Recurrent depressive disorder is a symptom complex that manifests itself in recurring episodes of depression without recorded cases of upbeat mood and hyperactivity similar to mania. The prevalence of this disease among the world population is about two percent of the total number of inhabitants.
Fortunately, the Renaissance came, and together with it the second life and such fundamental sciences as medicine, physics, and mathematics received. To all the scientific approach was encouraged. Since that time, neurology and psychiatry have begun to consider a depressed mood, like recurrent depressive disorder. The history of the disease has many centuries. Different approaches to the solution of the problem were suggested, but until the end it was not possible to cure it.
Causes of development
In psychiatry, there are such concepts as basic and additional symptoms. They are combined in various combinations, forming a recurrent depressive disorder. ICD 10 provides clear criteria for diagnosing this disease:
- Depressive mood (lack of positive emotions);
- a decrease in interest in previously pleasant things or actions, lack of satisfaction from the work done;
- weakness, lethargy, increased fatigue.
In addition to at least one major symptom, there should be several secondary symptoms. They are present in almost all mental patients, and not only in patients with a diagnosis of recurrent depressive disorder. ICD indicates the following characteristics:
- low self-esteem;
- feelings of guilt, self-condemnation and self-blame;
- suicidal moods;
- decreased attention and concentration;
- hopeless description of the future;
- violation of sleep and appetite.
In medical records, a recurrent depressive disorder is designated F.33, indicating the type of the current condition, and the nature of the previous episodes. If there is such information.
Degrees of expression
- The mild degree includes two main and two additional symptoms. In addition, it can be accompanied by somatic disorders, aggravating the course of the disease. Allocate:
- mild degree with minor somatic manifestations;
- mild degree with severe physical illnesses.
- The average degree of severity is put in the presence of two main and three or four auxiliary symptoms. And just like in an easy degree, there are somatic disorders.
- A severe degree of depressive disorder implies the presence of all major symptoms and at least four secondary symptoms. Usually there are all of the above. Complication of this degree is the presence of psychogenic signs, such as delirium, hallucinations, stupor.
Recurrent depressive disorder must be distinguished from schizoaffective disorder and organic changes in the psyche. In the first case, in addition to depression, there are still symptoms of schizophrenia, and in the second - there is a major disease that will be revealed in laboratory-instrumental diagnostics.
It is impossible to make this diagnosis at home, based only on fragmentary knowledge and indirect symptoms. This should be handled by a specialist.
The need for quality assistance
The second problem that prevents patients in time to seek help is their weak character, lack of criticism for their condition and moral strength to make a decision. This further exacerbates the picture of depression.
In this connection, it becomes clear why the assistance of a professional, rendered in a timely manner, can minimize the harm that caused the person recurrent depressive disorder. The forecast in this case can be considered favorable. Ignoring the symptoms only aggravates the situation and translates the disease into a chronic form.
The disease significantly affects the social ties of man. He may lose his job, family and friends. Get injured or even commit suicide. Therefore, patients should not entertain themselves with illusions about sudden healing, but they need to go to a doctor who can correctly assess a person's condition and prescribe appropriate treatment for him. The success of therapy depends not only on the actions of the doctor, but also on whether the patient wants to recover or not. Psychosomatic problems often occur only under the influence of conversations with a psychiatrist, even without the use of drugs.
Somatic, especially neurological diseases increase depression. Constant headache or heart pain can push a person to the idea of an imminent death. An important role is played by overly strict education, stress and trauma in early childhood, episodes of domestic violence. Heredity also plays a role. So, if close relatives have such conditions as BAP, schizoaffective disorder or depression, then the probability of it in offspring is much higher.