A marked motor slowing that can manifest itself as greater slowness in doing things, in speech, slowed body thoughts and movements, or, on the contrary, a marked agitation in which there is the inability to sit, walk back and forth, rubbing your hands, pulling or rubbing your skin, clothes or other objects.
Physical symptoms of depression:
Headache, palpitations or tachycardia, muscle, bone, joint and abdominal pains, people may feel confused or empty. Sometimes there may be constipation or diarrhea.
It can also happen that the person shows only the physical symptoms of depression indicated above without there being perceptions of the lowering of the mood by the individual. When in fact these somatic disorders are not due to traumatic conditions (accidents), pathologies, metabolic alterations or muscular efforts and the doctor has ruled out any organic cause it could be that condition called ” masked depression”, whose diagnostic confirmation may come from the fact that the person responds positively to antidepressant drugs or has a family member who suffers or has suffered from major depression. With the private anxiety therapy you can now have the best details present.
It is good to keep in mind that the symptoms of depression can sometimes be subtle, to the point that nobody notices the problem, sometimes not even the subject itself, which tends to attribute them to normal tiredness, stress, nervousness or work, family or couple problems. In fact, it is quite common to find that the depressed person does not want to recognize his internal state, which leads him to see “all black”, to be intolerant, irritable, pessimistic, nervous, distant, etc., and believes that it is only the consequence of external factors that should be modified (work, couple, money, children, etc.).
All the symptoms of depression that we have described above can manifest themselves in an acute way (with very acute and sudden phases of depression, which may tend to disappear on their own or with a therapy) or constantly, even if in a mild form, with some sudden moments of deterioration. In this case we speak of dysthymia.
In general the causes of depression can be summarized in three factors:
They refer to alterations in neurotransmitter, hormone and in the immune system. For example alterations in the regulation of neurotransmitters such as norepinephrine and serotonin, altering the transmission of nerve impulses can affect the subject’s initiative, sleep, brooding and interactions with others.
Psychological and social factors
At a psychosocial level, stressful life events have been well recognized as precipitating depressive episodes, among them there can be deaths, interpersonal and family conflicts, physical illnesses, life changes, being a victim of crime, marital separations and by children. Among these events we can also find changes in working conditions or the beginning of a new type of work, the illness of a loved one, serious family conflicts, changes in friendship, city changes, etc. These events can have a greater impact on people who have had adverse childhood experiences and therefore lack the skills to deal with them effectively.
Genetic and physiological factors
First-degree family members of individuals with major depression have a risk of developing the disorder two to four times greater than the general population. To be inherited genetically is the predisposition to develop the disorder not the actual disorder.