Manifestations of depression

What are the clinical manifestations of depressive neurosis?

(1) Emotional changes: The most prominent symptom of patients is persistent depression, which is characterized by gloomy expression, listlessness, lethargy, easy tears and crying. Patients often use words such as unhappy, bleak, dull, empty, lonely and separated from others like a wall to describe their feelings. Patients often feel depressed and depressed, and often lose their temper because of trivial matters. For a long time, I was depressed most of the time. Even if the mood improves for a few days or 1 ~ 2 weeks, it will soon fall into depression. Despite this, the degree of depression of patients is generally not serious, and emotional reactions still exist. A few humorous epigrams can make them laugh through tears. A light conversation can temporarily improve his mood. Patients can be aware of their own emotional abnormalities, but they often blame others or the environment.

(2) Cognitive changes: patients lack interest in daily activities, and they can't feel pleasure in all kinds of entertainment or pleasant things. They often feel inferior, blame themselves and feel guilty. I often feel that my brain is slow and it is difficult to think. Always think the worst when things happen, lose confidence in life, think that the future is bleak and hopeless, feel that life is meaningless, and even attempt suicide.

(3) Will and behavior change: The patient's will activity decreases, making it difficult to concentrate on his work. Although they may have lofty ideals and ambitions, they seldom do it in a down-to-earth manner. They want to socialize, but lack the courage and confidence to socialize. Patients are passive and over-dependent, and the psychological crux lies in their unwillingness to take responsibility. Generally speaking, depressive neurosis rarely commits suicide, but some patients feel empty and bored and claim to want to die.

(4) Physical symptoms: About 80% of cases mainly seek help from doctors with physical symptoms such as insomnia, headache, body pain, dizziness, dizziness and tinnitus. These symptoms often give people a changeable feeling, and some symptoms can exist for a long time, but there is no obvious aggravation or relief. Most of these symptoms will disappear with the release of depression.