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Depression Co-Occurring with General Medical Disorders
Written by NIMH   
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Nov 06, 2008 A +  A -  RESET  

Awareness and Treatment Can Improve Overall Health and Reduce Suffering

Clinical depression commonly co-occurs with general medical illnesses, though it often goes undetected and untreated. In fact, while the rate of major depression among persons in the community is estimated to be between two to four percent, among primary care patients it is between five and ten percent and among medical inpatients it is between ten and fourteen percent. And an additional two to three times as many persons in these groups experience depressive symptoms. Research suggests that recognition and treatment of co-occurring depression may improve the outcome of the medical condition, enhance quality of life, and reduce the degree of pain and disability experienced by the medical patient.

What Is Depression?

Clinical depression is a common and highly treatable illness affecting over 19 million American adults-- with or without a co-occurring condition-- this year. Unfortunately, nearly two thirds of them do not get treatment, in part, because the effects of depression are not understood to be symptoms of an illness. With proper treatment, however, nearly 80% of those with depressive illness can feel better, and most within a matter of weeks.

Depression: A Whole Body Illness

Depression affects mood, thought, body, and behavior. For some, it occurs in one or more relatively severe episodes, known as major depression. Others have ongoing, less severe but also debilitating symptoms, known as dysthymia. And still others have bipolar disorder (also known as manic depressive illness), where episodes of terrible "lows" alternate with excessive "highs".

SYMPTOMS OF DEPRESSION

  • Persistent, sad or "empty" mood
  • Loss of interest or pleasure in ordinary activities, including sex
  • Decreased energy, fatigue, being "slowed down"
  • Sleep disturbances (insomnia, early-morning waking or oversleeping)
  • Eating disturbances (loss of appetite and weight, or weight gain)
  • Difficult concentrating, remembering, making decisions
  • Feelings of guilt, worthlessness, helplessness
  • Thoughts of death or suicide; suicide attempts
  • Irritability
  • Excessive crying
  • Chronic aches and pains that don't respond to treatment

SYMPTOMS OF MANIA

  • Excessively "high"mood
  • Irritability
  • Decreased need for sleep
  • Increased energy and activity
  • Racing thoughts
  • Increased talking, moving and sexual activity
  • Poor judgment or decision-making
  • Grandiose notions
  • Being easily distracted
If a person has five or more of these symptoms for more than two weeks, it is important that these symptoms be brought to the attention of the individual's health care provider.


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Last Updated( May 05, 2009 )
reviewed by: Harry Croft, MD
Psychiatrist, HealthyPlace.com Medical Director