A temporary feeling of depression ...

The temporary feeling of depressed mood is well known to almost everyone, especially in connection with the experience of failure, trouble, grief. However, depression is defined as a pathological condition in accordance diagnostic criteria specified in the modern classification of mental diseases, in particular, the ICD - 10, familiarity with which is necessary not only to psychiatrists, but also useful for other medical specialties. Precise adherence to these diagnostic guidelines to avoid both hyper-and gipodiagnostiki depression. The main symptoms of depression are characterized by the experience of sadness, depressed mood, loss of interest in any activity and decreased energy. Other symptoms include loss of confidence, low self-esteem, unwarranted guilt, thoughts about the unwillingness to live, reducing the ability of concentration, disturbed sleep and appetite. You may attend a number of somatic symptoms that accompany depressed mood (weight loss, tendency to constipation, the weakening of libido, etc.). Characteristics of depressive disorder is complemented by the definition of the degree of its severity (mild, moderate, severe), the existence of persistent depressive symptoms for a period not less than two weeks. Depression can imetepizodichesky character in the form of single or recurrent disease state, or purchase a chronic course in approximately 20% of cases, especially when not given adequate treatment [1]. Nosologic depression is different. Depressive disorders are observed for endogenous affective disorders and schizophrenia with predominantly paroxysmal course, as well as within maloprogredientnoy schizophrenia. Depression make up the majority of stress disorders and occur in the decompensation of personality pathology. Perhaps the development of depression and organic brain damage. In studying the epidemiology of depression [11] showed that the lowest diagnostic difficulties cause severe depression, treatment of which is normally held in a psychiatric hospital. This so-called hospital depression, they represent less than 1%. The second group - a clandestine depression, specialized care for which is an outpatient, there are about 5%. The third group consists of depression, referred to as vneinstitutsionalnye. Patients in these cases is often treated with a variety of complaints to a general practitioner, because they can not figure out whether they are medically ill or mentally. Go to a psychiatrist, they fall only on the advice of internists and prefer to be treated by a specialist only in a medical facility of general type. The least definite diagnosis erased depressive disorders or symptoms identified during medical examinations (dispensary and baseline medical examination, epidemiological studies). Understanding of the prevalence of depression in recent decades has changed dramatically, showing its increase by several times.