What Is Depressive Disorder
Depressive disorders have been with mankind since the beginning of recorded history. In the Bible, King David, as well as Job, suffered from this affliction. Hippocrates referred to depression as melancholia, which literally means black bile. Black bile, along with blood, phlegm, and yellow bile were the four humors (fluids) that described the basic medical physiology theory of that time.
Types of Depressive Disorders
There are different types of Depressive disorder. Mentioned below are 3 types of this. However, remember that within each of these types, there are variations in the number, timing, severity, and persistence of symptoms.
1.Major Depression
Major depression is a type of depressive disorder when a person becomes sad or irritableĀ in mood for a week or two with not much reasons. When irritated that interferes with the ability to work, sleep, eat, and enjoy once-pleasurable activities. Disabling episodes of depression can occur once, twice, or several times in a lifetime.
2.Dysthymia
Dysthymia is a less serious but usually more long-lasting type of depression compared to major depression. It involves long-term (chronic) symptoms that do not disable but yet makes the affected person from functioning at "full steam" or from feeling good. Sometimes, people with dysthymia also experience episodes of major depression. This combination of the two types of depression is referred to as double-depression.
3.Manic Depression
Most probably, it will require antidepressant medications (or ECT in severe cases) along with psychotherapy for sometime. Another type of depression is which encompasses a group of mood disorders that were formerly called manic-depressive. It is an illness or sometimes called as manic depression. These conditions are probably inherited from relatives or most likely from parents. Not nearly as common as the other types of depressive disorders, bipolar disorders involve cycles of mood that include at least one episode of mania and may include episodes of depression as well. Bipolar disorders are often chronic and recurring. Sometimes, the mood switches are dramatic and rapid, but most often they are gradual.
Symptoms are not usually felt by others, not everyone who is depressed or manic experiences any symptom everytime. Some people experience a few symptoms and some many symptoms, also called warning signs. The severity of symptoms also varies with individuals.
Treatments for Depressive Disorders
In most cases, the severe depressive illnesses particularly those that are recurrent the best outcome, and if a person suffers one major depressive episode, he or she has a 50% chance of a second episode. If the individual suffers two major depressive episodes, the chance of a third episode is 75%-80%. If the person suffers three episodes, the likelihood of a fourth episode is 90%-95%.
Therefore, after a first depressive episode, it might make sense for the patient to gradually come off medication. However, after a second and certainly after a third episode, most clinicians will have a patient remain on a maintenance dosage of the medication for an extended period of years, if not permanently.