What is depression?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on October 27, 2024
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Depression, clinically referred to as depressive disorder, is a type of mood disorder. Its primary manifestations are persistent and significant low mood, reduced volition, and slow thinking. It is accompanied by sleep disturbances, eating disorders, low self-esteem, difficulty concentrating, feelings of guilt and self-blame. Patients do not feel pleasure or interest, sometimes feel excessively guilty, and even find life meaningless, leading to thoughts and behaviors of suicide. In severe cases, depression may also present with psychotic symptoms such as hallucinations and delusions. If these symptoms occur daily, are present most of the time, and persist for more than two weeks, significantly affecting work, study, daily life, social interactions, and family functions, then it can be diagnosed as depression. This describes the relevant clinical aspects of depression.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Where to get a diagnosis for depression?

The diagnosis of depression often recommends consulting with a psychiatry or psychology department for confirmation. Clinically, depression is categorized as a mental and psychological disorder, primarily characterized by low mood, slow thinking, and reduced willpower. Patients usually lack interest and pleasure, feel fatigued, self-blame, valuelessness, incapability, have low self-esteem, and poor concentration. They often feel that life is meaningless, harboring thoughts or behaviors of self-harm and suicide. They view the future as bleak, sad, helpless, and hopeless. Patients generally exhibit poor eating and sleeping habits, and there is a noticeable decline in sexual function. Therefore, in clinical settings, if the aforementioned symptoms persist for over two weeks and interfere with work, study, daily life, social, and occupational functions, a clear diagnosis is required to develop a treatment plan involving medication, psychotherapy, and physical therapy.

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Written by Zhou Yan
Geriatrics
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Dietary Cautions for Geriatric Depression

Patients with geriatric depression currently find antidepressant medications and electroconvulsive therapy to be quite effective. However, due to lack of appetite and poor mental responsiveness in these patients, their nutritional status often remains unfulfilled. Therefore, we should enhance the dietary nutrition of elderly patients with depression. The focus should be on protein-rich foods such as eggs, shrimp, fish, chicken, and duck. Additionally, attention should be given to including roughage in the diet, ensuring daily fruit intake and vegetables in every meal.

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Written by Du Rui Xia
Obstetrics
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Can postpartum depression be cured?

Postpartum depression is generally curable. Women may face physical and psychological stress after childbirth, and those who previously had mood issues may be more susceptible to postpartum depression. Once depression occurs, it is crucial to take care of the mother both physically and mentally. Besides ensuring that the mother gets enough sleep and avoids exhaustion, and maintaining a cheerful mood, psychological support from family members is extremely important. It is essential not to let the mother become overly impatient, to communicate with her frequently, and to encourage her to smile often, as these measures can significantly help alleviate depression.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Symptoms of depression

Patients with symptoms of depression often experience a persistent low mood throughout most of the day, along with a loss or decrease in interests and pleasure. They commonly experience fatigue, an increase in feelings of exhaustion, and more. Additionally, these patients may have poor concentration, low self-esteem, decreased self-confidence, a sense of worthlessness, self-blame, and a bleak outlook on life with no perceived future, including suicidal thoughts. There are also significant changes in their sleeping and eating habits. Therefore, if these symptoms persist for more than two weeks and adversely impact the patient’s work, studies, lifestyle, or social abilities, it should be considered indicative of depression. Thus, once diagnosed, systematic and standardized treatment should be administered to prevent the worsening of the condition.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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.