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Clinical characteristics of depression
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(a) Outline the clinical characteristics of depression
(b) Explain the issues associated with the classification and diagnosis of depression
(24 marks)
Depression is a collection of physical, mental, emotional and behavioural experiences that are more prolonged, severe and damaging. The medical model involves individuals going to the doctors and having their physical symptoms observed and questions asked about their illness/problem. To help doctors diagnose diseases such as mood disorders, the medical classifications ICD-10 and DSM-IV both define these diseases in order for doctors to follow the guidelines and diagnose the correct illness.
A person is defined as having a mild depressive episode of depression by the International Classification of Diseases 10th edition by having two or three of the following psychological symptoms; lowering of mood, reduction of energy, decreased activity, ideas of guilt and worthlessness, capacity for enjoyment, interest and concentration is almost always lowered, appetite diminished, sleep disturbed and self-esteem and self-confidence is lowered.
These psychological symptoms may also be accompanied by somatic symptoms such as; lowering of mood, waking hours before normal in the morning, depression worst in the morning, marked psychomotor retardation, agitation, loss of appetite, loss of libido and
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