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Re: What Is An Aggitated Depression?

Posted by rskontos on December 3, 2007, at 13:19:14

In reply to What Is An Aggitated Depression?, posted by Phillipa on December 3, 2007, at 12:31:03

Phillipa, I found this description no info on meds. Need to research further will do later.....rk

Agitated Depression

------------a state of clinical depression in which the person exhibits irritability and restlessness-----------------

This term is applied to depressive disorders in which agitation is prominent. Agitation occur in many severe depressive disorders but in agitated depression, it is particularly severe. Agitated depression is seen more commonly among the middle aged and elderly than among younger patients. However, there is no reason to suppose that agitated depression differs in other impotent ways from the other depressive disorders.

Definition of Agitated Depression

A major depression with agitation that may be driven by hypomania.

Although many people experience symptoms such as feeling slowed down and lethargic when they are depressed, others may experience just the opposite. They may feel anger, agitation and irritability. This is what "agitated depression" refers to.

Agitated depression was once called melancholia agitata. It is now also known as mixed mania.

Agitation occurs in many severe depressive disorders, but in agitated depression it is particularly severe. There is no reason to suppose that agitated depression differs in other important respects from other depressive disorders.

Diagnostic Criteria for Agitated Depression

Major Depressive Episode
At least two of the following symptoms:
Motor agitation
Psychic agitation or intense inner tension
Racing or crowded thoughts
Agitated depression meets the criteria for major depressive episode but not those of a mixed bipolar disorder according to the DSM-III-R

Clinical Forms of Agitated Depression

Psychotic agitated depression
Proposed name: Melancholia
Non-psychotic agitated depression
Meets the RDC criteria
Excites anxious depression
Provisional name: Psychic agitation and racing or crowded thoughts.
Agitated depression in bipolar I disorder: Research

The occurrence of agitated depression in bipolar I disorder is not rare and has significant prognostic and therapeutic implications. Whether the co-occurrence of a major depressive syndrome with one or two of these symptomatic clusters makes up a "mixed state" remains unclear.

Agitated Major Depressive Disorder

At least 2 of the following manifestations of psychomotor retardation (not more subjective anxiety) are required for several days during the current episode

Pacing
Handwringing
Unable to sit still
Pulling or rubbing on hair, skin, or clothing
Outbursts of complaining or shouting
Talks on and on, or can't seem to stop talking

 

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poster:rskontos thread:798481
URL: http://www.dr-bob.org/babble/20071125/msgs/798492.html