|It is a condition associated with poor self esteem and self
The cause for this malaise is not clearly know.
Heredity is an important factor.
Organic diseases may play a role. Eg: various viral diseases,
cardiovascular diseases, anaemia, carcinoma etc.
Age: 50 to 60 years
Sex: Common in females.
The disease is associated with disturbances of mood, abnormal
response to intellectual stimulation and autonomic function.
Patient loses interest in the outside world.
Mental and physical activities are retarded. There is difficulty
in concentration and taking rapid decisions. There may be
conspicuous self-reproachful ideas.
Patient may be afraid of an impending calamity. There may
be intense feelings of guilt and self-blame which may lead
Agitation may also be present. Daily activities become difficult
and questions are answered very slowly. Autonomic changes
include anorexia, loss of weight, headache, backache, aches
all over the body, constipation, insomnia with early waking
after two to three hours of sleep, constant sense of fatigue
If left as such and not treated, these patients usually commit
Here depression is due to some exogenous adverse life situation
such as loss of person, financial loss, etc.
Primary affective disorder:
These are due to endogenous causes which may be of a recurrent
type called unipolar-orbipolar where depression and manic
phases are alternately present for a variable period.
These are due to some underlying disease like multiple selerosis,
chronic heart disease, rheumatoid arthritis, hypothyroidism,
organic brain disease due to drugs like steroids, contraceptives,
Supportive psychotherapy, encouragement or reassurance should
Ignatia, sepia, Kaliphos, Natrammur and Nuxvom.