Core symptom group:
Depression: feeling depressed, distressed and sad, feeling pain is hard to pass, and feeling unhappy. What's more, I feel that life is worse than death, and I often frown and sigh. I feel depressed almost every day and generally don't change with the change of environment.
Loss of interest: or lack of pleasure, lack of interest in anything, loss of enthusiasm for previous hobbies, loss of ability to experience happiness, and inability to get pleasure from daily activities. Even if there are some simple activities, such as reading books and watching TV, their main purpose is only to kill time, and they can't get happiness from it.
Psychological symptom group:
Anxiety is manifested as anxiety, worry, nervousness, irritability, fear of losing control or accidents.
Slow thinking, slow conscious response, difficult thinking, decreased decision-making ability, reduced speech, slower speech speed and lower volume. In severe cases, there will be obstacles to coping and communication.
Cognitive symptoms: mainly manifested in the decline of memory ability of recent events, attention disorder, decreased information processing ability, indifference to self and surrounding environment, etc. In severe cases, there will be "three asymptomatic", that is, feeling useless, helpless and hopeless. Useless: Self-evaluation is lowered, and I think my life is worthless, full of failures and nothing. Helplessness: Feeling helpless and isolated. Hopeless: I feel that I have no way out, no hope and no future.
Self-blame and self-blame: blaming yourself for some small mistakes or mistakes in the past, you will feel deep guilt or guilt when it is serious, and think that you are sinful and must be punished by society.
Attempted suicide: Patients with severe depression are often accompanied by negative suicidal thoughts and behaviors. Suicide thoughts are often stubborn and repeated, and suicidal behaviors are often well planned and difficult to prevent. Therefore, suicide is the most serious and dangerous symptom of depression.
Psychomotor changes:
Mental retardation or excitement may occur. Lag: manifested as slow action, slow thinking, reduced activities, lazy life, alienation from relatives and friends, avoidance of social interaction, decreased work efficiency, and neglect of personal hygiene. In severe cases, it will develop into a state of "depressive stupor". Agitation: I can't help thinking about some aimless things repeatedly in my mind, and my thinking content is chaotic, so I show fidgety, uncontrollable and even aggressive behavior.
Psychotic symptoms: Patients with severe depression may have psychotic symptoms such as hallucinations or delusions.
Epiphany: Some patients with depression can actively seek treatment and describe their illness and symptoms, which is a complete epiphany. Patients with severe depression may lack a correct understanding of the current state, or even completely lose the desire to seek treatment, which is an incomplete or lack of self-knowledge.
Somatic symptom group:
Sleep disorders: manifested as difficulty in falling asleep, shallow sleep, dreaminess, early awakening, lack of sleep, etc. Among them, it is the most common difficulty to fall asleep, which is generally delayed by more than half an hour, while waking up early is the most characteristic, which is generally 2-3 hours earlier than usual, and you can't sleep after waking up.
Diet and weight disorder: mainly manifested as loss of appetite and weight loss. The loss of energy is manifested in listlessness, fatigue and laziness. Depression is more severe during the day than at night. Depression often increases after getting up in the morning, but decreases in the afternoon and evening. This symptom is one of the typical manifestations of "endogenous depression". However, the symptoms of some patients with psychogenic depression may worsen in the afternoon or evening, contrary to the above situation.
Sexual dysfunction: it can be decreased sexual desire or even complete loss, sexual dysfunction. Other nonspecific physical symptoms, such as headache and backache, can also be manifested as dry mouth, sweating, blurred vision, palpitation, chest tightness, nausea, vomiting, burning sensation in the stomach, frequent urination and urgency.