How to distinguish neurasthenia from depression
How to distinguish neurasthenia from depression?
The severity is very large. The two are very similar. For example, the author encountered a patient who felt headache, dizziness, fatigue, abdominal distension, unsteady pain all over the body for 4 or 5 years, heartbeat as soon as she walked, shortness of breath and chest tightness.,, lack of appetite, constipation, sleepy dreams, 4 in the morning?
I woke up at 5 o’clock, so I felt groggy during the day and couldn’t get up to work. But I kept attending work every day and reluctantly to complete the task. I went to the internal medicine of a large hospital, diagnosed and treated in neurology, and did an electroencephalogram. BUltrasound, CT and other special tests were negative, and the diagnosis was neurasthenia. They had taken brain supplements, vitamins, Chinese medicine, and also had acupuncture. They bought their own nutritional supplements.
Thousands of yuan have been eliminated.
Other people introduced her to her boyfriend, but she refused and thought that she couldn’t control it anymore. How could she still kill people? Pessimistic negative emotions gradually appeared. I felt that it would be better to leave the world as soon as possible because I was tortured by the sick.
She was given antidepressants for two weeks after the consultation. The above symptoms gradually disappeared, her mood increased, her sleep and appetite improved, and she was confident about her future.
For about a year, the condition has been good and the drug has been discontinued.
The patient’s overall clinical manifestations were similar to those of neurasthenia.
There are many physical complaints, but it works quickly after taking antidepressants. Practice has proven that her is not a nervous breakdown, but a depression, which is called depression.
On the surface, there are many physical symptoms, and its essence is depression, but the depression symptoms are covered up by physical symptoms, and the name of the disease is shifted.
If you analyze it carefully, there are several areas of this patient that are worthy of attention, and her overall mood is low.
Insufficient vitality, lack of confidence, pessimistic outlook on the future, easy fatigue.
Early sleep awakening, loss of appetite, etc., all of these suggest to consider the diagnosis of depression, and there are several points to help determine the diagnosis: 1.
Her symptoms are light in the morning and light in the night. She complained that the false errors in the morning were the worst, fatigue, and dizziness. At night, she felt more relaxed.At night, the symptoms are more severe, and the pattern is reversed in some patients.
It is understood that her grandfather and second uncle both died of suicide. The specific condition of the skin is unknown, which may cause depression.
If a patient has a staged neurasthenic episode in his previous medical history, more consideration should be given to the possibility of depression.
The patient’s symptoms were significantly reduced within two to three weeks after antidepressant treatment, which in turn proved that she was indeed suffering from depression from a treatment perspective.
Because the above-mentioned mental health knowledge is not universal, and there is prejudice against mental patients, patients with neurasthenia often go to others. For clinical data diagnosis and treatment, other clinical physicians often lack these psychiatric expertise and hear these symptoms objectively.No abnormal findings were found during the examination. Naturally, the diagnosis of neurasthenia was thought of. By taking effective treatment measures, patients suffered from pain for many years and could not be relieved. This situation is often seen clinically, so I hope similar.
Symptom patients do not prevent psychiatric specialists from having psychological counseling, especially some stubborn and intractable neurasthenia patients. Consider that some (but not all) of them may be depression. Appropriate treatment with antidepressants at appropriate times may sometimes lead toImmediate effect.
These patients are less tolerant of antidepressants and are particularly sensitive to drug side effects, so they should start with small doses and gradually increase the dose.
The patient should also have some thought preparations for the emergence of side effects of the drug, and also have to be patient when side effects occur again. Do not take it halfway. There are too many people who fail to treat because they have not taken it for a few days.Comfortable, I am good at stopping medicines and exchanging other doctors for treatment. Repeatedly stepping on it, but nothing happened, delaying the illness, and the patients naturally continue to be tortured by the disease. Such a lesson is not uncommon.