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Psycology » Psychiatry and psychotherapy » Affective disorders » Classification and description of depressive disorders in daily practice

Although neither the DSM-IIIR, or ICD-10 can not be considered satisfactory, it is unlikely that what whatever further processing of descriptive categories at this stage could lead to more acceptable results. The real way to solve this problem, open only when sufficient progress in understanding the etiology. In the meantime, in the preparation of statistical data should be used either ICD-10 or DSM-IIIR. For research purposes it is considered to classify disease cases a standardized design, for example, using the diagnostic criteria RDC (Research Diagnostic Criteria) or PSE CATEGO (see p. 69). In clinical practice, tend to be much more important to provide a systematic description of the disorder than classify it. In addition, for each case indicate the severity, type of seizure, lead characterization flow disorders and assess the relative importance of endogenous and reactive factors in the etiology.

Schematic description presented in Table. 8.2. The severity of the attack is described as mild, moderate or severe, type of seizure as a depressive, manic or mixed. There have any specific features, namely:

neurotic or psychotic symptoms, agitation, confusion or stupor. For disorders characterized as unipolar or bipolar. If the term is used as a descriptive bipolar logical to limit its use to cases when both manic and depressive episodes. However, it became customary to record all cases of manic episode (even in the absence of depressive disorder) as bipolar on the grounds that, first, the majority of manic patients eventually develops and depressive disorder, and secondly, they present a number of important features in common with patients that exhibit both types of attacks. This tradition is observed and in this manual. Finally, note dominant etiology, given that in all cases there are endogenous, and reactive reasons.


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