Depressive Episode
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Depression is a mood disturbance characterized by discouragement, sadness and despair. When a mood disorder or depression is not associated with manic episode it is known to be depressive episode. It is caused by a personal loss or tragedy or may have no real cause such as those seen in bipolar patients. If 5 or more of the following symptoms last most of the day, every day, for a period of 2 weeks or longer, depressive episode is diagnosed.
* Pessimism
* Chronic pain or other persistent bodily symptoms
* Lasting sad, anxious, or empty mood
* Loss of interest or pleasure in activities
* Decreased energy
* Guilt
* Helplessness
* Decision making difficulty
* Sleeping disturbances
* Gain or loss of Weight
* Suicide attempts
Depressive episode is categorized into three grades of severity, mild depressive episode, moderate depressive episode and severe depressive episode without psychotic symptoms.
Mild Depressive Episode – Patients with mild depressive episode usually is suffering from some symptoms with difficulty in continuing with ordinary work and social activities. Increased fatigability depressed mood, and loss of interest and enjoyment are usually regarded as the most typical symptoms of depression. At least two of these, plus at least two of the other symptoms mentioned above is present for a definite diagnosis. Minimum duration of this episode is two weeks.
Moderate Depressive Episode - at least two of the three most typical symptoms noted for mild depressive episode should be present, plus at least three or four of the other symptoms mentioned above are present for an exact diagnosis. Patients with moderate depressive episode have considerable difficulty in continuing with social, work or domestic activities.
Severe Depressive Episode Without Psychotic Symptoms – All of the three of the typical symptoms noted for mild and moderate depressive episodes plus at least four other symptoms mentioned above and of severe intensity are present for definite diagnosis. Usually symptoms are severe and of very rapid onset so the diagnosis could be justified after less than 2 weeks. Patients may usually show considerable distress or agitation in this episode.
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