PHOBIAS: SYMPTOMS, TYPES, CAUSES, and TREATMENT.

A 28 year old man is brought to the ER of a local hospital by the police, who found him wandering without a coat in subzero weather, muttering about being persecuted by a secret organization. During the evaluation he is disorganized, distractible, and from time to time dozes off in the middle of a sentence. Family members deny previous psychiatric or substance abuse history, but they add that lately the patient had complained of fatigue and increased thirst. The toxic screen is negative and glucose level is 450 mg/dL. Choose the most likely diagnosis: a. Delirium b. Psychotic depression c. Brief psychotic episode d. Paranoid schizophrenia e. Dementia Share if you like...

Depression (major depressive disorder) is a common and serious medical illness that negatively affects how you feel, the way you think and how you act. Fortunately, it is also treatable. Depression causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at work and at home. Depression symptoms can vary from mild to severe and can include: Feeling sad or having a depressed mood Loss of interest or pleasure in activities once enjoyed changes in appetite Weight loss or gain unrelated to dieting Troubles sleeping or sleeping too much Loss of energy or increased fatigue Increase in purposeless physical activity (e.g., hand-wringing or pacing) or slowed Movements and speech (actions observable by others) Feeling worthless or guilty Difficulty thinking, concentrating or making decisions Thoughts of death or suicide In this situation, you need to consult with a psychiatrist near you rather than coping alone with the depression.