Is depression considered a mental illness?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on September 28, 2024
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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.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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What are the symptoms of depression?

The clinical manifestations of depression include core symptoms primarily characterized by low mood, reduced interest, and lack of emotion. Patients often display an inability to feel joy, experiencing a persistent sadness and a noticeable decrease in interest and pleasure in activities they previously enjoyed. The psychological symptoms are dominated by anxiety, slowed thinking, and cognitive symptoms, with patients exhibiting irritability, tension, worry, and often slow thought association, dull thinking, impaired short-term memory, reduced attention, and significantly diminished learning, comprehension, and judgment abilities. The physical symptoms include sleep disturbances, eating disorders, and loss of energy, with common issues like difficulty falling asleep, light sleep, early waking, poor appetite, weight loss, feeling listless, fatigue, and an overwhelming sense of exhaustion in their daily lives.

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Written by Yue Hua
Obstetrics and Gynecology
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Where to seek treatment for postpartum depression?

Postpartum depression is a type of mental illness in puerperal women, so it is best for such women to see a psychiatrist, as psychological treatment for depression is very important. The key is to enhance the patient's self-confidence and raise their self-esteem. Additionally, it can provide individualized psychological counseling based on the patient’s personality traits, psychological state, and the causes of the condition, and it can eliminate the psychological factors causing the illness. Common clinical treatments include medication and psychological counseling.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Do patients with mild depression need to be hospitalized?

Patients with mild depression can choose inpatient treatment or outpatient treatment. The main decision depends on the communication between the patient, their family, and medical professionals. Patients with mild depression have relatively mild depressive symptoms, so psychological therapy is primarily used, with pharmacotherapy and physical therapy serving as supplementary treatments. Psychological therapy mainly employs cognitive-behavioral therapy to improve the patient’s unreasonable beliefs and alleviate emotional stress. This includes identifying automatic thoughts, recognizing the irrationality of cognition, and employing reality testing, ultimately aiming to improve the patient's symptoms. Pharmacological treatment primarily uses serotonin reuptake inhibitors, and patients can adhere to a regular medication schedule at home during outpatient treatment periods. Physical therapy consists mainly of transcranial magnetic stimulation, which can be administered either as an outpatient or inpatient treatment. The final treatment choice should involve comprehensive communication with the patient's family and physicians to make an informed decision.

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Written by Du Rui Xia
Obstetrics
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Can postpartum depression be cured?

Postpartum depression is generally curable. Women may face physical and psychological stress after childbirth, and those who previously had mood issues may be more susceptible to postpartum depression. Once depression occurs, it is crucial to take care of the mother both physically and mentally. Besides ensuring that the mother gets enough sleep and avoids exhaustion, and maintaining a cheerful mood, psychological support from family members is extremely important. It is essential not to let the mother become overly impatient, to communicate with her frequently, and to encourage her to smile often, as these measures can significantly help alleviate depression.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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.