A report on Major depressive disorder

Sorrowing Old Man (At Eternity's Gate)
by Vincent van Gogh (1890)
An 1892 lithograph of a woman diagnosed with melancholia
A cup analogy demonstrating the diathesis–stress model that under the same amount of stressors, person 2 is more vulnerable than person 1, because of their predisposition.
Caricature of a man with depression
Physical exercise is one recommended way to manage mild depression.
Sertraline (Zoloft) is used primarily to treat major depression in adults.
Diagnoses of depression go back at least as far as Hippocrates.
The 16th American president, Abraham Lincoln, had "melancholy", a condition that now may be referred to as clinical depression.

Mental disorder characterized by at least two weeks of pervasive low mood, low self-esteem, and loss of interest or pleasure in normally enjoyable activities.

- Major depressive disorder
Sorrowing Old Man (At Eternity's Gate)
by Vincent van Gogh (1890)

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Overall

Bipolar disorder is characterized by episodes of depression and mania.

Bipolar disorder

27 links

Mood disorder characterized by periods of depression and periods of abnormally-elevated happiness that last from days to weeks each.

Mood disorder characterized by periods of depression and periods of abnormally-elevated happiness that last from days to weeks each.

Bipolar disorder is characterized by episodes of depression and mania.
Bipolar mood shifts
An 1892 color lithograph depicting a woman diagnosed with hilarious mania
An 1858 lithograph captioned 'Melancholy passing into mania'
'Melancholy' by William Bagg, after a photograph by Hugh Welch Diamond
Brain imaging studies have revealed differences in the volume of various brain regions between patients with bipolar disorder and healthy control subjects.
Since Emil Kraepelin's distinction between bipolar disorder and schizophrenia in the 19th century, researchers have defined a spectrum of different types of bipolar disorder.
Simplified graphical comparison of bipolar I, bipolar II and cyclothymia
Lithium is the only medication approved by the FDA for treating mania in children.
Lithium is often used to treat bipolar disorder and has the best evidence for reducing suicide.
German psychiatrist Emil Kraepelin first distinguished between manic–depressive illness and "dementia praecox" (now known as schizophrenia) in the late 19th century.
Singer Rosemary Clooney's public revelation of bipolar disorder made her an early celebrity spokesperson for mental illness.

Since a diagnosis of bipolar disorder requires a manic or hypomanic episode, many affected individuals are initially misdiagnosed as having major depression and incorrectly treated with prescribed antidepressants.

A depressive man standing by a country pond in the pouring rain

Mood disorder

20 links

Affective disorder, is any of a group of conditions of mental and behavioral disorder where a disturbance in the person's mood is the main underlying feature.

Affective disorder, is any of a group of conditions of mental and behavioral disorder where a disturbance in the person's mood is the main underlying feature.

A depressive man standing by a country pond in the pouring rain

Mood disorders fall into seven groups, including; abnormally elevated mood, such as mania or hypomania; depressed mood, of which the best-known and most researched is major depressive disorder (MDD) (alternatively known as clinical depression, unipolar depression, or major depression); and moods which cycle between mania and depression, known as bipolar disorder (BD) (formerly known as manic depression).

The prevalence of mental illness is higher in more economically unequal countries

Mental disorder

25 links

Behavioral or mental pattern that causes significant distress or impairment of personal functioning.

Behavioral or mental pattern that causes significant distress or impairment of personal functioning.

The prevalence of mental illness is higher in more economically unequal countries
"Haus Tornow am See" (former manor house), Germany from 1912 is today separated into a special education school and a hotel with integrated work/job- and rehabilitation-training for people with mental disorders
Deaths from mental and behavioral disorders per million persons in 2012
Eight patients representing mental diagnoses as of the 19th century at the Salpêtrière, Paris.
A patient in a strait-jacket and barrel contraption, 1908
Insulin shock procedure, 1950s
frameless
Giorgio Antonucci
Thomas Szasz

In 2019, common mental disorders around the globe include depression, which affects about 264 million, bipolar disorder, which affects about 45 million, dementia, which affects about 50 million, and schizophrenia and other psychoses, which affects about 20 million people.

The skeleton structure of the SNRI venlafaxine, a typical example of an antidepressant.

Antidepressant

20 links

The skeleton structure of the SNRI venlafaxine, a typical example of an antidepressant.
The skeleton structure of the SNRI venlafaxine, a typical example of an antidepressant.
Blister pack of Prozac (fluoxetine), a selective serotonin reuptake inhibitor
The chemical structure of venlafaxine (Effexor), an SNRI
St John's wort
Structural formula of the SSRI sertraline

Antidepressants are medications used to treat major depressive disorder, some anxiety disorders, some chronic pain conditions, and to help manage some addictions.

Van Gogh's The Starry Night, from 1889, shows changes in light and color as can appear with psychosis.

Psychosis

24 links

Condition of the mind that results in difficulties determining what is real and what is not real.

Condition of the mind that results in difficulties determining what is real and what is not real.

Van Gogh's The Starry Night, from 1889, shows changes in light and color as can appear with psychosis.
Bust of Hippocrates
Gottlieb Burckhardt (1836-1907)

These include mental illness, such as schizophrenia or schizoaffective disorder, bipolar disorder, and in rare cases, major depression (psychotic depression).

Serotonin, the neurotransmitter that is involved in the mechanism of action of SSRIs.

Selective serotonin reuptake inhibitor

17 links

Serotonin, the neurotransmitter that is involved in the mechanism of action of SSRIs.
Neurotransmitter transporters inhibitors

Selective serotonin reuptake inhibitors (SSRIs) are a class of drugs that are typically used as antidepressants in the treatment of major depressive disorder, anxiety disorders, and other psychological conditions.

The triangle in the middle represents CBT's tenet that all humans' core beliefs can be summed up in three categories: self, others, future.

Cognitive behavioral therapy

17 links

Psycho-social intervention that aims to reduce symptoms of various mental health conditions, primarily depression and anxiety disorders.

Psycho-social intervention that aims to reduce symptoms of various mental health conditions, primarily depression and anxiety disorders.

The triangle in the middle represents CBT's tenet that all humans' core beliefs can be summed up in three categories: self, others, future.
John B. Watson

Though it was originally designed to treat depression, its uses have been expanded to include the treatment of many mental health conditions, including anxiety, substance use disorders, marital problems, and eating disorders.

A drawing of someone with insomnia from the 14th century

Insomnia

12 links

Sleep disorder in which people have trouble sleeping.

Sleep disorder in which people have trouble sleeping.

A drawing of someone with insomnia from the 14th century
Potential complications of insomnia.
Normison (temazepam) is a benzodiazepine commonly prescribed for insomnia and other sleep disorders.
Disability-adjusted life year for insomnia per 100,000 inhabitants in 2004.
no data
less than 25
25–30.25
30.25–36
36–41.5
41.5–47
47–52.5
52.5–58
58–63.5
63.5–69
69–74.5
74.5–80
more than 80

Early morning awakening is often a characteristic of depression.

Lithograph of a person diagnosed with melancholia and strong suicidal tendency in 1892

Depression (mood)

10 links

Mental state of low mood and aversion to activity, which affects more than 280 million people of all ages Classified medically as a mental and behavioral disorder, the experience of depression affects a person's thoughts, behavior, motivation, feelings, and sense of well-being.

Mental state of low mood and aversion to activity, which affects more than 280 million people of all ages Classified medically as a mental and behavioral disorder, the experience of depression affects a person's thoughts, behavior, motivation, feelings, and sense of well-being.

Lithograph of a person diagnosed with melancholia and strong suicidal tendency in 1892
Allegory on melancholy, from circa 1729–40, etching and engraving, dimensions of the sheet: 42 × 25.7 cm, in the Metropolitan Museum of Art (New York City)

Depressed mood is a symptom of some mood disorders such as major depressive disorder or dysthymia; it is a normal temporary reaction to life events, such as the loss of a loved one; and it is also a symptom of some physical diseases and a side effect of some drugs and medical treatments.

Service members use art to relieve PTSD symptoms.

Post-traumatic stress disorder

20 links

Mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on a person's life.

Mental and behavioral disorder that can develop because of exposure to a traumatic event, such as sexual assault, warfare, traffic collisions, child abuse, domestic violence, or other threats on a person's life.

Service members use art to relieve PTSD symptoms.
No quieren (They do not want to) by Francisco Goya (1746–1828) depicts an elderly woman wielding a knife in defense of a girl being assaulted by a soldier.
Regions of the brain associated with stress and post-traumatic stress disorder
The diagram depicts how emotions, thoughts, and behaviors all influence each other. The triangle in the middle represents CBT's tenet that all humans' core beliefs can be summed up in three categories: self, others, future.
Vietnam Veterans Memorial, Washington, D.C.
Statue, Three Servicemen, Vietnam Veterans Memorial
Disability-adjusted life year rates for post-traumatic stress disorder per 100,000 inhabitants in 2004 
no data
< 43.5
43.5–45
45–46.5
46.5–48
48–49.5
49.5–51
51–52.5
52.5–54
54–55.5
55.5–57
57–58.5
> 58.5

PTSD causes biochemical changes in the brain and body, that differ from other psychiatric disorders such as major depression.