Involutional Melancholia

Involutional melancholy is a severe depression, usually associated with some kind of mental disorder, that first appears during the involutionary period in adults (at about 40-55 years for women and 50-65 years for men).

This disease is characterized by symptoms such as anxious agitation, delusions about the presence of imaginary diseases, the absence of other pronounced symptoms of the disease, and detachment from the outside world. The patient is primarily concerned with his own losses and the approach of death.

However, the disease does not always have these classic symptoms, so doctors usually consider it inappropriate to classify it as a separate nosological form from the group of depressive psychoses. See also Manic-depressive psychosis.

**Involutional melancholia** is a severe depression that first appears during the so-called involutionary age (for women - approximately 40 -55, and for men - from 50 to 65) and is usually associated with some kind of mental disorder. This form of depression has characteristic symptoms - anxiety, delirium, unwillingness or inability to cooperate with a doctor, awareness of approaching death, a tragic attitude towards one’s life and full of sad forebodings.

Psychologically, this type of melancholy manifests itself in the fact that a person is unable to enjoy life to the fullest, even if everything seems to be going great. He becomes withdrawn and distant, perhaps expressing his emotions more often in writing than verbally. Depressed patients feel hopeless and apathetic

Melancholy Involutionary

Involutional melanchology is a strong depressive mental maladjustment that first appears during the involutionary period. It is detected in mature adults - approximately 45-68% of women and 30% of men. Patients are tormented by anxiety-delusional disorders and detachment, which are based on the experience of losing loved ones and their place in life. Taking into account the fact that this psyche may not have signs of the disease, it is difficult for specialists to differentiate this thinking disorder from simple depressive psychosis. Typically, involutional melancholia is also accompanied by manic disorders.

The disease rarely manifests itself with a set of typical symptoms. In 81-87% of patients, the first manifestation is an anxious and melancholy state. They are accompanied by fear of death, a feeling of lack of air and interruptions in heart rate, gastrointestinal disorders: loose stools, metallic taste in the mouth, lack of saliva. Changes in consciousness, memory, thinking and purposeful activity are also noted. Due to anxiety and restlessness, a person becomes restless, vulnerable and unpredictable or lethargic, his vitality predominates with a more pronounced decrease in vital needs.

Characteristic of a melancholic state is the appearance of vegetative-vascular crises, which are accompanied by fluctuations in blood pressure both above and below normal levels, increased heart rate or heart rate, as well as anxious tremors. Against this background, patients feel weakness, dizziness and faintness,