DO I HAVE MAJOR DEPRESSION?

Sometimes it’s hard to tell if you have major depression, especially when you’re living with it.   

For some people, depression is a pervasive feeling of sadness or hopelessness. For some, depression means feelings of anger or extreme irritability. People with depression may swing from high levels of activity to lethargy, or they may report not feeling emotion at all.

Then there is depression that may encompass any or all of these symptoms. This is called “Major Depressive Disorder (MDD) with mixed features,” and has been most commonly misdiagnosed as bipolar disorder.

Here’s a good explanation from the neuroscience branch of Cambridge University Press:

“For the first time in 20 years, the American Psychiatric Association (APA) updated the psychiatric diagnostic system for mood disorders in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Perhaps one of the most notable changes in the DSM-5 was…a structural bridge between bipolar and major depression disorders, [which] formally recognizes the possibility of a mix of hypomania and depressive symptoms in someone who has never experienced discrete episodes of hypomania or mania.”

If you suspect you may have MDD with mixed features, it is important to be diagnosed and treated by a professional. In fact, an article on the Psychiatric Times website described Major depression with mixed features as “a diagnostic chameleon.”

“Mixed features…are caused by the overlap of depressive and manic symptoms, but it’s hard to understand them by reading separate descriptions of these two states. It would be like trying to imagine green by studying yellow and blue…

“Mixed features can look like anxiety, ADHD, borderline personality disorder, or depression with an agitated edge.”

If you suspect you or someone you love may have MDD with mixed features, it is important to be properly diagnosed to receive the proper medication (such as a mood stabilizer in cases of persistent anxiety or anger). Come and see me and let’s get you on the road to emotional stability.

Author
Satu H. Woodland, PMHCNS-BC, APRN Satu H. Woodland, PMHCNS-BC, APRN Satu Woodland is owner and clinician of Hope Mental Health, an integrative mental health practice located at Bown Crossing in Boise, Idaho. She sees children, adolescents, and adults.  Ms. Woodland with her background in nursing, prefers a holistic and integrative approach to mental health care that addresses the mind and body together. While Ms. Woodland provides medication management services in all her patients, she believes in long-lasting solutions that include a number of psychotherapies, namely cognitive behavioral therapy, exposure and response prevention therapy, attention to lifestyle, evidenced based alternative psychiatric care and spirituality. If you’d like to gain control over your mental health issues, call Hope Mental Health at 208-918-0958, or use the online scheduling tool to set up an initial consultation.

You Might Also Enjoy...

YOUTH AND SUICIDAL THOUGHTS

Suicides among teens ages 15-19 are the highest they’ve been since 2000, says a new study by the Journal of the American Medical Association. Here’s a snippet from an NBC analysis of the study: The new study found that in 2017, 6,241 teenagers and adult

HOW TO FALL ASLEEP QUICKLY

This is second in a two-part series about sleep. Click here to read part one. Last week I wrote about how poor sleep can negatively affect your mental health. If you’re thinking, “It’s not my fault, I just can’t fall asleep at night!” then try this metho

HOW POOR SLEEP AFFECTS YOUR MENTAL HEALTH

I can’t stress this enough: part of managing your mental health includes getting enough sleep. I’ve written about this here before: in my career I’ve seen how poor sleep can lead to suicidal thoughts, memory issues, even weight gain. According to an artic

SOME ADHD MEDS INCREASE RISK OF PSYCHOSIS

New evidence is emerging that some medications for ADHD put teens and young adults at risk for developing psychosis. According to this study of more than 200,000 people ages 13 to 25, one out of 660 people had an episode of psychosis in a few months afte

SUMMER BREAK WITH YOUR HIGH-NEEDS CHILD

As thrilled as kids are with summer break, it can be difficult on parents to muster the same enthusiasm. You’re all out of your routine and it can take time to get used to a new schedule, and get used to each other. If you have a child with developmental

THE NEED FOR MENTAL HEALTH SUPPORT IN SCHOOLS

A recent report from the American Civil Liberties Union (ACLU) makes a case for more mental health professionals–including nurses and social workers–in schools. From the report: School counselors, nurses, social workers, and psychologists are frequently