, engage in more conversations, and avoid keeping their feelings bottled up.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Does depression cause dizziness?

Patients with depression can experience symptoms of dizziness. Depression is primarily characterized by low mood, slow thinking, and reduced volition. Patients may also have physical discomfort, especially in middle-aged and elderly patients with depression, whose main complaints are often physical discomforts when seeking medical advice such as dizziness, headache, palpitations, fatigue, weakness, gastrointestinal discomfort, frequent urination, urgency, and fluctuating body temperatures. Therefore, symptoms like dizziness can also occur in patients with depression. The main treatment involves the use of antidepressant drugs for systematic and standardized treatment, particularly the use of second-generation antidepressants, such as serotonin reuptake inhibitors, which are effective. (The above drugs should be used under the guidance of a doctor.)