A DISORDER NOT TO BE CONFUSED WITH DEPRESSION
Most people who seek psychological or psychiatric support describe themselves as depressed and, consequently, believe they ” have depression “.
However, the symptoms reported are for the most part nonspecific, such as fever in the internist field: just as fever can have many causes, from sunstroke to cancer, even the symptom “depression” can be registered in completely different clinical conditions, not always labeled as a depressive illness, and therefore require different therapeutic strategies.
To successfully treat these pathologies, the first essential step is therefore an accurate diagnosis .
FEATURES AND SYMPTOMS
The mood disorders are also often defined disturbances of chronobiological rhythms as their cause, though largely unrecognized, seems closely linked to hormone-organic rhythms . This is precisely the fundamental characteristic that distinguishes them from other depressions.
They are pathologies that manifest themselves with phases characterized by typical symptoms such as feeling sad and dejected (deflected mood), rapid and sudden emotional changes ( emotional lability), lack of energy and the lack of desire to act even things that would normally cause pleasure to the affected subjects.
The appearance of the phases is linked to the seasons, with more frequent manifestations in autumn and spring, although each affected individual can identify its own seasonality, with episodes not necessarily linked to the so-called change of season, but perhaps to the heat of summer, rather than to the greyness and darkness of winter.
Another important element in mood sickness is polarity , which consists in the recurrence of depressive episodes ( depressive disorder), or the alternation of depressive syndromes with phases of opposite sign, euphoric or manic ( bipolar disorder ).
A MATTER OF HORMONES …
The phases are closely related to the trend of hormonal cycles , including sexual ones: women who are affected, for example, complain of monthly premenstrual phases that are particularly intense also from an emotional point of view; the pregnancy , the postpartum and menopause may be times when the disease begins and still has most likely to give a sign of self or, conversely, sometimes positively affected by the hormonal rhythm.
The phases of the disease, by their intrinsic nature, can recur as they are several times in a person’s life, even years after a complete remission of the previous episode.
HOW ARE THEY CARED FOR?
Not all conditions of “black” mood, although potentially a source of extreme subjective suffering, are necessarily depressions intended as mood diseases; it is essential to distinguish these types of discomfort with extreme effectiveness, because basically only mood-sickness depressions are positively affected by the use of antidepressants, which, on the other hand, may not have the desired beneficial effects when they are given in a non -specific way in cases where the depressive discomfort is referred to it is not a true depression, and therefore does not benefit from antidepressant therapies, but from other therapeutic strategies such as psychology or psychotherapy .