Signs of severe depression

Depressions are also characterized by sleep disorders, which are noted by about 80% of patients. As a rule, these are early awakenings with inability to fall asleep, lack of a sense of sleep, and difficulty falling asleep. These disorders, as well as restless sleep with unpleasant dreams are often the very first symptoms of depression onset. It helps with some kinds of depression:

If the depressive state is shallow, it is sometimes difficult to recognize. This is due to the fact that people are ashamed to tell others about their problems, to admit their “weaknesses. Quite often, especially in Russia, depressive states are masked by alcohol abuse. In addition, it is not uncommon for patients suffering from depression to “shake things up” by “throwing themselves into all sorts of troubles,” engaging in gambling or extreme sports, going to serve under contract to “hot spots”. People around them and their relatives, who do not have psychiatric knowledge, often accuse them of debauchery, drunkenness, a riotous lifestyle and loafing. Meanwhile, this behavior is a kind of “cry for help”, an attempt to fill the mental emptiness brought by depression with new acquaintances and impressions.

Depressive states can occur in shallow forms that are easy to treat, but at least a third of depressions are more severe. Such depressions are characterized by:

– ideas of guilt, sometimes reaching the degree of delirium, i.e., an unshakable belief in their sinfulness, in worthlessness (patients believe they are great sinners, believe that because of them all relatives and Mankind will perish, that they are from birth “moral freaks,” supposedly devoid of basic morality and sense of empathy for other people, that they have no place on earth. They find in their past numerous “confirmations” of what they have said, believe

that the doctor and other patients are aware of these transgressions and express contempt and indignation with their facial expressions and gestures, but in words they “hide, deny the obvious”. Both the patients and their relatives need to keep this in mind in order to prevent the impending threat in time: put away all firearms, piercing and cutting objects, ropes, strong medicine and poisonous household liquids, close windows or shutters, do not let the patient go anywhere alone. If these ideas become persistent and do not give way to dissuasion, it is necessary to urgently apply for consultation to a neuropsychiatric institution or to call a psychiatrist at home:

– Fluctuations of mood during the day: in typical cases, the patient, waking up, immediately feels homesick. Sometimes, even before awakening, the patient has a heavy premonition of the coming morning before he or she is fully awake. In the evening, the feeling of well-being improves somewhat;

– the person may experience a feeling of unmotivated aversion to relatives and friends, constant inner dissatisfaction and irritation, which makes him/her unbearable for the family;

– For some people suffering from depression, constant doubts, fear for the health and well-being of loved ones, obsessive, that is occurring against their will, ideas about the misfortunes and troubles of family members come to the fore.

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