Why do I feel inexplicably down?
Oct 14, 2022
Source: Cainiu Health
Dr. Zhu Gang
Introduction
Low mood refers to an enhanced negative affect and a mental state characterized by lack of confidence and inability to feel pleasure, commonly seen in depression or depressive conditions. Common disease factors that cause low mood include depressive episodes, schizophrenia, and stress-related disorders. 1. Depressive episode: abnormal secretion of norepinephrine function, dopamine function, etc.
Low mood refers to an enhanced negative affect, characterized by a lack of confidence and happiness. It is commonly seen in depression or depressive states. Common medical conditions that cause low mood include depressive episodes, schizophrenia, and stress-related disorders.
1. Depressive Episode
Abnormal secretion of neurotransmitters such as norepinephrine and dopamine can lead to decreased levels of excitatory neurotransmitters in the body, resulting in depressive symptoms. Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine, paroxetine, and fluvoxamine, are recommended under medical supervision.
2. Schizophrenia
In the early stages, psychomotor excitement may occur. During the recovery phase, low mood may develop due to stressful life events or abnormal intraneuronal signal transduction. Traditional antipsychotic medications such as chlorpromazine, haloperidol, and perphenazine are recommended under medical guidance.
3. Stress-Related Disorders
Stressful life events can trigger stress disorders, which are often accompanied by depression and varying degrees of low mood. Removal from the stressor is essential. Treatment primarily involves psychotherapy, supplemented by medication. Benzodiazepines, such as diazepam and alprazolam, may be used under a doctor's guidance to help alleviate anxiety and other symptoms associated with stress disorders.
Additionally, a fast-paced lifestyle and high mental stress can also lead to low mood. It is recommended to quit smoking and avoid alcohol, maintaining a healthy lifestyle. Maintain regular sleep patterns, ensure adequate rest, and avoid staying up late. Engage in moderate exercise, manage body weight, monitor blood glucose, and maintain stable blood pressure. Stay cheerful, communicate regularly with family and friends, and cultivate a personal hobby—such as music or dancing—to divert attention and relieve negative emotions.
