Involutional melancholia

Involutional melancholia is a traditional term for a psychiatric disorder affecting mainly elderly or late middle-aged people, usually accompanied with paranoia. It is not currently used in major psychiatric classification systems.

Symptoms

The symptoms of involutional melancholia include:

• Anxiety
• Pessimism
• Insomnia
• Loss of appetite
• Suicidal ideation
• Weight loss
• Constipation
• Hypochondriasis

Causes

The exact cause of involutional melancholia is unknown. However, it is believed to be related to the changes in the brain chemistry that occur as a person ages.

Diagnosis

The diagnosis of involutional melancholia is made based on the patient's symptoms and medical history. A physical examination and mental health assessment may also be conducted.

Treatment

The treatment for involutional melancholia may include:

• Psychotherapy
• Medication
• Electroconvulsive therapy

Prognosis

The prognosis for individuals with involutional melancholia varies. Some individuals may experience a complete recovery, while others may continue to experience symptoms for many years.

See also

• Depression (mood)
• Geriatric psychiatry
• Mental health

References

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