Thus depressive disorder NOS is very difficult to establish as a diagnosis and that’s why it takes time to correctly evaluate the patient and his symptoms. First the symptoms are verified against all known disorders for categorization. In case no disorder can be applied, then the NOS disorder is presented to the specific patient. This continuous process requires the psychiatrist to spend time with the patient to accurately diagnose the patient as having this condition. The NOS disorder is found in the „Diagnostic and Statistical Manual of Mental Disorders (DSM)” as code 311.
The symptoms differentiate from patient to patient by age, social environment, sex, life events.
This depression disorder manifest at a person by very low mood, inability to experience pleasure, preoccupation with thoughts and feelings of worthlessness, uselessness, guilt, regret, hopelessness, self-hate or helplessness. The symptoms can be either physically and psychically.
The physical symptoms can be fatigue, headaches, and indigestions. Often the appetite decreases and the person suffer weight loss; exceptions may occur by increased appetite and weight gain. The person can be either very lethargic or very agitated.
In severe cases symptoms of psychosis are detected such as delusions or unpleasant hallucinations. Other signs detected are poor memory and concentration, reduced sex drive, retraction from social activities, suicidal thoughts, insomnia or even oversleeping. For example insomnia is present at 80% of depressed people.
At older people, the following symptoms apply also: forgetfulness, slowness in movement, offset mind hand in hand with physical symptoms as cardiovascular problems, Parkinson’s disease, stroke or pulmonary disease.
At children, the most encountered symptom is an irritable mood transforming the child in a demanding, dependant or insecure person. They also lose interest in common activities such as school reflecting it in their academic performance decline. Special attention should be paid when reading sings not to misinterpret the symptoms as normal moodiness. Attention deficit hyperactivity disorder [ADHD] often coexists with depression.
Anxiety has a major impact in depression and its symptoms may delay the recovery or increase the risk of relapse. Stress, anxiety and depression are deeply related and deepen the depression disorder.
Major depression significantly affects a person’s family and personal relationships, work or school life, sleeping and eating habits, and also the general health. Its impact on functioning and well-being and have been compared to chronic medical conditions such as diabetes. The depressive patients often isolate themselves from family and friends, are emotional, attempt to commit suicide, consider themselves useless and hopeless. More detailed information can be found in this book: Major Depressive Disorder: A Patient and Family Guide.
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