So I went to the new therapist again today. I tossed it ALL out. Told her everything I have been feeling thinking and doing for the last few weeks. I was scared. But she was so kind and understanding, warm and caring. Asked what I would do to get better and to be able to be a mom again to my daughter. I said anything. She asked me if I would consider in-patient for a few days. We talked about that for a while, and I agreed. Since I am not suicidal, I said I needed a few days to get things arranged for my daughter.
 
This is the DX:
Major Depressive Disorder
A person who suffers from a major depressive disorder (sometimes also referred to as clinical depression or major depression) must either have a depressed mood or a loss of interest or pleasure in daily activities consistently for at least a 2 week period. This mood must represent a change from the person's normal mood. Social, occupational, educational or other important functioning must also be negatively impaired by the change in mood. For instance, a person who has missed work or school because of their depression, or has stopped attending classes altogether or attending usual social engagements.

A depressed mood caused by substances (such as drugs, alcohol, medications) is not considered a major depressive disorder, nor is one which is caused by a general medical condition. Major depressive disorder generally cannot be diagnosed if a person has a history of manic, hypomanic, or mixed episodes (e.g., a bipolar disorder) or if the depressed mood is better accounted for by schizoaffective disorder and is not superimposed on schizophrenia, a delusion or psychotic disorder. Typically the diagnosis of major depression is also not made if the person is grieving over a significant loss in their lives (see note on bereavement below).

Clinical depression is characterized by the presence of the majority of these symptoms:

  • Depressed mood most of the day, nearly every day, as indicated by either subjective report (e.g., feeling sad or empty) or observation made by others (e.g., appears tearful). (In children and adolescents, this may be characterized as an irritable mood.)
  • Markedly diminished interest or pleasure in all, or almost all, activities most of the day, nearly every day
  • Significant weight loss when not dieting or weight gain (e.g., a change of more than 5% of body weight in a month), or decrease or increase in appetite nearly every day.
  • Insomnia or hypersomnia nearly every day
  • Psychomotor agitation or retardation nearly every day
  • Fatigue or loss of energy nearly every day
  • Feelings of worthlessness or excessive or inappropriate guilt nearly every day
  • Diminished ability to think or concentrate, or indecisiveness, nearly every day
  • Recurrent thoughts of death (not just fear of dying), recurrent suicidal ideation without a specific plan, or a suicide attempt or a specific plan for committing suicide <<< Except this for me

In addition, for a diagnosis of major depression to be made, the symptoms must not be better accounted for by Bereavement, i.e., after the loss of a loved one, the symptoms persist for longer than 2 months or are characterized by marked functional impairment, morbid preoccupation with worthlessness, suicidal ideation, psychotic symptoms, or psychomotor retardation.

1 Comment
  1. xxcarebear1983xx 11 years ago

     I dont think that it will be too bad for you to go into and "in-patient" setting.  The good thing is is that you you volutarily going cause if you feel that it isn't right for you then you can just leave at any time.  I am afraid to into an "in-patient" setting.  I am just fearful of what might happen.  I feel that it might make me worse than what I already am.  My therapists goal is to keep me out of places like that, not to put me in, same thing with my psychiatrist.  I am just not sure how she figures that doing that will help you.  I don't know.  Everyone thinks different!

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