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Depressed Mood Has Distinct Quality

• Agonising emotional pain
• Feel like having physical illness making exhausted
• 34 years old woman came in OPD
•“
• On past medical history and on examination no any significant finding
Key Symptoms of Depression
• Depressed mood (Core Symptom)
• Agonising emotional pain
• Feel like having physical illness making exhausted

• Lack of interest
• 24 yrs old newly married girl was brought by her husband and mother in law.
• Mother in law complained :

• The girl complained:

• The husband complained:

• On past history she was alright before marriage.

Neurovegetative Symptoms of Depression
• Fatigue, low energy
• Inattention
• Insomnia, early morning awakening
• Poor appetite, associated weight loss
Neurovegetative symptoms are very common
presentation of depression in OPD
• Almost all: Low energy
• 80%: Early morning awakening, Multiple awakening, Rumination
• Many: Low appetite and associated weight loss
• 50 to 75%:Cognitive impairment, Inability to concentrate, Low
memory, Impairment in thinking.
• 33%: Contemplate suicide
• 36 years old man was brought by his wife complaining that

• The man was aloof, sitting stooped, not making eye contact
Classical Observable Presentation Of Depression

• Stooped posture
• Decreased movement
• Downward averted gaze
What We Have Seen Till Now
• Key Symptoms of Depression
• Depressed mood (Core Symptom)
• Agonising emotional pain
• Feel like having physical illness making exhausted
• Lack of interest
• Neurovegetative Symptoms of Depression
• Fatigue, low energy
• Inattention
• Insomnia, early morning awakening
• Poor appetite, associated weight loss
• Classical Observable Presentation Of Depression
• Stooped posture
• Decreased movement
• Downward averted gaze
How to Identify Depression in OPD