sleep, appetite, and energy; difficulty thinking,
concentrating, and remembering; physical slowing or agitation; lack of
interest in or pleasure from activities that were once enjoyed; feelings of
guilt, worthlessness, hopelessness, and emptiness; recurrent thoughts of
death or suicide; and persistent physical symptoms for two or more weeks
that do not respond to treatment, such as headaches, digestive disorders,
and chronic pain.(6) Symptomatically, a major depressive episode in MDD is
similar to a depressive episode of bipolar disorder with the major
distinguishing feature between the disorders being the absence of manic or
hypomanic symptoms in MDD.(9) It has been reported that 69 percent of
patients with bipolar disorder were misdiagnosed, with the most frequent
misdiagnosis being MDD.(16)
Without treatment, the frequency of depressive illness as well as the
severity of symptoms tends to increase over time. Left untreated,
depression can lead to suicide.(6)
About Generalized Anxiety Disorder
GAD is characterized by chronic anxiety, exaggerated worry, and
tension, even when there is little or nothing to provoke it.(8,9) People
with GAD anticipate disaster and are overly concerned about health issues,
money, family problems, or difficulties at work.
People with GAD can't seem to get rid of their concerns, even though
they usually realize that their anxiety is more intense than the situation
warrants.(8,9) They can't relax, startle easily, and have difficulty
concentrating. Often they have trouble falling asleep or staying asleep.
Physical symptoms that often accompany the anxiety include fatigue,
headaches, muscle tension, muscle aches, difficulty swallowing, trembling,
twitching, irritability, sweating, nausea, lightheadedness, having to go to
the bathroom frequently, feeling out of breath, and hot flashes. GAD is
diagnosed when someone excessively worries about a number of everyday
problems for at least 6 months.
In the U.S. GA
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