PDF《Clinic Application of》

26 Ren Zhong (Sudden loss of consciousness, coma, Childhood fright wind, mania Childhood fright wind, mania- -depression, epilepsy) depression, epilepsy) Du Du- -27 Dui Duan (Mania

27 Dui Duan (Mania- -depression, epilepsy) depression, epilepsy) 3. Clinic Application: 3. Clinic Application: A. Depression A. Depression Depression is extremely common with up to 30% of primary care patients Depression is extremely common with up to 30% of primary care patients having depression symptoms. having depression symptoms. Depression is so common that over

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5 Depression is so common that over

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5 Americans can expect to get some form of depression in their lifetime. Americans can expect to get some form of depression in their lifetime. Over

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20 Americans have a depressive disorder every year. Over

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20 Americans have a depressive disorder every year. A depressive disorder is an illness that involves the body, mood, A depressive disorder is an illness that involves the body, mood, and thoughts. and thoughts. and thoughts. and thoughts. Major depression Major depression is manifested by a combination of symptoms is manifested by a combination of symptoms (see symptom list) that interfere with the ability to work, study, sleep, (see symptom list) that interfere with the ability to work, study, sleep, eat, and enjoy once pleasurable activities. Such a disabling episode of eat, and enjoy once pleasurable activities. Such a disabling episode of depression may occur only once but more commonly occurs several depression may occur only once but more commonly occurs several times in a lifetime times in a lifetime ? ? Dysthymia Dysthymia (Mild Case), involves long (Mild Case), involves long- -term, term, chronic symptoms that do not disable, but chronic symptoms that do not disable, but keep one from functioning well or from keep one from functioning well or from feeling good. Many people with dysthymia feeling good. Many people with dysthymia also experience major depressive episodes also experience major depressive episodes at some time in their lives. at some time in their lives. at some time in their lives. at some time in their lives. ? ? Bipolar disorder: Bipolar disorder: also called manic also called manic- -depressive illness. Not depressive illness. Not nearly as prevalent as other forms of depressive disorders, bipolar nearly as prevalent as other forms of depressive disorders, bipolar disorder is characterized by cycling mood changes: severe highs disorder is characterized by cycling mood changes: severe highs (mania) and lows (depression). Sometimes the mood switches are (mania) and lows (depression). Sometimes the mood switches are dramatic and rapid, but most often they are gradual. When in the dramatic and rapid, but most often they are gradual. When in the depressed cycle, an individual can have any or all of the symptoms depressed cycle, an individual can have any or all of the symptoms of a depressive disorder. When in the manic cycle, the individual of a depressive disorder. When in the manic cycle, the individual may be overactive, overtalkative, and have a great deal of energy. may be overactive, overtalkative, and have a great deal of energy. Mania often affects thinking, judgment, and social behavior in ways Mania often affects thinking, judgment, and social behavior in ways Mania often affects thinking, judgment, and social behavior in ways Mania often affects thinking, judgment, and social behavior in ways that cause serious problems and embarrassment. For example, the that cause serious problems and embarrassment. For example, the individual in a manic phase may feel elated, full of grand schemes individual in a manic phase may feel elated, full of grand schemes that might range from unwise business decisions to romantic sprees. that might range from unwise business decisions to romantic sprees. Mania, left untreated, may worsen to a psychotic state. Mania, left untreated, may worsen to a psychotic state. Depression Symptoms: Depression Symptoms: ? ? Persistent sad, anxious, or empty mood Persistent sad, anxious, or empty mood ? ? Feelings of hopelessness, pessimism Feelings of hopelessness, pessimism ? ? Feelings of guilt, worthlessness, helplessness Feelings of guilt, worthlessness, helplessness ? ? Loss of interest or pleasure in hobbies and activities that were once Loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex enjoyed, including sex enjoyed, including sex enjoyed, including sex ? ? Decreased energy, fatigue, being slowed down Decreased energy, fatigue, being slowed down ? ? Difficulty concentrating, remembering, making decisions Difficulty concentrating, remembering, making decisions ? ? Insomnia, early Insomnia, early- -morning awakening, or oversleeping morning awakening, or oversleeping ? ? Appetite and/or weight loss or overeating and weight gain Appetite and/or weight loss or overeating and weight gain ? ? Thoughts of death or suicide;