Daily fluctuations of mood ...

Diurnal mood swings characterized not only by the deterioration in the mornings, but also increased anxiety in the evening. Loss of ability to be happy, have fun, always sounding as complaints, perceived by patients as age-related changes of the psyche, as well as a sense of weakness, weakening incentives and reduced activity. Depressive pessimism contains a typical late-life experiences of fear of loss of independence, for fear of becoming a burden. Thoughts about the unwillingness to live there any severity in depression, including shallow. You can still appeal to the doctor, seeking care, in some cases takes place prohibits development, maintenance of religious beliefs on the topic of sin suicidal thoughts and actions. However, it should be borne in mind that, in addition to the known methods, elderly depressed patients may carry out suicidal intent by refusing nutrition, diet necessary, effective treatment, receiving vital medication or regular maintenance. And only can avoid the feeling of depression, these changes are beginning to be regarded as symptoms of the disease. Similarly, cognitive dysfunction find a temporary nature. In a period of depression elderly patients often complain of weakness of memory, taking impaired concentration for acts of forgetfulness and deterioration of intelligence. Preservation mnestiko and intellectual capabilities supported by the implementation of special tests, as well as the inverse dynamics of the complaints and disorders resulting from treatment with antidepressants. Late-life depression are different in etiopathogenesis. The main nosologic groups are: - endogenous affective disorders (bipolar and monopolar depressive disorders, cyclothymia, dysthymia) - psychogenic depression (response maladaptation) - organic depression - depression somatogenic - iatrogenic depression. Endogenous depression, psychotic level (involutional melancholia) appear anxious-delusional syndrome of depression with restlessness and ideatornoy excitement to the experience of fear, delusions of condemnation, punishment, death, hypochondriacal ideas, suicidal thoughts and actions. In these cases shows an urgent hospitalization. Endogenous depression non-psychotic level is at least 20% of depressive disorders, diagnosed in elderly patients by general practitioners. Depression may be a single episode of illness and complete a full remission. Often characterized by recurrence of depressive phases. In the later age is not unusual protracted course of depression in subpsihoticheskom level with exacerbations in the form of clinically more severe disorders ("double depression"). Bouts of the disease often develop a seasonal dependence, but does not eliminate the effect of provoking factors. Psychogenic depression in older age represent a large group of states caused by the impact of trauma. Aging period is called the age of losses.