Symptoms of Recurrent Depressive Disorder
Repeated depressive episodes (mild, moderate, or severe). The period between attacks for at least 2 months, during which no significant affective symptoms are observed. The duration of the episodes 3-12 months. It occurs more often in women. Usually by later age there is a lengthening of the attacks. A rather distinct individual or seasonal rhythm. The structure and typology of attacks correspond to endogenous depressions. Additional stress can change the severity of depression. This diagnosis is made in this case; therapy is applied which reduces the risk of recurrent episodes.
Diagnosis of Recurrent Depressive Disorder
Repeated depressive episodes with periods between attacks for at least 2 months, during which no affective symptoms are observed. In the diagnosis, it is usually noted which type of episode is currently diagnosed – mild, moderate or severe, with or without psychotic symptoms, or remission is noted.
Differential diagnostics
Recurrent depressive disorder should be differentiated from schizoaffective disorder and organic affective disorders. In schizoaffective disorders, symptoms of schizophrenia are present in the structure of productive experiences, and in organic affective disorders, symptoms of depression accompany the underlying disease (endocrine, brain tumor, effects of encephalitis).
Treatment of a Recurrent Depressive Disorder
Treatment includes exacerbation therapy (antidepressants, ECT, sleep deprivation, benzodiazepines, and neuroleptics), psychotherapy (cognitive and group therapy), and supportive therapy (lithium, carbamazepine or valproate sodium).