Severity and minor depression

 Let me make an opening statement.  First what you are about to read is taken from several website which I have provided the site.  I like to see what the world view of depression is and what they say is the problem and sure.  So this is what I have done in this post.

Severity and minor depression

 
The severity issue deserves further consideration. It is elevated to an important consideration in ICD-10. As an episode qualifier it is useful, since severity does carry implications for treatment, and severe depressions also tend to have worse outcome than do mild. It is not well recognized that, in practice, ICD-10 mild depressive episode is by no means minor, at least in the Research Criteria. The definitions for individual symptoms and the absence of some symptoms from the list means that subjects who fit these criteria usually have sufficient depression also to qualify as DSM-IV major depressives.

This raises another issue, the lower boundary to distinguish pathological depression from normal mood change. Although defined by the number of symptoms present, it is not in fact well-defined, since the thresholds for individual symptoms are not clear or easy to be sure about: when does lowering of mood, even if present every day, cross the threshold in severity to count as being present? The issue is not crucial in the clinic, but it has become important as psychiatric research has extended to the community, and to community epidemiology. Comparatively high rates of depression arc found in community prevalence studies.33 It is not clear whether all these depressions share fully the qualities of depression presenting for medical or psychiatric treatment. Similar issues arise in the use of “symptomatic volunteers” for research.

Diagnostic and Statistical Manual of Mental Disorders, DSM IVPsychiatric Diagnoses are categorized by the Diagnostic and Statistical Manual of Mental Disorders, 4th. Edition.  Better known as the DSM-IV, the manual is published by the American Psychiatric Association and covers all mental health disorders for both children and adults. It also lists known causes of these disorders, statistics in terms of gender, age at onset, and prognosis as well as some research concerning the optimal treatment approaches.

 http://allpsych.com/disorders/dsm.html

The DSM uses a multiaxial or multidimensional approach to diagnosing because rarely do other factors in a person's life not impact their mental health.  It assesses five dimensions as described below: 

DSM-IV Codes are the classification found in the Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision, also known as DSM-IV-TR, a manual published by the American Psychiatric Association (APA) that includes all currently recognized mental health disorders. The DSM-IV codes are thus used by mental health professionals to describe the features of a given mental disorder and indicate how the disorder can be distinguished from other, similar problems.[1]  

http://en.wikipedia.org/wiki/DSM-IV_codes     it is recommended that users of these manuals consult the appropriate reference when accessing diagnostic codes

Axis I: Clinical Syndromes
    This is what we typically think of as the diagnosis (e.g., depression, schizophrenia, social phobia)
Axis II: Developmental Disorders and Personality Disorders
    Developmental disorders include autism and mental retardation, disorders which are typically first evident in childhood
    Personality disorders are clinical syndromes which have a more long lasting symptoms and encompass the individual's way of interacting with the world.  They include Paranoid, Antisocial, and Borderline Personality Disorders.
Axis III: Physical Conditions which play a role in the development, continuance, or exacerbation of Axis I and II Disorders
    Physical conditions such as brain injury or HIV/AIDS that can result in symptoms of mental illness are included here.
Axis IV: Severity of Psychosocial Stressors
    Events in a persons life, such as death of a loved one, starting a new job, college, unemployment, and even marriage can impact the disorders listed in Axis I and II.  These events are both listed and rated for this axis.
Axis V: Highest Level of Functioning

    On the final axis, the clinician rates the person's level of functioning both at the present time and the highest level within the previous year.  This helps the clinician understand how the above four axes are affecting the person and what type of changes could be expected.

Mood disorders
293.83 Mood Disorder Due to...[Indicate the General Medical Condition]
96.90 Mood Disorder NOS
Depressive disorders
    300.4 Dysthymic disorder
    Major depressive disorder
Bipolar disorders
Anxiety disorders
        Panic disorder
            300.23 Social phobia
    300.3 Obsessive-compulsive disorder
    309.81 Posttraumatic stress disorder
    308.3 Acute stress disorder
        293.84 Anxiety disorder due to a general medical condition
        293.89 Anxiety disorder due to... [indicate the general medical condition]
        300.00 Anxiety disorder NOS
Sexual and gender identity disorders
Gender identity disorders
Eating disorders
    307.1 Anorexia nervosa
    307.51 Bulimia nervosa
Sleep disorders
Impulse-Control Disorders Not Elsewhere Classified
Adjustment disorders
        309.9 Unspecified
        309.24 With anxiety
        309.0 With depressed mood
        309.3 With disturbance of conduct
        309.28 With mixed anxiety and depressed mood
        309.4 With mixed disturbance of emotions and conduct

Personality disorders (Axis II)
Cluster A (odd or eccentric)
    301.0 Paranoid personality disorder
    301.20 Schizoid personality disorder
    301.22 Schizotypal personality disorder
Cluster B (dramatic, emotional, or erratic)
    301.7 Antisocial personality disorder
    301.83 Borderline personality disorder
    301.50 Histrionic personality disorder
    301.81 Narcissistic personality disorder
Cluster C (anxious or fearful)
    301.82 Avoidant personality disorder
    301.6 Dependent personality disorder
    301.4 Obsessive-compulsive personality disorder
NOS
   301.9 Personality disorder

The severity issue deserves further consideration. It is elevated to an important consideration in ICD-10. As an episode qualifier it is useful, since severity does carry implications for treatment, and severe depressions also tend to have worse outcome than do mild. It is not well recognized that, in practice, ICD-10 mild depressive episode is by no means minor, at least in the Research Criteria. The definitions for individual symptoms and the absence of some symptoms from the list means that subjects who fit these criteria usually have sufficient depression also to qualify as DSM-IV major depressives.
This raises another issue, the lower boundary to distinguish pathological depression from normal mood change. Although defined by the number of symptoms present, it is not in fact well-defined, since the thresholds for individual symptoms are not clear or easy to be sure about: when does lowering of mood, even if present every day, cross the threshold in severity to count as being present? The issue is not crucial in the clinic, but it has become important as psychiatric research has extended to the community, and to community epidemiology. Comparatively high rates of depression arc found in community prevalence studies.33 It is not clear whether all these depressions share fully the qualities of depression presenting for medical or psychiatric treatment. Similar issues arise in the use of “symptomatic volunteers” for research.

Mental Illness, and Depression Study

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:

1. 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:

1. 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:

1. 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.

Why Do People Do Bad Things?

Several years ago back in 1972 I was a probation officer for the Scioto Country Juvenile Court system and one of my reprehensibility to made a pre investigations for the Judge to made a decision.

They wanted to know WHY would boys do what they do?  Now move to 2013 and they are still trying to figure out why people do what people do?

In the report from the Sandy Hook case, they came out with the report today and they still do not know why the person did what he did?  Killing 20 children and six adults and his own mother.  Why you say?

From a Christian World view we know from Scripture, which is our information book on human behavior, mankind is by his very nature bend on doing what is seen as wrong.   If mankind would live according to the Word of God and the Ten Commandment then there would have to be no laws I guess.

The problem people want to do what is right in their own eyes.  They want to do what seems to be right in their thinking.  Everyone generally has the same brain that God has given them.  What has happen is that within us there is this nature that has been corrupted by what the Bible calls sin.

Definition of sin:

1

     a :  an offense against religious or moral law

     b :  an action that is or is felt to be highly reprehensible <it's a sin to waste food>

     c :  an often serious shortcoming :  fault

2

     a :  transgression of the law of God

     b :  a vitiated state of human nature in which the self is estranged from God

Sin is the element that is in all mankind, there is a nature within all mankind that is bend on doing what is not right or in the bibical since, no doing what God would want us to do.

So why do seemly good people do bad things? First there are really no really good people.  We are all bad in the sense we have this attitude that is usually wanting to do that which is right in our own eyes.

What goes on in the minds of many people is usually not good thinking. And if they could get away with doing what they wanted we would all be dead.  If our attitude was fully blown into action there would be a really bad world to live in, which it is already a bad world.

It is so bad that we have to lock our doors at our house, lock our car doors when we go shopping.  We can't let our kids out of our sight for a moment it seems.  We really are a society that is afraid of getting mugged or get killed by some means.  So many of us live in fear., We have to lock down what we want to keep. We never know when someone is going to get into our bank account at clear our money out. You get the point!

So you ask why then do mankind do such bad things to people?  Its a nature problem.  We all have within us this nature that is bad.  We see bad things happen every minute of of the day.

Crime it is called:

Full Definition of CRIME

1:  an act or the commission of an act that is forbidden or the omission of a duty that is commanded by a public law and that makes the offender liable to punishment by that law; especially :  a gross violation of law

2:  a grave offense especially against morality

3:  criminal activity <efforts to fight crime>

4:  something reprehensible, foolish, or disgraceful  

So we try to stop CRIME. I read there are 20,000 gun laws.  And yet people are killed or wounded every minute of the day> 

There have been more than 400 guns deaths since the Newtown massacre on December 14, according to a new interactive project between ...  Gun deaths have been a daily reality since the Newtown massacre less than three weeks ago, with an average of 18 people dying each day as a result of a fatal shooting, according to the data compiled by @gundeaths. Six of those deaths have been children under the age of 13, and another 21 were youths under the age of 17. 

 A crime is committed in England and Wales every five seconds, according to new ... A quarter of the 3,000 people referred to victim support each day were ...

Well there are all kinds of laws that are on the books that most people break in their life time many times I guess.

But even Christians break laws that are on the books. But what I am talking about in crime that is harmful to mankind, and breaking the laws of God.  Why do we do those things. The bible calls it SIN, and sin is that which indwells our being that causes us to want to do what we know we don't want to do. Romans seven gives us a idea about that.

The Bible teaches us that we are controlled by the spirit of a sinful nature.  Which causes us to want to do what we are not suppose to do.  Every child born usually has this desire not to be controlled by their parents.

Thus when when we think a person is normal and good, we discover they are rally every bad people.

The society calls it mental illness. Well it is mental illness and that is called a sinful nature.