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The gloom-and-doom disease: should woody allens have a home in themanual of mental illness? by 123wert sdfsf





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The gloom-and-doom disease: should woody allens have a home in themanual of mental illness? by
Article Posted: 11/01/2013
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The gloom-and-doom disease: should woody allens have a home in themanual of mental illness?


 
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Psychologists tend to link the depressed and the anxious bypersonality. Both groups share the trait of negativeemotionality, the propensity to harbor bad feelings such as angerand anxiety. (In contrast to those with depression, though, thosewith textbook anxiety spike their dourness with a dollop ofwellbeing, energy, closeness to others, and the like.) And ofcourse, the two temperaments feed each other. If your future is soterrible, what s not to be depressed about? Conversely, if yourake over the past enough, you ll undoubtedly unearth a goof thatis sure to destroy your prospects. For all these reasons, not tomention shared genetic risk factors, lots of people who aredepressed are also anxious and vice versa.



Yet these practically conjoined twins of psychological distresshave long been separated in psychiatrists diagnostic bible, the Diagnostic and Statistical Manual of Mental Disorders (DSM), currently in its fourth incarnation. A depressed person issomeone who feels overwhelmingly sad and worthless, the DSM says,and who can no longer enjoy activities they used to like. They mayalso have thoughts of death or suicide. Generalized anxiety disorder (GAD) to pick one of the many certified forms offretting involves excessive, and at least somewhat debilitating,anxiety and worry about more than one part of your life that youexperience on most days for six months or more. But what about all those ruminators who can t help forecastingfuture doom and yet don t qualify as officially depressed orpathologically anxious? Currently, as of the DSM-IV, these folksremain in a kind of diagnostic limbo.



Their pending label, mixed anxiety-depressive disorder is in the book s appendix, a place for proposed ailments inneed of further study. Accumulating data suggest that these peopleare numerous. In the United Kingdom, national surveys suggest that8.8 percent of the population would qualify for mixed anxiety anddepression as defined by the World Health Organization scompendium of diseases the International StatisticalClassification of Diseases and Related Health Problems (ICD-10). Bycomparison, fewer people only 7.7 percent satisfied diagnosticcriteria for major depression, GAD or a combination.



Many of the 8.8 percent are more than moderately miserable. Studiesshow that the impact of this cocktail of sadness and worry onquality of life is similar to that for anxiety disorders: 12percent of sufferers, for example, have reported suicide attemptsand the disorder accounted for 20 percent of all disability days inthe United Kingdom. So these folks do seem to need help.

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