Depression: Clinical Features

Depressive mood & Loss of Interest or pleasure (Anhedonia) are the key symptoms of Depression.

Other symptoms are:

  1. Low energy
  2. Decreased activity
  3. Decreased concentration
  4. Disturbed sleep/early morning awakening
  5. Disturbed appetite
  6. Decreased self esteem
  7. Decreased self-confidence
  8. Guilt or worthlessness
  9. Worse symptoms in the morning
  10. Psychomotor agitation/retardation
  11. Decreased Libido.

Types of Depression based on severity:

1. Mild Depression:

Patients with mild depression are functionally normal despite distress.

2. Moderate Depression:

They suffer difficulty in functioning.

3. Severe Depression without Psychotic Symptoms:

Patients with Severe Depression suffer from:

  1. Loss of self esteem.
  2. Feeling of worthlessness & guilty
  3. Suicidal ideation/acts.

4. Sever Depression with Psychotic Symptoms:

This is the most severe type of depressive disorder. Psychotic symptoms (Delusions/ Hallucinations) are seen. It should be differentiated from other Psychotic Illnesses.


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