chapter  27
10 Pages


ByKate F. Hays

The poem by Coleridge, and Matt’s presentation, illustrate the essence of the emotional, cognitive, and behavioral manifestations of major depressive disorder (MDD) or unipolar depression. An acute depressive episode involves changes – in thoughts, feelings, and behaviors – from previous functioning. A person is diagnosed with MDD under the following conditions: for at least a two-week period, the person has had either depressed mood or loss of interest or pleasure in most activities. Additionally, during that same time the person has experienced at least four of the following: significant changes in weight or appetite; changes in sleep patterns (especially early morning awakening, without being able to return to sleep); psychomotor agitation or retardation; fatigue or loss of energy; feelings of worthlessness or unreasonable guilt; problems with concentration, indecisiveness; recurrent thoughts regarding death or suicide.