Peripartum mood disturbances physical examination: Difference between revisions
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==Overview== | ==Overview== | ||
There are no physical exam findings that are particular to major depressive illness; rather, the diagnosis is made primarily on the patient's history and mental state evaluation. However, a comprehensive mental health examination should always include a medical examination to rule out any biological | There are no [[physical exam]] findings that are particular to major [[depressive]] illness; rather, the [[diagnosis]] is made primarily on the [[patient]]'s history and [[mental]] state evaluation. However, a comprehensive [[mental]] [[health]] [[examination]] should always include a [[medical examination]] to rule out any [[biological]] [[disease]]s that may be mistaken for [[depression]]. | ||
==Physical Examination== | ==Physical Examination== | ||
The majority of individuals with severe depressive illness seem normal.<ref name="pmid28699248">{{cite journal |vauthors=Kamperman AM, Veldman-Hoek MJ, Wesseloo R, Robertson Blackmore E, Bergink V |title=Phenotypical characteristics of postpartum psychosis: A clinical cohort study |journal=Bipolar Disord |volume=19 |issue=6 |pages=450–457 |date=September 2017 |pmid=28699248 |doi=10.1111/bdi.12523 |url=}}</ref> A reduction in grooming and cleanliness, as well as a shift in weight, can be seen in individuals with more severe symptoms. Psychomotor retardation may appears as a slowing or lack of spontaneous movement and responsiveness, as well as a flattening or loss of reactivity in the patient's emotional expression. Some individuals with major depressive illness have psychomotor agitation or restlessness. Speech might be normal or sluggish, monotonous, or devoid of spontaneity and substance. | The majority of individuals with severe [[depressive]] [[illness]] seem normal.<ref name="pmid28699248">{{cite journal |vauthors=Kamperman AM, Veldman-Hoek MJ, Wesseloo R, Robertson Blackmore E, Bergink V |title=Phenotypical characteristics of postpartum psychosis: A clinical cohort study |journal=Bipolar Disord |volume=19 |issue=6 |pages=450–457 |date=September 2017 |pmid=28699248 |doi=10.1111/bdi.12523 |url=}}</ref> A reduction in grooming and cleanliness, as well as a shift in [[weight]], can be seen in individuals with more severe symptoms. [[Psychomotor retardation|Psychomotor]] [[retardation]] may appears as a slowing or lack of spontaneous movement and responsiveness, as well as a flattening or loss of reactivity in the [[patient]]'s [[emotional]] [[expression]]. Some individuals with major [[depressive]] illness have [[psychomotor agitation]] or [[restlessness]]. Speech might be normal or [[sluggish]], monotonous, or devoid of spontaneity and [[substance]]. Disordered speech should trigger an evaluation for [[psychosis]] whereas [[pressured speech]] suggest [[mania]] or [[anxiety]]. [[Hypomania]], [[mania]] or [[anxiety]] all come with racing thoughts. | ||
==References== | ==References== | ||
Latest revision as of 00:11, 5 August 2021
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sunita Kumawat, M.B.B.S[2]
Overview
There are no physical exam findings that are particular to major depressive illness; rather, the diagnosis is made primarily on the patient's history and mental state evaluation. However, a comprehensive mental health examination should always include a medical examination to rule out any biological diseases that may be mistaken for depression.
Physical Examination
The majority of individuals with severe depressive illness seem normal.[1] A reduction in grooming and cleanliness, as well as a shift in weight, can be seen in individuals with more severe symptoms. Psychomotor retardation may appears as a slowing or lack of spontaneous movement and responsiveness, as well as a flattening or loss of reactivity in the patient's emotional expression. Some individuals with major depressive illness have psychomotor agitation or restlessness. Speech might be normal or sluggish, monotonous, or devoid of spontaneity and substance. Disordered speech should trigger an evaluation for psychosis whereas pressured speech suggest mania or anxiety. Hypomania, mania or anxiety all come with racing thoughts.
References
- ↑ Kamperman AM, Veldman-Hoek MJ, Wesseloo R, Robertson Blackmore E, Bergink V (September 2017). "Phenotypical characteristics of postpartum psychosis: A clinical cohort study". Bipolar Disord. 19 (6): 450–457. doi:10.1111/bdi.12523. PMID 28699248.