In fact, it has often been described that, when treating most axis I disorders, functional recovery often lags behind symptomatic remission. 2-4 In addition, although the extent of psychosocial impairment in patients with MDD has been reported to vary according to the duration and severity of the illness, it has also been pointed out that impaired functioning is not always temporally confined to the depressive episode, with subthreshold symptoms often resulting in continued psychosocial impairment despite syndromal remission. The functional impairment experienced by patients with MDD is often comparable and, in some instances, more profound than that which has been reported among patients suffering from other chronic medical conditions. 1 Indeed, the criteria for major depressive disorder (MDD) themselves require that qualifying depressive symptoms result in clinically significant distress, as well as impairment in social, occupational, or other areas of functioning. The goals of this article are to discuss the potential origins of psychosocial impairment, provide literature-based evidence that achieving asymptomatic remission (ie, remission without residual symptoms) is crucial so that functional improvement continues beyond acute-phase treatment, and emphasize the need for an expanded assessment of the illness that fundamentally includes an evaluation of psychosocial functioning, since the restoration of psychosocial functioning does not always accompany the resolution of symptoms in MDD.ĭepression is associated with substantial and persistent impairments in psychosocial functioning. The more effective the therapeutic approach employed to resolve symptoms of depression (eg, long-term duration of treatment, monitoring of patient adherence to treatment, maintenance of asymptomatic remission), the more likely it is that patients with MDD will experience a full restoration of premorbid psychosocial functioning. Patients who achieve full asymptomatic remission from depressive symptoms can still experience functional impairment thus, restoring psychosocial functioning is increasingly being identified as an important goal of depression therapy. Factors that may contribute to restoration of psychosocial functioning include the patient's lifetime functional trajectory, the overall effectiveness of depression therapy, and the duration and quality of remission. Taking a high functioning depression test is an easy and convenient way to diagnose yourself at home before speaking to a doctor.Patients with major depressive disorder (MDD) can experience persistent and substantial functional impairment, and the extent of psychosocial impairment often varies with symptom severity. Many people also experience depression due to major life changes such as a divorce or losing a loved one. Depression can run through a family, meaning that you’re more likely to suffer if you have one or more parents who did. While there isn’t one known cause of depression, there are some possible causes, including past abuse and genetic factors. Causes of Depressionīefore looking at transcranial magnetic stimulation and other treatment options, you may want to look at the common causes of depression. In addition to these symptoms, you might experience appetite changes in which you eat more or less than you did before. The symptoms of high functioning depression include: You might find that no one in your professional or personal life knows about the struggles that you have. High functioning depression is a type of disorder in which people exhibit symptoms of depression but can still function in their daily lives.
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