Bereavement after the death of ...

Bereavement after the death of loved ones, fear of loneliness are the main content of depressive reactions maladjustment of varying severity and duration. As the stress factors may make adverse changes in life (disability, financial meltdown, the sharp deterioration in health status - or his people from the immediate environment). Attaches importance to the personal predisposition of the people who are prone to strong attachment to severe depending on the other, as well as in individuals who are prone to overreaction to the stress effect. In old age, risk factors for psychogenic depression is the multiplicity of losses, lack of adequate social support, age-related decrease in the ability to adapt to reality. For uncomplicated reaction characterized by the loss of a sense of grief, longing for the deceased, loneliness, crying, sleep disturbance, thoughts of his own futility. More complex and prolonged psychogenic depression include symptoms such as guilt, samoupreki or inclination to blame the circumstances, thoughts of death, a painful feeling of worthlessness, psychomotor retardation, persistent functional impairment (somatovegetative). Characterized by anxious concerns for the future. Duration of depressive reactions maladaptation - from several months to 1-2-years. Organic depression of late life in contrast to the functional (endogenous, psychogenic) are caused by brain damage, its agents, or the vascular system, irreversible damage to the neuro-transmitternyh mechanisms. For cerebrovascular disease characterized by the so-called vascular depression with asthenic and anxious symptoms, watery eyes, lability of state with fluctuations in severity of depressive symptoms ("flicker of symptoms), mild cognitive impairment severe, exacerbated by a period of depression and are reduced by minovanii depression. Vascular depression often occur after cerebrovascular events (post-stroke depression). In these cases, along with the reactive mechanism of depression revealed a close relationship with the localization of lesions in the left hemisphere. High susceptibility to depressive disorders found in diseases such as Parkinson's disease, Huntington's chorea, a progressive paralysis supranuklearny. Brain tumors (left temporal lobe) appear endoformnymi depressions with an acute sense of anguish, anxiety, suicidal tendencies. Diagnosis of depression is complicated by the fact that the symptoms of neurological disease and depression is difficult to differentiate because of the common manifestations (hypokinesia, psychomotor retardation, somatic complaints), but the use of antidepressant therapy in addition to the basal somewhat improves the course and prognosis of neurological diseases. Depression in dementia of Alzheimer's type may be a clinical manifestation of the disease debut. Often, depressive reactions to loss (death of a spouse) are the cause of the first obrascheniyak doctor.