Major Depression, Clinical Depression

Apocalypse Suicide Page
Good Mood
Living with Depression
Mental Health Recovery
NIMH
SHOCKED! ECT

HealthyPlace.com Radio
Depression Support Groups

Books on Depression
Conference Transcripts
Depression Videos
Diaries - Journals
Disorders Definitions
Mental Health News
Online Depression Tests
Psychiatric Medications
Resources
Site Map

Email
ICQ
Instant Messenger

Visit and Post

Abuse
ADD/ADHD
Addictions
Anxiety-Panic
Bipolar
Eating Disorders
Personality Disorders
Self-Injury

send this page to a friend

Major Depression
(Clinical Depression)

Major depression is also known as clinical depression, unipolar depression, and major depressive disorder. People who experience major depression feel persistently sad. They do not take pleasure in activities that were once enjoyable. Other physical and mental problems often experienced include sleep problems, loss of appetite, inability to concentrate, memory problems, and aches and pains. People who suffer from this condition often feel worthless, helpless, and hopeless about their ability to fix things. They often welcome sleep and experience their waking life as a living nightmare. No matter how hard they try to snap out of it, they feel as though they are falling into an abyss with nothing to hold on to.

Major depression usually strikes people between the ages of 25 and 44, although it can affect any person at any age. For most people, episodes of major depression last from six to nine months. Sometimes, even if major depression goes untreated, it will run its course and leave by itself. Doctors are not sure why this happens, but it is often attributed to the body’s tendency to correct abnormal situations.

What Major Depression Is Like

Jim cannot believe the change in his personality. Ever since he lost his job and started another lower paying one, he has not been the same person. He finds himself walking around without energy to do any of the things that he used to enjoy.

Previously a hearty eater who may have been a few pounds overweight, food now has no meaning for him and he has seen his pants size diminish two sizes. His wife has also noticed the change. He no longer has any interest in sex, she has to goad him to pay attention to the kids, and he never has the energy to socialize with their friends.

He spends most of his weekends sleeping now. Jim is finding it harder and harder to get up for work and his superiors have warned him about his absentee rate. Jim often finds himself questioning the reason for going on. He believes that if it were not for his family, he would seriously consider ending it all.

What Causes Major Depression

The dramatic success of antidepressant drug therapy for severe major depression has made many scientists question if depression has a strong biological, rather than psychological, basis. Thus many are questioning whether genetics or stress plays the major role in causing major depression. Recent research has shown that both play a major role in major depression.

advertisement

Surprisingly, stress has been shown to play a major role in the patient's first two episodes of major depression, but not in later episodes. Genetics and temperament appear to play the most important role for later episodes of a patient's depression.

It appears that major depression often requires stress to "get the ball rolling", but after a few episodes, the illness develops its own momentum and no longer needs stress to "keep rolling". This is a familiar pattern seen in many medical illnesses. Thus, the treatment of major depression must address the major contribution that stress, genetics and temperament play in this disorder. Unfortunately, most current therapies lack this well-rounded approach.

Symptoms of Major Depression (MDD)

Five (or more) of the following symptoms have been present during the same 2-week period and represent a change from previous functioning; at least one of the symptoms is either: (1) depressed mood or (2) loss of interest or pleasure. (Note: Do not include symptoms that are clearly due to a general medical condition, or mood-incongruent delusions or hallucinations.)

depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feels sad or empty) or observation made by others (e.g., appears tearful). Note: In children and adolescents, can be irritable mood.
markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day (as indicated by either subjective account or observation made by others)
significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day. Note: In children, consider failure to make expected weight gains.
insomnia or hypersomnia nearly every day
psychomotor agitation or retardation nearly every day (observable by others, not merely subjective feelings of restlessness or being slowed down)
fatigue or loss of energy nearly every day
feelings of worthlessness or excessive or inappropriate guilt (which may be delusional) nearly every day (not merely self-reproach or guilt about being sick)
diminished ability to think or concentrate, or indecisiveness, nearly every day (either by subjective account or as observed by others)
recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide

The symptoms cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.

The symptoms are not due to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition (e.g., hypothyroidism).

The symptoms are not better accounted for by bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.

Major Depression (Clinical Depression)

What Causes Major Depression

Symptoms of Major Depression (MDD)

RELATED LINKS AND INFO

Major Depression
(Clinical Depression)