I've been feeling down, irritable and depressed lately

We are more or less not very satisfied in our daily lives. At this time, our mood is generally not very good and there will be some abnormalities. We should find our own way to vent these bad emotions and not let it affect our thinking day by day, otherwise it will be easy to get depression. So we must learn to guide ourselves correctly and vent ourselves correctly.

Depression is a common mental illness, the main manifestations of which are low mood, decreased interest, pessimism, slow thinking, lack of initiative, self-blame and guilt, poor diet and sleep, worry about suffering from various diseases, feeling discomfort in many parts of the body, and in severe cases, suicidal thoughts and behaviors.

1. Depressed mood

The main manifestations are significant and persistent low mood, depression and pessimism. In mild cases, people feel unhappy, have no sense of pleasure, and have a loss of interest. In severe cases, people feel extremely distressed, pessimistic and hopeless, and feel that each day is like a year worse than death. The depressed mood of typical patients has a rhythmic change from heavier in the morning to lighter at night. On the basis of depressed mood, patients will have lowered self-evaluation, and develop feelings of uselessness, hopelessness, helplessness and worthlessness, often accompanied by self-blame and guilt. In severe cases, they will have delusions of guilt and hypochondria, and some patients may experience hallucinations.

2. Slow thinking

The patient's thinking and association are slow, his reaction is unsuccessful, his train of thought is blocked, and he feels that his "brain is like a rusty machine" and "his brain is like covered with a layer of paste." Clinically, active speech decreases, speech speed slows down significantly, voice becomes deep, and conversation becomes difficult. In severe cases, communication cannot proceed smoothly.

3. Decreased willpower

The patient's volitional activity was significantly and persistently inhibited. The clinical manifestations are slow behavior, passive and lazy life, unwillingness to do things, unwillingness to contact and interact with people around, often sitting alone, or lying in bed all day, living alone with the door closed, alienating relatives and friends, and avoiding socializing. In severe cases, they even ignore physiological needs such as eating and drinking, as well as personal hygiene, and become unkempt and unkempt, and may even become speechless, motionless, and refusing to eat. This is called "depressive stupor," but upon careful psychiatric examination, the patient still reveals signs of pain and depression. Patients with anxiety may have symptoms such as restlessness, finger grasping, rubbing hands and feet, or pacing up and down. Severe patients often have negative suicidal ideas or behaviors. Negative and pessimistic thinking, self-blame and lack of self-confidence can give rise to thoughts of despair, such as thinking that "ending one's own life is a kind of relief" and "being a superfluous person in the world", and can cause suicide attempts to develop into suicide behaviors. This is the most dangerous symptom of depression and should be viewed with caution.

4. Impairment of cognitive function

Studies have shown that patients with depression have impaired cognitive function. The main manifestations are decreased recent memory, attention disorder, prolonged reaction time, increased alertness, poor abstract thinking ability, learning difficulties, poor language fluency, decreased spatial perception, eye-hand coordination and thinking flexibility. Cognitive impairment leads to social dysfunction in patients and affects their long-term prognosis.