What is meant by depression?

Depression with vision loss What is meant by depression?

From Dr. rer. nat. Graduate psychologist Nicola Janecke

All psychiatric disorders in Germany are divided into categories according to the International Classification System for Mental Disorders. It was determined which complaints must be met to what extent and to what extent in order for a certain diagnosis to be made. Depression is divided into mild, moderate and severe, and the criteria of dejection, lack of drive, joylessness and loss of interest must be met. There can also be other symptoms, such as sleep disorders (too little, but also too much sleep), loss of appetite with weight loss or increased appetite with weight gain, difficulty concentrating, reduced self-esteem and pessimistic thoughts about the future, loss of sexual sensitivity, restlessness and fear. All of these symptoms can go so far that the person concerned is thinking about ending their own life or even attempting suicide. The symptoms mentioned must persist for at least two weeks in order to be able to diagnose a depressive episode. If these episodes are recurring, with healthy intervals in between, the (repetitive) depression is referred to as recurring. The division into mild, moderate or severe depression can be made, for example, according to the ability to exercise a job and maintain social contacts. In the case of mild depression, one usually hardly notices the sadness of the affected person - outwardly there are almost no restrictions. Someone with moderate depression finds it difficult to continue working and is more likely to withdraw from their surroundings. In severe depression, many of the symptoms mentioned are present and in most cases there is suicidality, so that these people have to be admitted to a psychiatric clinic.

Adjustment Disorder or Depression?

If someone is diagnosed with retinitis pigmentosa and is told that they will go blind in a few years' time, what is known as an adjustment disorder can often occur first - a mental illness that is classified in a different category of mental disorders than depression . Adjustment disorder is characterized by subjective suffering and emotional impairment. That means, there is also a depressed mood and / and fear and / or concern here. In addition, there is a feeling of not being able to cope with everyday life. These complaints often begin immediately after the diagnosis is made or no later than a month afterwards and then last six months to a maximum of two years. However, if the above-mentioned restrictions are very pronounced and there are also symptoms that are mentioned above for depression or the unpleasant state lasts for more than two years, the adjustment disorder turns into a depressive illness.

It should be emphasized here that the mentioned mood changes and unpleasant complaints do not necessarily have to occur in every person after a serious diagnosis.

The more positive resources you have available (see also article from page 21), the sooner you can stay stable and healthy. However, if you are familiar with one or more of the above symptoms and are struggling with them, then it is advisable that you seek support. Don't be afraid to seek help, as you may actually be suffering from an illness - be it an adjustment disorder or even depression - that can be improved and even cured with treatment.

Next article Ways out of depression

Last changed on 04/02/2020 09:30