Depression with psychomotor excitation is not just a "major depressive episode" Clinicians use the word “depression" loosely. The DSM concept of a "major depressive episode" combines very different kinds of depressive states: Take melancholic: there is no reactivity of mood, which means that the patient is just plain sad all the time - not angry or anxious or anything else. There is marked anhedonia, meaning the patient has basically no interests at all, and is often unable to get out of bed or function at all. Now take its opposite: "mixed depression", where the patient his highly reactive in mood, ranging from very sad to very angry to very anxious to very agitated; there is decreased interest but such patients can still function somewhat.
Mixed depression
Mixed depression
Mixed depression
Depression with psychomotor excitation is not just a "major depressive episode" Clinicians use the word “depression" loosely. The DSM concept of a "major depressive episode" combines very different kinds of depressive states: Take melancholic: there is no reactivity of mood, which means that the patient is just plain sad all the time - not angry or anxious or anything else. There is marked anhedonia, meaning the patient has basically no interests at all, and is often unable to get out of bed or function at all. Now take its opposite: "mixed depression", where the patient his highly reactive in mood, ranging from very sad to very angry to very anxious to very agitated; there is decreased interest but such patients can still function somewhat.