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In psychology, a mood or emotional state that is marked by sadness, inactivity, and a reduced ability to enjoy life. A person who is depressed usually experiences one or more of the following symptoms: feelings of sadness, hopelessness, or pessimism; lowered self-esteem and heightened self-depreciation; a decrease or loss of ability to enjoy daily life; reduced energy and vitality; slowness of thought or action; loss of appetite; and disturbed sleep or insomnia. Depression differs from simple grief, bereavement, or mourning, which are appropriate emotional responses to the loss of loved persons or objects. Where there are clear grounds for a person's unhappiness, depression is considered to be present if the depressed mood is disproportionately long or severe vis-à-vis the precipitating event. When a person experiences alternating states of depression and mania (extreme elation of mood), he is said to suffer from a manic-depressive psychosis.
Depression is probably the most common psychiatric complaint and has been described by physicians from at least the time of Hippocrates, who called it melancholia. The course of the disorder is extremely variable from person to person; it may be fleeting or permanent, mild or severe, acute or chronic. Depression is more common in women than in men. The rates of incidence of the disorder increase with age in men, while the peak for women is between the ages of 35 and 45.
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