“This does not concern me,” reflects a patient with diabetes. — One thing is depression, another is just my depressed mood … “.
Most likely, such a person is not informed that depressive states have many negative neuropsychiatric manifestations and, in particular, include prolonged depressed mood, and a feeling of fear, and thoughts of impending death.
Often a person is not informed that depressive states have many negative neuropsychiatric manifestations include thoughts of impending death.
It can also be “mundane” problems — such as indifference to nutrition, weight loss (less often — weight gain), lack of confidence in their abilities for everyday life, weakening of self-control behavior, increased fatigue, decreased physical strength, increased forgetfulness, disturbed memory, a sharp decrease or loss of the ability to meet their everyday needs (cleaning, shopping, cooking), interruptions in taking medications on time …
Pain from various organs for no specific reason, sleep disturbances (insomnia, drowsiness, superficial and non-restorative sleep), loss of interest in loved ones or in a previously favorite occupation, decreased attention and the inability to make independent decisions, this can be alarming. Self-accusations on various occasions and everyday situations, family relations falling apart, or even completely ruined …
It is known that in old age, the so-called cognitive abilities often change for the worse. We are talking about weakening the ability to adequately perceive, analyze and memorize information, exchange it with others, logically program and carry out their actions.
Often, cognitive functions in old age (with diabetes, in particular) deteriorate due to a decrease in emotional tone, which usually occurs due to a chronic illness.
Since the change in such functions develops gradually and at first only changes slightly, for a long time this is not adequately assessed by others. When the process becomes obvious, one should, first of all, think about whether the patient is developing a depression syndrome.
According to the international classification of diseases, at least five of the above symptoms are required to be diagnosed with depression.