Is depression considered a mental illness?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on September 28, 2024
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Depression is clinically classified as a mental illness, specifically a type of mood disorder. Its main clinical manifestations include low mood, slow thought processes, reduced volitional activity, fatigue, lack of interest, lack of pleasure, often accompanied by sleep disturbances, changes in weight, changes in sexual desire, and low self-esteem. Patients often feel fatigued and dissatisfied throughout the day, and their attention may decline. They may experience feelings of guilt, worthlessness, futility, and despair. It is not uncommon for patients to have thoughts or behaviors of self-harm or suicide. Thus, depression is a mental disorder that requires systematic antidepressant treatment once diagnosed. Effective treatment outcomes can often be achieved through a combination of medication, psychotherapy, and physiotherapy.

Other Voices

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Written by Zhou Yan
Geriatrics
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How to Cure Geriatric Depression

For geriatric depression, the treatment includes several aspects. Firstly, it is important to strengthen the patient's diet and nutrition supplementation. Secondly, certain psychological therapies should be provided to the depressed patients. The aim is mainly to alleviate or relieve symptoms, improve patients’ compliance with medication, prevent relapse, and reduce or eliminate the adverse consequences caused by the disease. The third aspect is to provide certain medication treatments, such as the currently used selective serotonin reuptake inhibitors (SSRIs), and selective norepinephrine reuptake inhibitors (SNRIs). These types of medications have been widely used in patients with geriatric depression disorders. Among them, SSRIs are quite effective for geriatric depression disorders and can effectively counteract cholinergic and have milder adverse reactions on the cardiovascular system, making it easy for elderly patients to accept and maintain long-term treatment. The fourth aspect is the improvement of electroconvulsive therapy, which can significantly improve depression when combined with comprehensive treatment. However, since depression has a high recurrence rate, full-course treatment is recommended.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Symptoms of depression

The symptoms of depression almost always include persistent low mood throughout most of the day, and patients generally lack interest or pleasure in all activities. Patients may exhibit psychomotor agitation or retardation, and experience fatigue, weakness, and feelings of inadequacy. They may feel that their lives are worthless and meaningless, have feelings of self-reproach or guilt, and suffer from poor concentration and indecisiveness. Recurrent thoughts or behaviors of suicide may occur, and some patients may even make specific plans for suicide. Therefore, these are the primary symptoms of depression. Some patients may present primarily with physical symptoms, such as dizziness, headaches, palpitations, frequent or urgent urination, and gastrointestinal discomfort. It is important to conduct relevant examinations to avoid misdiagnosis.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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How to explain mild depression

During the guidance process for patients with mild depression, cognitive behavioral therapy can be used. Cognitively speaking, the patient's low mood is caused by negative cognitions about themselves, the world, and the future, which we call the cognitive triad. They feel incompetent, worthless, and disliked in regards to themselves. They perceive the world as incapable or negative. Regarding the future, they feel unable to succeed and see themselves as failures, among other expressions. Therefore, the patient exhibits irrational and distorted cognitions. By observing these irrational cognitive patterns, we guide the patient to look for evidence, seek alternative explanations, make predictions, judgments, and responses, and resolve internal conflicts of thoughts through reality check methods, ultimately alleviating low moods. Additionally, behavioral methods, such as organizing a good life schedule and engaging in interesting activities, can also be used to enhance the patient's sense of pleasure and control, thereby improving their mood and ultimately achieving therapeutic effects.

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Written by Du Rui Xia
Obstetrics
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Does postpartum depression require medication?

When suffering from postpartum depression, it can be treated with medication. This treatment method can help control negative emotions in new mothers. It can also alleviate some physical discomfort, reducing the damage caused by depression during treatment. However, breastfeeding should be suspended if medication is being taken. In addition to medication, psychological treatment is also necessary. Adjusting one's mental state is very important, as most cases of postpartum depression are caused by an unhealthy psychological foundation. (The use of medication should be conducted under the guidance of a professional doctor.)

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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.)