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Dr. Bob is Robert Hsiung, MD,
bob@dr-bob.orgShown: posts 1 to 9 of 9. This is the beginning of the thread.
Posted by SLS on March 2, 2013, at 0:11:56
Nice summary of depression:
- Scott
Posted by Phillipa on March 2, 2013, at 9:49:09
In reply to Merk Manual: Depression, posted by SLS on March 2, 2013, at 0:11:56
It's a good manual. Used it all the time when working. And it proves my theory which at the time no one else seemed to see that a good majority of inpatients had thyroid disease. Even treated with synthroid or other the depression is still there in most. What's interesting is that it mentions fluvoxamine needing frequent dose changes. Any idea why? Phillipa
Posted by B2chica on March 4, 2013, at 13:30:22
In reply to Merk Manual: Depression, posted by SLS on March 2, 2013, at 0:11:56
Posted by joe schmoe on March 4, 2013, at 17:38:51
In reply to Merk Manual: Depression, posted by SLS on March 2, 2013, at 0:11:56
"People who are introverted and who have anxious tendencies may be more likely to develop a depressive disorder. Such people often do not develop the social skills to adjust to life pressures."
I suspect this has a lot to do with our modern, urban, competitive people-person culture where everyone is expected to be a salesman, a go-getter, to give presentations, speak up in meetings, and be an extrovert.I think a lot of anxiety and depression today would not have occurred in the past when most people were farmers and did not have to work in groups, kiss up to their bosses, network, go on job interviews, and otherwise be social and confident in a competitive environment in order to survive. Living in cooperative small towns and villages where everyone helped build others' houses, took care of them while sick etc probably also helped too. Modern society is pretty unpleasant for introverts and anxious people.
Posted by SLS on March 4, 2013, at 18:17:51
In reply to Re: Merk Manual: Depression, posted by joe schmoe on March 4, 2013, at 17:38:51
> "People who are introverted and who have anxious tendencies may be more likely to develop a depressive disorder. Such people often do not develop the social skills to adjust to life pressures."
>
>
> I suspect this has a lot to do with our modern, urban, competitive people-person culture where everyone is expected to be a salesman, a go-getter, to give presentations, speak up in meetings, and be an extrovert.
>
> I think a lot of anxiety and depression today would not have occurred in the past when most people were farmers and did not have to work in groups, kiss up to their bosses, network, go on job interviews, and otherwise be social and confident in a competitive environment in order to survive. Living in cooperative small towns and villages where everyone helped build others' houses, took care of them while sick etc probably also helped too. Modern society is pretty unpleasant for introverts and anxious people.I agree with you.
- Scott
Posted by sigismund on March 6, 2013, at 17:16:38
In reply to Merk Manual: Depression, posted by SLS on March 2, 2013, at 0:11:56
Scott, you once said you do not suffer from despair.
Do you suffer from this
>Depressive disorders are characterized by sadness severe enough or persistent enough to interfere with function and often by decreased interest or pleasure in activities.
Or is it more an energy and capacity thing?I guess, thinking about it, that we *should* suffer from the above, if we want to have any sense of connection, not that that makes it any more enjoyable.
Posted by sigismund on March 6, 2013, at 17:19:30
In reply to Merk Manual: Depression, posted by SLS on March 2, 2013, at 0:11:56
Oh, I see. You are/have been more this......
>often by decreased interest or pleasure in activities.
Posted by sigismund on March 6, 2013, at 17:20:20
In reply to Merk Manual: Depression, posted by SLS on March 2, 2013, at 0:11:56
Should they be lumped in together?
Posted by SLS on March 6, 2013, at 18:26:22
In reply to Re: Merk Manual: Depression, posted by sigismund on March 6, 2013, at 17:20:20
> Should they be lumped in together?
As is listed in the DSM IV, major depressive disorder must present with at least one of the following:
1. Depressed mood, sadness, feelings of emptiness.
2. Loss of interest or pleasure.These two things need not be lumped together to qualify as MDD.
My depression is a sort of hybrid between #1 and #2. When I was younger, depressed mood predominated. Now, loss of interest and pleasure are more prominent, along with cognitive impairments.
- Scott
This is the end of the thread.
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