Clinical Depression --various Types ?
Q: A clinical depression or a mood disorder is a syndrome (a constellation
of signs and symptoms) that is not a normal reaction to life's
difficulties. Mood disorders involve disturbances in emotional,
cognitive, behavioral, and somatic regulation. A sad or depressed mood
is only one of many signs and symptoms of clinical depression.
A:The high prevalence of depression and the success of available
treatments prompted the need to develop a guideline to assist primary
care providers (general practitioners, family practitioners, internists,
nurse practitioners, registered nurses, mental health nurse specialists,
physician assistants, and others) in the diagnosis of depression. The
Depression Guideline Panel that prepared these guidelines is composed of
experts from various mental health and primary care disciplines and a
consumer representative, selected for their range and diversity of
expertise. The guidelines are based on systematic literature reviews
commissioned by the panel and conducted by experts in numerous areas
relevant to depression, with special attention to clinical issues most
pertinent to diagnosis and treatment of depression in primary care.
Guideline development also included input from a broad range of
professional and consumer organizations and individuals. The guidelines
have undergone peer review and field review with intended users in
clinical sites to evaluate the document both conceptually and
operationally.
The panel did not review the material used to develop the taxonomy in
DSM-III-R. Rather, the panel reviewed the epidemiology of major
depressive disorder in community samples and primary care settings and
the course, co-occurrence, and co-morbidity of depressive and other
medical conditions. Where summary statistics were lacking, but data sets
were available, the panel commissioned reanalyses of available data. The
panel also reviewed literature on the role of self-reports and clinician
ratings as tools for detecting or differentially diagnosing depression.
The role of laboratory tests in the differential diagnosis of medical
causes