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i mean i dont wanna kill myself or anything, but...i feel really....i dont know how to explain it..but i also feel sad sometimes. but this is mostly just at school. at school, i hate everyone and i feel really sad for some reason. i have friends, but only a few. and so at lunch im always alone. do u think thats whats making me sad? loneliness???? cuz im happiest at home listening to music or shopping. hmmm and last month i was REALLY sad. i think it was depression.

2007-03-09 07:20:14 · 4 answers · asked by aLeX 2 in Health Mental Health

4 answers

it may be

Symptoms

According to the DSM-IV-TR criteria for diagnosing a major depressive disorder (cautionary statement) one of the following two elements must be present for a period of at least two weeks:

* Depressed mood, or
* Anhedonia

It is sufficient to have either of these symptoms in conjunction with five of a list of other symptoms over a two-week period. These include:

* Feelings of overwhelming sadness and/or fear, or the seeming inability to feel emotion (emptiness).
* A decrease in the amount of interest or pleasure in all, or almost all, daily activities.
* Changing appetite and marked weight gain or loss.
* Disturbed sleep patterns, such as insomnia, loss of REM sleep, or excessive sleep (Hypersomnia).
* Psychomotor agitation or retardation nearly every day.
* Fatigue, mental or physical, also loss of energy.
* Intense feelings of guilt, helplessness, hopelessness, worthlessness, isolation/loneliness and/or anxiety.
* Trouble concentrating, keeping focus or making decisions or a generalized slowing and obtunding of cognition, including memory.
* Recurrent thoughts of death (not just fear of dying), desire to just "lie down and die" or "stop breathing", recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide.
* Feeling and/or fear of being abandoned by those close to one.

Other symptoms often reported but not usually taken into account in diagnosis include:

* Self-loathing.
* A decrease in self-esteem.
* Inattention to personal hygiene.
* Sensitivity to noise.
* Physical aches and pains, and the belief these may be signs of serious illness.
* Fear of 'going mad'.
* Change in perception of time.
* Periods of sobbing.
* Possible behavioral changes, such as aggression and/or irritability.

Depression in children is not as obvious as it is in adults. Here are some symptoms that children might display:

* Loss of appetite.
* Irritability.
* Sleep problems, such as recurrent nightmares.
* Learning or memory problems where none existed before.
* Significant behavioral changes; such as withdrawal, social isolation, and aggression.

An additional indicator could be the excessive use of drugs or alcohol. Depressed adolescents are at particular risk of further destructive behaviours, such as eating disorders and self-harm.

One of the most widely used instruments for measuring depression severity is the Beck Depression Inventory, a 21-question multiple choice survey.

It is hard for people who have not experienced clinical depression, either personally or by regular exposure to people suffering it, to understand its emotional impact and severity, interpreting it instead as being similar to "having the blues" or "feeling down." As the list of symptoms above indicates, clinical depression is a serious, potentially lethal systemic disorder characterized by the psychiatric profession as interlocking physical, affective, and cognitive symptoms that have consequences for function and survival well beyond sad or painful feelings.

Types of depression

The diagnostic category major depressive disorder appears in the Diagnostic and Statistical Manual of Mental Disorders of the American Psychiatric Association. The term is generally not used in countries which instead use the ICD-10 system, but the diagnosis of depressive episode is very similar to an episode of major depression. Clinical depression also usually refers to acute or chronic depression severe enough to need treatment. Minor depression is a less-used term for a subclinical depression that does not meet criteria for major depression but where there are at least two symptoms present for two weeks.

[edit] Major clinical depression

Major Depression, or, more properly, Major Depressive Disorder (MDD), is characterized by a severely depressed mood that persists for at least two weeks. Major Depressive Disorder is specified as either "a single episode" or "recurrent"; periods of depression may occur as discrete events or as recurrent over the lifespan. Episodes of major or clinical depression may be further divided into mild, major or severe. Where the patient has already had an episode of mania or markedly elevated mood, a diagnosis of bipolar disorder (also called bipolar affective disorder) is usually made instead of MDD; depression without periods of elation or mania is therefore sometimes referred to as unipolar depression because their mood remains on one pole. The diagnosis also usually excludes cases where the symptoms are a normal result of bereavement.

Diagnosticians recognize several possible subtypes of Major Depressive Disorder. ICD-10 does not specify a melancholic subtype, but does distinguish on presence or absence of psychosis.

* Depression with Melancholic Features - Melancholia is characterized by a loss of pleasure (anhedonia) in most or all activities, a failure of reactivity to pleasurable stimuli, a quality of depressed mood more pronounced than that of grief or loss, a worsening of symptoms in the morning hours, early morning waking, psychomotor retardation, anorexia (excessive weight loss, not to be confused with Anorexia Nervosa), or excessive guilt.

* Depression with Atypical Features - Atypical Depression is characterized by mood reactivity (paradoxical anhedonia) and positivity, significant weight gain or increased appetite, excessive sleep or somnolence (hypersomnia), leaden paralysis, or significant social impairment as a consequence of hypersensitivity to perceived interpersonal rejection. Contrary to its name, atypical depression is the most common form of depression.[8]

* Depression with Psychotic Features - Some people with Major Depressive or Manic episode may experience psychotic features. They may be presented with hallucinations or delusions that are either mood-congruent (content coincident with depressive themes) or non-mood-congruent (content not coincident with depressive themes). It is clinically more common to encounter a delusional system as an adjunct to depression than to encounter hallucinations, whether visual or auditory.

[edit] Other categories of depression

Dysthymia is a long-term, mild depression that lasts for a minimum of two years. There must be persistent depressed mood continuously for at least two years. By definition the symptoms are not as severe as with Major Depression, although those with Dysthymia are vulnerable to co-occurring episodes of Major Depression. This disorder often begins in adolescence and crosses the lifespan. People who are diagnosed with major depressive episodes and dysthymic disorder are diagnosed with double depression. Dysthymic disorder develops first and then one or more major depressive episodes happen later.

Bipolar I Disorder is an episodic illness in which moods may cycle between mania and depression. In the United States, Bipolar Disorder was previously called Manic Depression. This term is no longer favored by the medical community, however, even though depression plays a much stronger (in terms of disability and potential for suicide) role in the disorder. "Manic Depression" is still often used in the non-medical community.

Bipolar II Disorder is an episodic illness that is defined primarily by depression but evidences episodes of hypomania.

Postpartum Depression or Post-Natal Depression is clinical depression that occurs within two years of childbirth. Owing to physical, mental and emotional exhaustion combined with sleep-deprivation, motherhood can "set women up", so to speak, for clinical depression.[9]

Premenstrual dysphoriais is a pattern of recurrent depressive symptoms tied to the menstrual cycle. The premenstrual decline in brain serotonin function is strongly correlated with the concomitant worsening of self-rated cardinal mood symptoms.[10] Of considerable clinical importance, the recent understanding of premenstrual dysphoria as depression points directly to effective treatment with Selective serotonin reuptake inhibitor (SSRI) antidepressants. Previously, disrupting ovarian cyclicity had been the only recognized treatment. A recent review of studies of a number of SSRIs has revealed that they can effectively ameliorate symptoms of premenstrual dysphoria and may actually work best when taken only during the part of the menstrual cycle when dysphoric symptoms are evident.

2007-03-09 09:20:13 · answer #1 · answered by mkandfa4rever 3 · 1 0

Depression can also be caused by a chemical imbalance in the brain so it isn't always because of daily living circumstances which are a known cause also . Depression can affect many aspects of your daily life . If you haven't spoke to anyone about this such as a family member , ask them if they will take you for an exam and get it checked out . There are many helpful drugs which may help in addition to speaking to a psychologist trained in treating depression . This is a very common problem and I"ve been treated at various times in my life for it with very much success . Good luck to you and hope you feel better soon !

2007-03-09 08:41:08 · answer #2 · answered by Anonymous · 1 0

It would help to know how old you are, only because when you talk about school my guess would be you are quite young, probably Teens. If so: if you were not always like this then it is very likely that you are suffering the side effects of a normal hormonal adjustment. This affects men and women from 11 to 20 and can be dreadful at times and Brilliant at others. It will settle down eventually and you will revert to being dull and boring like the rest of us so try not to worry.

2007-03-09 09:02:12 · answer #3 · answered by Samuel 3 · 0 0

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2016-09-30 10:55:57 · answer #4 · answered by ? 4 · 0 0

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