A diagnosis of major depressive disorder can be made after a single or multiple major depressive episodes. Establishment of whether the depressive episode is the first to occur is of utmost importance as the risk of subsequent major depressive episodes is of 50% after a single episode, 70% after two episodes and almost 100% after more than two episodes . Ten to 15 years after an index major depressive episode, about 80-90% of patients can be expected to have a recurrence.
Patients with dysthymic and minor depressive disorders will often experience one or recurrent major depressive episodes. This is referred to as 'double depression'. Furthermore, recent studies have highlighted the importance of also recognizing sub-syndromal forms of depression, as these are associated with a risk of developing a major depressive episode
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Are You Depressed? Heard the horror stories about anti-depressants and how they can just make things worse? Are you sick of being over medicated, glazed over and too fat from taking too many happy pills? Do you hate the dry mouth, the mania and mood swings and sleep disturbances that can come with taking a prescribed mood elevator?