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Pang Ji Cheng
Psychiatry and Psychology
About me
Engaged in mental health work for nearly 10 years, and have undergone further training at the Shandong Provincial Mental Health Center. Honored with the title of Skillful Mental Health Worker in Shandong Province.
Proficient in diseases
Schizophrenia, anxiety disorder, depression, postpartum depression, obsessive-compulsive disorder, hypochondria, bipolar disorder, mania, postpartum psychosis, phobia.
Voices
How to diagnose mild depression?
For the clinical examination of mild depression, it is first necessary to thoroughly understand the patient’s onset, development, evolution, and treatment of depression. Furthermore, detailed communication must be conducted with the patient concerning consciousness, sensations, perceptions, thinking, attention, emotional willpower, self-control, and other aspects. It is important to comprehend the patient's overall mental and psychological condition, then combine this with the results of corresponding scales or exclude other conditions through diagnostic auxiliary examinations to make a comprehensive judgment. Particularly, the content of the psychiatric examination for the patient is an important aspect in determining mild depression. By integrating the aforementioned information, it is often possible to clearly diagnose the symptoms of mild depression, which is very meaningful for the subsequent treatment.
What is depression?
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.
What department do you see for depression?
Depression can be treated clinically by visiting either a psychiatric or psychological department. The main clinical manifestation is a persistent low mood, characterized by an inability to feel joy, gloominess, and typically significant mood variations. Cognitive processes tend to slow down, resulting in sluggish thinking, slow reactions, reduced volitional activities, a passive and listless approach to life, and a lack of hope for the future. Additionally, cognitive impairments such as decreased attention, diminished abstract thinking, learning, and judgment abilities may occur. Some patients may also exhibit physical symptoms, including sleep disturbances, decreased appetite, weight loss, physical pain, and anxiety-related disorders.
Symptoms of depression
The symptoms of depression almost always include persistent low mood throughout most of the day, and patients generally lack interest or pleasure in all activities. Patients may exhibit psychomotor agitation or retardation, and experience fatigue, weakness, and feelings of inadequacy. They may feel that their lives are worthless and meaningless, have feelings of self-reproach or guilt, and suffer from poor concentration and indecisiveness. Recurrent thoughts or behaviors of suicide may occur, and some patients may even make specific plans for suicide. Therefore, these are the primary symptoms of depression. Some patients may present primarily with physical symptoms, such as dizziness, headaches, palpitations, frequent or urgent urination, and gastrointestinal discomfort. It is important to conduct relevant examinations to avoid misdiagnosis.
Does depression cause dizziness?
Patients with depression can experience symptoms of dizziness. Depression is primarily characterized by low mood, slow thinking, and reduced volition. Patients may also have physical discomfort, especially in middle-aged and elderly patients with depression, whose main complaints are often physical discomforts when seeking medical advice such as dizziness, headache, palpitations, fatigue, weakness, gastrointestinal discomfort, frequent urination, urgency, and fluctuating body temperatures. Therefore, symptoms like dizziness can also occur in patients with depression. The main treatment involves the use of antidepressant drugs for systematic and standardized treatment, particularly the use of second-generation antidepressants, such as serotonin reuptake inhibitors, which are effective. (The above drugs should be used under the guidance of a doctor.)
Is depression considered a mental illness?
Depression is clinically classified as a mental illness, specifically a type of mood disorder. Its main clinical manifestations include low mood, slow thought processes, reduced volitional activity, fatigue, lack of interest, lack of pleasure, often accompanied by sleep disturbances, changes in weight, changes in sexual desire, and low self-esteem. Patients often feel fatigued and dissatisfied throughout the day, and their attention may decline. They may experience feelings of guilt, worthlessness, futility, and despair. It is not uncommon for patients to have thoughts or behaviors of self-harm or suicide. Thus, depression is a mental disorder that requires systematic antidepressant treatment once diagnosed. Effective treatment outcomes can often be achieved through a combination of medication, psychotherapy, and physiotherapy.
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.
Can people with depression occasionally feel happy?
Patients with depression may occasionally feel happy, but they predominantly experience low mood throughout most of their days. Patients perceive a significant and persistent sense of low spirits, pessimism, and despair. Their mood is such that they cannot feel joy, and they often seem easy to recognize by their facial expressions – furrowed brows, frowning, and looking deeply worried. Thus, these patients feel downhearted; nothing seems to interest them, they feel as if something heavy is pressing on their heart, devoid of pleasure, often crying, pessimistic, despairing, feeling as if each day lasts a year, and life not worth living. Sometimes, patients may feel that life is meaningless, hence might engage in self-harming or suicidal behaviors, blame themselves harshly, and have trouble concentrating. However, it's not that patients never experience happiness; it's just that they are in a depressed mood most of the time each day, with only occasional moments of happiness, which are relatively rare.
Will depression get better?
Patients with depression can achieve clinical recovery. Large-scale survey studies have found that about 85% of patients can reach clinical recovery as long as they undergo systematic and standardized treatment. At the same time, systematic and standardized psychotherapy and physical therapy should also be conducted. This can uphold the recurrence rate or relapse rate of the patients. Studies have found that about 20% relapse within six months after the initial treatment, and the relapse rate reaches 50% within two years. For older patients, their relapse rate may be even higher. Therefore, depression is a highly curable disease, but also a highly recurrent disease. Systematic, standardized, and scientifically reasonable treatment is still a very important means to achieve good recovery rates and reduce relapses in depression.
How to explain mild depression
During the guidance process for patients with mild depression, cognitive behavioral therapy can be used. Cognitively speaking, the patient's low mood is caused by negative cognitions about themselves, the world, and the future, which we call the cognitive triad. They feel incompetent, worthless, and disliked in regards to themselves. They perceive the world as incapable or negative. Regarding the future, they feel unable to succeed and see themselves as failures, among other expressions. Therefore, the patient exhibits irrational and distorted cognitions. By observing these irrational cognitive patterns, we guide the patient to look for evidence, seek alternative explanations, make predictions, judgments, and responses, and resolve internal conflicts of thoughts through reality check methods, ultimately alleviating low moods. Additionally, behavioral methods, such as organizing a good life schedule and engaging in interesting activities, can also be used to enhance the patient's sense of pleasure and control, thereby improving their mood and ultimately achieving therapeutic effects.