What is the worst form of depression?

If depression becomes severe, it will develop into major depression, which is extremely harmful to the patient's mental and physical health. Such patients often experience mood changes, certain cognitive impairments, behavioral changes, serious suicidal tendencies, severe physical discomfort, loss of interest in life, and many other symptoms.

What is the worst form of depression?

(1) Changes in mood:

The most prominent symptom of the patient is persistent depression, manifested as gloomy expression, listlessness, drowsiness, easy tearfulness and crying. Patients often use the words "melancholy", "sad", "dull", "empty", "lonely", and low mood means they cannot be happy, are always sad, or even pessimistic and desperate. Lin Daiyu in A Dream of Red Mansions, who frowned, sighed and shed tears all day long, is a typical example. She used words like "as if there was a wall between me and others" to describe her mood. Patients often feel depressed and gloomy, and often lose their temper over trivial matters. Over a long period of time, the mood is low most of the time. Even if the mood improves for a few days or 1 to 2 weeks, it will soon fall into depression again. Despite this, the patient's depression is generally not severe and emotional reactions still exist. A few humorous aphorisms can make them laugh. A relaxing conversation can temporarily improve one's mood. The patient himself is also able to perceive his own emotional abnormalities, but often blames them on others or the environment.

(2) Cognitive changes:

Patients lack interest in daily activities, do not experience pleasure in various entertainment or pleasant things, and often feel inferior, self-blame, and guilt. I often feel that my brain is slow to react and it is difficult to think about problems. Always think the worst when things happen, lose confidence in life, think the future is bleak and hopeless, feel that life is meaningless, and even attempt suicide

(3) Changes in will and behavior:

Patients have reduced willpower and find it difficult to concentrate on their work. Although they may have lofty ideals and ambitions, they rarely put their feet on the ground to do it. They want to socialize, but lack the courage and confidence to do so. The patient behaves passively and overly dependent in every aspect, and the psychological problem lies in his unwillingness to take responsibility. Generally speaking, patients with depressive neurosis rarely commit suicide, but some patients feel that life is empty and boring and claim that they want to die.

(4) Physical symptoms:

In about 80% of cases, patients seek help from doctors mainly due to physical symptoms such as insomnia, headache, body pain, dizziness, blurred vision, and tinnitus. These symptoms often give the body a feeling of being numerous and changeable, and some symptoms can exist for a long time without obvious aggravation or relief.