Intended for healthcare professionals

Views & Reviews From the Frontline

Black dog

BMJ 2009; 339 doi: https://doi.org/10.1136/bmj.b3995 (Published 29 September 2009) Cite this as: BMJ 2009;339:b3995

Differential Diagnosis of Affective Disorders

The affective disorders of mania and depression are common psychiatric
diagnoses. The diagnostic and therapeutic categories for affective disorders
include psychoanalytical (oral fixation), psychopharmacological
(neurotransmitter imbalance), physical (acute & chronic disease), psychological
(low self-esteem), sociological (low social status), dietary (toxins & addictions),
and lifestyle (sedentary & solitary). In my experience, the most pragmatic and
effective categories are dietary and lifestyle, both of which empower the patient
to make immediate, constructive changes that may obviate the need for more
expensive treatment.

Competing interests:
None declared

Competing interests: No competing interests

03 December 2009
Hugh Mann
Physician
Eagle Rock, MO 65641 USA