The agitated depression

Description:

At the agitated depression the alarming and sad mood is combined with speech and motive excitement.

Symptoms of the Agitated depression:

Existence of the agitated depression is confirmed first of all by such statements of patients in which it is told about that, something their, or their relatives will be soon comprehended by misfortune or accident. The alarm can be pointless — the patient, remaining in ignorance of the future, all the time waits for a trouble; in other cases the alarm is specific — "will shoot", "will kill", "will throw out on a frost". Patients usually speak much. Their statements are extremely uniform, contents reflects them the dominating mood and the crazy ideas. The speech consists of short phrases, separate words, quite often is followed by moaning, groans, lamentations. Tendency of patients to repeat with alarm many times in a row without interruption some word or the short phrase — alarming verbigeration is constant. Motive excitement (agitation) is shown by restlessness, continuous walking, frequent change of a pose. Many patients say that they cannot find the place that something "washes away" them to go. Speech motor excitement amplifies at a talk with patients. Sometimes agitation suddenly accepts the nature of frenzied excitement with self-torture and attempts to kill itself — melancholic раптус. At unsharply expressed agitation the important sign indicating its existence is breaking off by patients of fingers of hands.
The agitated depression can be followed by melancholic depersonalization, mental anesthesia, nonsense of self-accusation, self-abasement and ruin. Besides, also other crazy pictures are inherent to it. Most often the nonsense of charge — the patient pleads guilty, but at the same time considers that his fault is exaggerated and that the negative qualities and acts not inherent to it are unfairly attributed to it. Usually the nonsense of charge is combined with affective, i.e. arising only at the suppressed mood, illusions, first of all verbal (acoustical) — in a talk of people around patients hear charges in the address. Meets as well hypochiondrial nonsense. In some cases, especially at patients is after 45 — 50 years, the depressive nonsense accepts the nature of hugeness and denial — so-called nonsense of Kotar: the patient — "Judas, Cain, ruined the whole world, because of it there was no harvest, everything dried up, Earth" etc. cooled down. In other cases denial and hugeness concern the patient's organism — "intestines, a brain, lungs decayed, there is no blood, muscles, nerves", but nevertheless the patient considers that he will not die and will suffer eternally.

The reasons for the Agitated depression:

The circumstances provoking a depression mean either loss of self-esteem, or loss of resources by means of which the patient hoped to keep or increase self-esteem. Here the events reducing self-esteem and at the normal individual belong: continuous failures, loss of prestige, loss of money, remorse. The self-esteem decreases when losing sources of its maintenance: disappointment in love, the death of darling. Tasks which the patient was going to solve, forced him, for the objective or subjective reasons, to realize "inferiority" and narcissistic needs play a role.

Treatment of the Agitated depression:

The pharmacotherapy of a depression is carried out generally by antidepressants. Antidepressants are a class of the psychotropic medicines applied generally to treatment of a depression. At the depressive patient they improve mood, reduce or remove melancholy, slackness, apathy, alarm and emotional pressure, increase mental activity, normalize phase structure and duration of a dream, appetite.
Antidepressants of preferential promoting effect are used for treatment of patients with the depression which is followed by block, apathy and melancholy. For treatment of a deep sad or apathetic depression are shown anafranit, Melipraminum, tsipramit, paksit, Prozac; at subpsychotic depressions petilit more preferably, Pyrazidolum which can favorably influence an alarming component of a depression.
Antidepressants of preferential sedative action are shown at an alarming depression, unaccountable concern, gloomy irritability. At the expressed alarming depression (especially with suicide thoughts and intentions) amitriptyline is shown; at superficial depression with elements of alarm appoint ludiomit, Azaphenum, At bad portability of antidepressants and with the increased arterial pressure is preferable koaksit.

In mild cases use vegetable drugs: гиперицин, St. John's Wort.
In cases of strong mental and emotional disorder magnesian exchange is broken - magnesium is quickly removed through kidneys from an organism, and meanwhile magnesium is necessary for adrenal glands for production of cortisol. Besides, magnesium participates in synthesis of all known neuropeptids and provides glycine activation. It is shown that in combination with calcium magnesium works as a natural tranquilizer, removing psychoemotional stress.