What Is Double Depression?

Double depression refers to a period of more than 2 years (1 year for children and adolescents). If major depression occurs, then major depression and aggravated mood disorders can be diagnosed at the same time (double depression). Double depression only appears in the DSM diagnostic classification system, not in the ICD-10 and CCMD-2R systems.

Double depression refers to a period of more than 2 years (1 year for children and adolescents). If major depression occurs, then major depression and mood disorders can be diagnosed at the same time (doubledepression). Double depression only appears in the DSM diagnostic classification system, not in the ICD-10 and CCMD-2R systems.

The diagnosis of double depression is inseparable from the bad mood disorder. The basic characteristics of the bad mood disorder are chronic depression. The mood lasts for more than 2 years. Most of the days are depression, and there are few times when there is no depression (diagnosis criterion A). , At least two of the following additional symptoms: poor appetite or bulimia, insomnia or excessive sleep, loss of energy or fatigue, decreased self-confidence, difficulty in concentration or difficulty in making decisions; feeling hopeless (diagnosis criterion B); in During 2 years (1 year for children and adolescents), no asymptomatic interval should exceed 2 months (diagnosis criterion C); within the first 2 years, there were no major episodes of major depression (diagnosis criterion D); the patient never Have had a manic episode, mixed episodes, or hypomanic episodes. ^[1]

1.Autogenetic factors

If there is in the family

Prone to insomnia and suicide

Patients with depression often have refractory sleep disorders, with a prevalence of up to 98%, manifested as insomnia, difficulty falling asleep, early awakening, disturbed sleep rhythm, and poor sleep quality. Depression patients wake up early, especially when they wake up at 3 ~ 5 in the morning. At this time, the mood is low and the risk of suicide is the greatest. This is also one of the dangers of depression.

Incapacity

Depression patients have poor physical function, and the loss of labor is five times that of non-depression patients. More than half of the patients with depression have completely lost their ability to work and live, cannot work, and cannot handle household chores.

Economic losses

Some patients with depression often have physical symptoms of autonomic dysfunction, such as chest tightness, shortness of breath, palpitation, abdominal distension, headache, frequent urination and other physical diseases, so they go to the general hospital for treatment. If the doctor neglects the patient's depression, and fails to give proper antidepressant treatment to other medications, it will inevitably make the disease uncured and increase the patient's financial burden.

Negative thought

The dangers of depression and depression can lead to negative thinking, pessimism and self-blame, low self-esteem, as if looking at the world with colored eyes, feeling that everything is difficult and desperate for the future. Depression patients treat themselves as worthless, exaggerate insignificant mistakes and shortcomings, feel sorry for others, their families, and society, and consider themselves guilty of serious sins.