There are different types of depression. Major depression, also called clinical depression, and chronic depression, also known as dysthymia, are the most commonly observed depression clinics. Atypical depression, Bipolar Depression or Manic Depression, Seasonal Depression, Psychotic Depression, postpartum depression types can be listed.

On average, one in 4-5 people in society will experience depression at some point in their lives has had a major depression. Major depression affects adults, teenagers, children and the elderly. Not being able to eat, losing weight, having a depressive mood, not being able to enjoy things that used to be enjoyed before, the person becoming unable to work, insomnia, the person becoming indifferent to the developments in his family and close circle, almost withdrawing into his own world can be mentioned.
Clinical depression, also called major depression, is normal. It can cause a situation that disrupts daily life… 
Depressive symptoms cause intense sadness and even dysfunction. In clinical depression, symptoms occur spontaneously, but do not improve without treatment. It should be known that it does not occur as a result of medication side effects or drug addiction, or as a result of other medical conditions such as hypothyroidism, as in some depression states. While the first symptoms of feeling constantly unhappy and hopeless and a deep and constant feeling of hopelessness and helplessness from the moment onwards are present, if there are other symptoms, it is possible that it is major depression and you should immediately consult a specialist to get help..

If If you have major depression, you may be experiencing symptoms that make it difficult for you to work, do business, sleep, eat, and enjoy life and your friends the way you used to. Some people experience clinical depression only once in their lives. Others may encounter this several times in their lives. This is not the same as most people feeling sad or bad to some extent about the negativities in their lives.
The person is in a depressed mood most of the day, especially in the mornings. Helplessness, one of the symptoms of major depression In addition to situations such as worthlessness, indifference to events, the person's dreams also contain traces of emotional collapse and intense nightmares.
Other symptoms that may be seen in a person with major depression according to DSM-IV (guideline for diagnosing mental health conditions):
• Significant weight loss or gain (a change of more than 5% of body weight in a month)
br /> • Significant decrease in interest and pleasure, loss of pleasure almost every day and in almost all activities
• Loss of energy or fatigue almost every day
• Feeling of worthlessness and guilt almost every day
• Concentration impairment, indecision
• Insomnia or excessive sleeping almost every day
• Psychomotor restlessness or slowness
• Recurrent thoughts of death or suicide (not just fear of death)..< br /> In order for a person to be diagnosed with major depression, one of the symptoms we have mentioned and a depressed mood must be observed. Symptoms occur almost every day and persist for most of the day. When this situation lasts for at least two weeks, it is classified as major depression.

• Sadness of losing a loved one due to death, divorce and separation. Interpersonal differences or feeling of deprivation that lead to social isolation.
/> • Major life changes - moving, graduation, job change, retirement
• Personal conflict in relationships with partner or manager at work
• The person has experienced physical, sexual or emotional abuse
In some families Major depression shows a familial predisposition, there may be a tendency to depression... However, people who have never had depression in their family or history can also experience major depression... Chronic Depression or Dysthymia is the presence of a depressive mood that continues for two years or more. Chronic depression is more severe than clinical depression. It is less severe and does not interfere with the person's daily life. If you have dysthymia or chronic depression, you are likely to experience one or two episodes of major depression throughout your life.
Atypical Depression symptoms include overeating, hypersensitivity to lack of value, increased irritability, oversleeping, feeling chronic fatigue, negative There is an overreaction to perceived situations and a mood that worsens or improves disproportionately to the situations. In general depression, a widespread state of sadness is noted. Bipolar Depression or Manic Depressive Attacks are sometimes also called manic depressive illness. It is a mental health disorder characterized by periodic changes between two moods, ranging from clinically observed periods of depression and periods of extreme enthusiasm or mania. There are two subtypes: bipolar I and bipolar II. In bipolar I, patients have a history of at least one manic episode, which may sometimes be accompanied by major depressive episodes. In Bipolar II, patients may have a history of at least one major depressive episode and at least one hypomanic (mildly euphoric) episode...
Previously, bipolar disorder was called manic depression. It is a major affective disorder or mood disorder characterized by dramatic mood changes. Bipolar disorder is a serious clinical condition when mania causes insomnia, hallucinations, delusions, and/or paranoid states that may last for days at a time, hallucinations, and/or paranoid states. Abnormal changes in the level of consciousness that may require medical attention and hospitalization and for relatives to ensure the patient's safety. It is a risky clinical picture that is experienced… Mood swings, which are said to have a genetic basis in the etiology of bipolar disorder, fluctuate from major or clinical depression to mania or extreme enthusiasm. Mood changes can range from very mild to very severe, and their clinical duration varies. Mood changes may occur suddenly after a negative experience or may be gradual. Bipolar disorder usually occurs between the ages of 15 and 24 and lasts throughout life. Newly diagnosed mania is rarely seen in children and people over the age of 65. Along with dramatic mood swings, patients with bipolar disorder may also develop thought disorder, perceptual distortions, and abnormalities in social functions within bipolar phases. The relapse rate of the disorder is high. Patients with high mania often suffer from risky behavior and suicidal ideation. is hospitalized to be removed.

Clinical depression symptoms seen with bipolar disorder are;
• Decreased appetite and/or weight loss, or overeating and weight gain
• Difficulty concentrating, remembering and difficulty making decisions
• Fatigue, decreased energy, slowing down
• Feeling of guilt, worthlessness, helplessness
• Hopelessness, pessimism
• Insomnia, waking up early during the day or excessive sleep
• Decreased interest and pleasure in previously enjoyed activities and hobbies, including sex
• Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain.
• Persistent sad, anxious or "empty" moods. • Anxiety, hypersensitivity. This clinical picture occurs. It usually starts in autumn or winter and ends in spring or summer. It is not the same as "winter depression". Another rare type is called "summer depression", it begins in late spring, early summer and ends in autumn. PSYCHOTIC DEPRESSION is a serious clinical condition in which delusional thoughts or other severe findings of psychosis are accompanied by symptoms of depression. It is a painting.. . With psychotic depression, psychosis is a state of detachment from reality, that is, a severe state in which the person's place-time-space orientation is lost, in addition to the severe clinical condition in which the depression picture is added. Patients struggle with hallucinations and delusions brought on by the psychotic background. In order to ensure the safety and treatment of the patient, the patient may need to be hospitalized in the clinic and medication and other treatments may be administered by specialist physicians.

Clinical Psychologist 
Dr.Derya Müftüoğlu

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