A typical feature of depression is ...

A typical feature of depression is also a circadian rhythm (right - the "true" or inverted - "untrue"): improved or (less frequently), deterioration of health in the evening. In the traditional nosological classification of affective disorders are differentiated depending on origin. Respectively allocated endogenous, constitutional, psychogenic, somatogenic (organic) depression, which can entirely determine the clinical picture throughout the illness or detect comorbidity with other forms of (mental or physical) illness. In today's international classification of diseases - ICD-10, in which mental and behavioral disorders are classified on the syndromal principle, the main importance is given to clinical relevance of the observed disorder following a set of standardized diagnostic criteria. Diagnostic criteria for depressive episode. Main symptoms: · depressed mood, which is obvious in comparison with the inherent patient norms prevailing almost daily and most of the day and continued for at least 2 weeks. regardless of the situation; · distinct reduction of interest or pleasure in activities normally associated with positive emotions · decreased energy and fatigue; · no history of hypomanic or manic states. Additional symptoms: · decreased ability to concentrate and focus; · reduced self-esteem and sense of self-doubt; · idea of ??self-abasement and / or guilt (even mild depression); · dark and pessimistic vision of the future; · thoughts or actions associated with suicide · disturbed sleep; To decrease the appetite. Diagnostic class "Affective disorders» (F30 - F39) in ICD-10 includes the categories: current depressive episode (F32), recurrent (repeating), depression (F33), bipolar disorder, with the change of depressive and manic phases (F31), as well as chronic disorders mood (F34), combining cyclothymia (F34.0) and dysthymia (F34. 1). Central place in the taxonomy of the affective pathology is the category of "depressive episode (major depression, unipolar or unipolar depression, autonomic depression). Among the non-psychotic affective disorder level allocated in the ICD-10, but under the category of "Neurotic, stress-related and somatoform disorders, in a separate section shall be made" mixed anxiety and depressive disorders »(F41.2). Clear diagnostic criteria for this disorder, observed mainly in the primary care network in this classification are not available. Provides only a general definition according to which state in these cases corresponds to anxious depression (mild or unstable), characterized by a combination of anxiety and depressive manifestations in the presence of at least a few vegetative symptoms (eg, tremor, palpitations, abdominal discomfort). Mixed anxiety and depressive disorders are diagnosed in the case of the relative balance of these manifestations.