心境障碍推荐.pptVIP

其实，患抑郁症是不分阶级、名誉和财富多寡的，从外表来看，一个富足的生活，并不能充实患者内心的空虚。而且，事实往往像美国心理学家史培勒说的那样：“这种病往往袭击那些最有抱负、最有创意、工作最认真的人。”历史名人牛顿、达尔文、林肯等都患过忧郁症，英国已逝王妃戴安娜一生中患过4次忧郁症。事实上，中外很多名人都得过抑郁症。他们充满成就的一生，也是竭力把抑郁症隐藏在后面的痛苦一生。或狂躁或伤感的情绪不断侵袭他们的心灵与肉体。不少人在同抑郁的角斗中，以惨烈绝望的方式向生命告别。 《有乌鸦的麦田》告诉我们他带着悲伤离去，飞到天堂，也许那里才是他真正的天堂呀。 中环文华酒店 Key Point In recent years, depression has been increasingly recognized as a systemic illness, with a wide variety of emotional and physical signs and symptoms Background In addition to depressed mood and anhedonia, emotional symptoms associated with MDD include feelings of hopelessness, low self-esteem, impaired memory, difficulty concentrating, and anxiety Patients with MDD also frequently present with a wide variety of physical complaints, including headache, sleep disturbances, pain symptoms, etc As these symptoms are general in nature, it is important to obtain a complete medical history and to rule out other physical illnesses to ensure an accurate diagnosis of depression References DSM-IV-TR?. Washington, DC: American Psychiatric Association; 2000. Kroenke K, et al. Arch Fam Med. 1994;3:774-779. Key Point Trends in psychopharmacology are again focusing on the role of multiple targets of action in the treatment of depression Background The modern era of psychopharmacology for depression began in the 1940s with the discovery of lithium; this was followed in 1950 by the synthesis of the antipsychotic agent chlorpromazine and continued with the discovery of the tricyclic antidepressant (TCA) imipramine. At approximately the same time, occasional euphoria was reported in tubercular patients treated with iproniazid, a monoamine oxidase inhibitor (MAOI). MAOIs began to be used as antidepressants in the 1960s The next major innovation was the availability of the first SSRI, fluoxetine, in 1988. The SSRIs lacked the dietary restrictions associated with MAOIs, and they offered safety and tolerability advantages over older tricyclic and heterocyclic agents Most recently, pharmacologic r