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Depression 抑郁症 (Reading & Sharing)

Depression is a mental disorder that affects the emotion, cognition, behavior, and physically. Thus, it interferes with the daily life of the patient. One out of 10 adults experience one or more episodes during their lifetime. Common complaints presented to the office are lack of interest in pleasurable activities, insomnia, digestive problems, and unexplained chronic aches and pains. As there are many forms of depression, treatment varies depending on the specific diagnosis. Types of depression may include: major depression, single versus recurrent episode (mild, moderate and severe with or without psychotic features); persistent depressive disorder (dysthymia), postpartum depression, seasonal affective disorder (SAD), bipolar disorder, and premenstrual dysphoric disorder. Most depression is associated with other physical or mental disorders (Cash & Glass, 2017). Although this condition is prevalent in primary care patients, few patients admit to being depressed and present with somatic symptoms such as headaches, back problems, or chronic pain making detection of depression more difficult to diagnose (Williams & Nieuwsma, 2018). This make it imperative that providers must learn to inquire sensitively about depression and how to utilize evidence-based screening tools available.

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