How to diagnose mild depression?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on November 26, 2024
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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.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Treatment of Depression

The treatment of depression in clinical settings primarily utilizes pharmacotherapy, psychotherapy, and physical therapy. Pharmacotherapy, as the first-line treatment for depression, mainly relies on selective serotonin reuptake inhibitors such as paroxetine, fluoxetine, sertraline, escitalopram, venlafaxine, and duloxetine. Adequate dosages and treatment duration with a systematic approach are essential when using pharmacotherapy. Secondly, psychotherapy. The main psychotherapeutic approaches include cognitive-behavioral therapy, psychoanalytic therapy, and interpersonal therapy, which aim to improve the patient's irrational cognitions and rebuild their cognitive framework. Thirdly, physical therapy. In clinical practice, physical therapy mainly encompasses electroconvulsive therapy and transcranial magnetic stimulation, both of which can yield significant therapeutic outcomes. (Specific medications should be used under the guidance of a physician.)

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Obstetrics
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What is postpartum depression?

Postpartum depression is a psychological disorder affecting emotions, psychology, and the body, caused by a decline in physical constitution and poor mental state due to societal perspectives and excessive stress after childbirth. Mothers may experience anxiety, sadness, emotional indifference, weakness, a tendency to cry easily, and a loss of confidence and interest in life. These symptoms generally persist throughout the entire postpartum period. Mild cases of postpartum depression can be alleviated through daily life adjustments. More severe cases, however, require treatment at a formal medical institution, and it is crucial for family members to pay attention to psychological communication with the patient.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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.

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Written by Du Rui Xia
Obstetrics
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Will postpartum depression get better?

Postpartum depression can also be recovered to a normal state, usually taking about one to two years. Women are prone to depression after childbirth due to high stress or emotional stimulation. Therefore, it is crucial to focus on relaxing and avoiding excessive tension or stress when experiencing postpartum depression. Additionally, the support and companionship of family members and husbands are necessary to help improve the condition of postpartum depression. It is also important for the new mother to feel secure, to rest adequately, and to enhance nutrition in the diet, including consuming foods rich in protein and vitamins. It is essential to avoid staying up late and to prevent any stimulation, especially in patients who generally have lower psychological resilience.