Further observation reveals ...

Further observation reveals unstable and dezaktualizatsiyu depressive feelings and identify memory disorders (for example, found that the patient does not remember the exact date of death of a loved one) and other symptoms of dementia, Alzheimer's type. a different nature have depressive reactions to the initial manifestations mnestiko and intellectual decline. In these cases, there may be suicidal thoughts and attempts. With further progression of dementia, depressive disorder as a clinically-defined conditions disappear, but can be kept separate depressive symptoms, often indistinguishable from the hard aspontannosti dementia patients and displays the actual cognitive deficits in them. The value of detection of depression is important not only for early diagnosis of mild dementia, but with regard to adequate antidepressant therapy. Early treatment not only relieves the patients with early manifestations of dementia and improves their quality of life, but in addition, the use of antidepressants serotonergic and noradrenergic actions justified in terms of participation in the replacement therapy neytrotransmitternogo deficit. Somatogenic depression in later life is particularly frequent in patients of somatic hospitals and primary health care. In severe somatic diseases depression is three times more frequently than in mild to moderate severity of somatic disorders. Depression often occurs after the beginning of physical illness, but sometimes precede identify early signs. The closest conjugation of depressive disorders was found to Oncohematological pathology, and coronary heart disease and its complications (myocardial infarction), chronic respiratory diseases, diabetes, organ failure of vision. Depression develops as a stressful reaction to diagnosis of the disease (somatopsihogenii) may be associated with the effect persisting. depressive disorder is a symptom (sometimes the first or early) number of somatic diseases (hypothyroidism, anemia, vitamin deficiency, hypercalcemia, rheumatoid arthritis, peptic ulcer disease, chronic renal failure, hepatitis and cirrhosis, carcinoma of the pancreas and other ).. Symptomatic depression usually have a picture of asthenic depression, in some cases dominated by anxiety, somatic state weighting for growing weakness, lethargy, indifference to the environment, indifference. Iatrogenic depression. There is a representation (not fully proven) on the relationship of depression with long-term intake of certain drugs. This is one of the varieties of iatrogenic depression. Another type of iatrogenic are depressive reaction to the erroneous or negligent medical reports. It is assumed that depression can be caused by or provoked by prolonging the use of medicinal drugs prescribed for another reason. It is assumed that this is not strictly affective disease, at least not related to major depression.