The core symptoms
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3181879/
The core symptoms of depression, of which at least one is required in DSM-IV, are depressed mood, and loss of interest or pleasure. The further eligible symptom in ICD-10 is decreased energy or fatigability, but, since two core symptoms must be present, in effect depressed mood or loss of interest/pleasure are required in this schema also. The reason for the addition of decreased energy to the core is not clear.
Generally few want to look at their mental illness from a biblical point of view. They want a secular diagnosis of their problem or mental illness. Most do not see their problems, illness, depression from a biblical point of view.
While I have studied Biblical Counseling that covers this issue, from Liberty University of Life Long Learning and Faith Baptist College, with Jay Adams, and Master's College on Counseling, and a few other places. I have studied and still study this issue at hand.
I was looking at this website for some information from the world view of depression.
NOW HOW DO THE DOCTORS COME TO UNDERSTAND YOUR ILLNESS OR DEPRESSION:?
Psychiatric resident conceptualizations of mood and affect within the mental status examination. http://www.ncbi.nlm.nih.gov/pubmed/12900321/
Abstract
OBJECTIVE:
- To explore the ways in which psychiatry residents conceptualize the terms "mood" and "affect," a 14-item questionnaire was sent to residency programs in New York.
METHOD:
- The questions consisted of possible definitions of mood and affect; all questions required a "true" or "false" response. Residents (N=99) were asked how they viewed mood and affect from a temporal perspective (i.e., sustained versus momentary) and in terms of an objective-subjective (or external-internal) dichotomy.
RESULTS:
- There were inconsistencies in the temporal view of mood (said to be sustained by 60.6% and momentary by 50.5%) and affect ("pervasive" by 26.3% and "momentary" by 66.3%). Residents overwhelmingly defined mood as being subjective and internal and affect as being objective and external.
CONCLUSIONS:
If mood and affect are to be viewed from both perspectives, psychiatrists must infer the enduring internal emotional tone (mood) of a patient over an entire interview.
. Residents overwhelmingly defined mood as being subjective and internal and affect as being objective and external.