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Extra info for 100 Q&A About Depression (100 Questions & Answers about)
In bipolar I disorder, the person must have a history of at least one manic episode. The number of depressive episodes can be as few as none to any amount. Classically, an afflicted person alternates between episodes with normal mood in between. However, cycles can consist of any frequency of mood states in any order. Bipolar II disorder is comprised of depressive episodes alternating with hypomanic episodes only (no mania). In cyclothymia, no major depressive episode has occurred, but mild depressive episodes alternate with hypomanic states.
Depressed (or irritable) mood or a loss of interest in pleasurable activities is characteristic of all types, and all types have to cause impairment in functioning. There are some differences in symptom presentation, however, and treatment approaches may vary somewhat. The different types of depression include the following: • • • • • Neurovegetative that part of the nervous system devoted to vegetative or involuntary processes such as respiration, blood pressure, heart rate, temperature, sleep, appetite, sexual arousal, etc.
An assessment by a Bereavement the period of time spent in mourning for the death of a loved one. qxd 3/24/05 9:10 M Page 34 100 QUESTIONS & ANSWERS ABOUT DEPRESSION Table 1 Differentiating Depression from Normal Sadness Increased intensity of symptoms Increased length of symptoms No change in mood with changes in external events Decreased functioning at work/school/home mental health practitioner would be warranted in such circumstances. Table 1 outlines features that may help differentiate depression from normal sadness.