Depression can be subdivided into major depression, dysthymic disorder, adjustment disorder with depressed mood, and mood disorder due to a general medical condition.
If there is a history of mania or hypomania a diagnosis of bipolar affective disorder is made.
Diagnosis may be difficult in the elderly. Neurological and other medical illnesses can mimic depression. Elderly individuals with a depressive illness tend to complain less frequently of actually experiencing a depressed mood.
Major depression represents a final pathway, that is, non-specific response to variety of biological, psychological and/or social factors.
Treatment approaches for depression should therefore include medication, psychotherapy, and social modalities as indicated. Treatment is often highly effective and therefore rewarding for all involved.
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