The clinical morphology of depression is very diverse, sometimes these patterns do not manifest individually but combine and interleave with each other, making it difficult to diagnose and treat. Here are some common forms of depression.

1. Depression or drowsy depression.

Manifestations: On the background of reduced mood, the leading feature is weakness, tiredness, drowsiness, patients feel no longer energized, lose interest without common desires, including lust, indifference. cold to the surroundings, less physical and mental. Prolonged depression is the reason why it used to be misdiagnosed with asthenic depression called neurasthenia: Depression is a common clinical state in our country.

2. Depression struggles

Decreased mood is not accompanied by inhibition of movement, but on the contrary, patients often stand still, begging, moaning, whining about their discomfort, criticizing themselves, fear, panic, Seek help for the hope that it is possible to avoid unforeseen calamities against the patient or their relative. In a depressive impulsive episode, the patient may end if he or she is not treated and treated promptly. This state is also very common.

3. Depression loses mental feeling

The clinical picture is mainly the patient laments that he no longer feels, no longer feels the affection of their relatives, no longer knows the pain, joy, loss of appropriate emotional response. The patient asserts that they have no emotions, and are very distressed about the condition. Currently this form is also less common than before.

4. Depression with self-accusing paranoia

The patient rebukes himself / herself that they have too many shortcomings, that they have many evil, corrupt, parasite, fake actions. Patients often repent for their sins and seek punishment. In some cases the error in the idea of ​​self-accusation may be related to the actual fact or phenomenon, but be exaggerated by the patient, without explaining it. This is also a common form.

5. Depression mood disorder

The mood is mitigated, patients often stimulate, grumble along with feelings of sadness, dissatisfaction with those around them, tend to be irritable, grumpy, aggressive attacks. This form is common, but is often overlooked in the diagnosis of depression.

6. Stunned depression

Depressed patient mood, accompanied by inhibition of movement to stupor, drowsiness, apathy, ... sometimes inactivity, sometimes completely motionless. This form is easy to confuse with taut stupor in schizophrenia.


7. Depression anxiety

In the mood of depression and sadness, accompanied by anxiety, patients often worry about all topics which are no longer topical, anxious to wait for risks, unhappiness, not to be attached to any events comes out in life, accompanied by patients with many plant-organ disorders manifested as sweating, palpitations, chills or chills ... This is very common at the grassroots level.

8. Depression with extended paranoia

Depression with vast negative paranoia. The patient asserts that the world, the universe is broken, does not exist, the patient thinks that "people" are grafted for serious sins, the organs of the patient are decayed, the patients have to bear subjected to this crime, torture for thousands of years ... The patient lost all his home, family and loved ones (Cotard syndrome). This form is less common today in psychiatric practice.

9. Paranoid depression

On the background of depression, patients have many paranoia with different contents such as being monitored, hunted, poisoned; bonus reward contact; accused paranoia, etc., accompanied by many real or false hallucinations, with disparaging, criticizing, or defamatory content. This form is common in practice in mental hospitals

10. Depression of body and plant disorders

The first-mentioned condition of the patient is body disorders - visceral plants, intrinsic sensory disorders such as palpitations, fluctuations in blood pressure, extrasystole, sweating, cold limbs, vomiting, anorexia, fear ... While the mood is not clear, the patient does not complain, sad.

In some patients, symptoms are mainly manifested by persistent pain in the chest area, choking, shortness of breath, dizziness, digestive disorders, loss of appetite. The complaints of patients are often that they have come to many physicians, many hospitals, all different specialties, but did not detect the corresponding damage, so the treatment was almost few results.

This is because there are no obvious symptoms of depression, which is why the authors refer to this as masked depression, equivalent depression, mask depression or hidden depression. This form is very common in the grassroots level. According to author Hoang Sam, vomiting cycles of adults, children are in this form.


11. Depression psychic disorder feeling

Depression with discomfort, which is not clearly defined in different organs, parts of the body, patients often complain of a heavy brain, a thick, clay-like feeling, pea or hollow, constricted, making patients difficult to think, difficult to express. This is also common.

12. Trầm cảm ám ảnh

Các hiện tượng ám ảnh được hình thành trên nền tảng trầm cảm với các nội dung ám ảnh sợ khoảng trống, sợ chỗ rỗng, sợ góc nhọn, sợ lây bệnh, sợ tim ngừng đập làm bệnh nhân chết đột ngột. Thường xuất hiện ở những người có tính cách hoài nghi – lo âu. Thể này hay gặp trong thực tế.

13. Depression suspected illness

Against the background of reduced mood, the patient appears to experience very uncomfortable sensations and thereby assert himself suffering from a very severe, untreatable disease. For this reason, patients often persistently seek the help of many physicians, search many places in many specialties. This form is also common, can be encountered in many different specialties.

Patients often arrive late with psychiatry after a long time of pursuing examination and treatment in other specialties, without finding any signs of a correspondingly specific pathology and treatment so there is no result.

Professor Andrew Tasker - Atlantic Veterinary College, Canada - has just received a $ 30,000 grant from the Prince Edward Island University investment fund to study the effects of ginseng on depression.

Since 2012, at the Institute of Indigenous Medicine in Vietnam, the authors Hoang Sam, Ngo Quang Truc and Trieu Thi Tam have used remedies: Ginseng, Turmeric, Herbal passiflorae effectively treat depression

Above are the manifestations of depression, we hope that through this article, we can give you some insights on depression, have a correct view of depression, contribute to prevention and control of depression. curing this disease more and more effectively.

Doctor Hoang Sam & Dr. Senior Doctor Ngo Quang Truc