As the saying goes, people have “seven emotions and six desires”. The seven emotions refer to “joy, anger, worry, fear, love, hatred and desire”, of which “worry” means “sorrow”, “melancholy “It is one of the forms of human emotional activity, often manifested as depressed mood, diminished interest, self-blame and anxiety, no sense of pleasure, etc. Depressive disorder is one of the most common mental disorders, and some people even compare depression to the “cold” in human mental activity, which shows the wide range of its existence. The same is “depression”, is the diagnosis and treatment the same? Let’s go into the world of “depression” and see the different “depression”. Xiao Wang, a female, 18 years old, was born beautiful, lively and lovely, with excellent academic performance, and in order to meet the college entrance examination, she often studied until late at night. Late one night, on the way home she encountered the darkest scene in her life, he was raped by 2 men, from then on, she was sullen all day, tearful, do not eat and drink, dull eyes, slow reaction, often stay up all night, can not study normally, pessimistic and anorexic …… she suffered from ” Depression”, we call this kind of depression due to strong external mental stimulation factors “psychogenic depression”, also known as “exogenous depression”. For the treatment of this type of depression, psychosocial support is very important, and the use of antidepressants is also necessary, as well as early monitoring to prevent accidents. Old Wang, male, 56 years old, a leader of an organization, cheerful and brisk, suffering from hypertension, diabetes and other diseases, because they do not pay attention to their own bodies, smoking and drinking, often all night long “to repair the Great Wall”, until late one night, at the mahjong table he suddenly collapsed from a stroke, unconscious, after active resuscitation finally saved his life. But he was left with hemiplegia, one side of the limb can not move, the quality of life is not as good as before, this old Wang depressed, sighing, unresponsive, sometimes irritable, easy to lose temper, the previous hobbies are gone, feel that they have dragged the family, self-blame and secret tears …… on this state of old Wang we diagnosed as “Post-stroke depression”, this type of depression is derived from the factors of physical disease, we call it “somatic depression”, also called “secondary depression”, it also includes some drugs ( It also includes depression caused by some drugs (such as antihypertensive drugs, antipsychotic drugs, etc.). The principle of dealing with this type of depression is to treat the primary disease (of course, including reducing or stopping the use of drugs that cause depression) on the basis of antidepressant treatment, psychotherapy, social support, rehabilitation of somatic functions, etc. “multi-pronged and close together”. Xiao Zhang, female, 28 years old, with no obvious reason, gradually began to be silent, sad, since the brain response is slow, memory loss, difficult to fall asleep, easily wake up early after sleep, often feel tired and weak, reluctant to go to work, the previous hobbies such as big basketball, watching movies, etc. are not interested, tea and food is not fragrant day by day see thin, always complained of living like years is very tired, several times to take a lot of sleeping pills to seek death, according to these performances, we Based on these manifestations, we diagnosed him as depression, which is often unexplained and accompanied by biological features such as early waking, poor appetite, weight loss, light depression day and night, which we call “endogenous depression”. For such depressed patients, the treatment principles are: active antidepressant treatment, take the necessary protective restraint measures, serious cases can be considered electroconvulsive therapy, after the degree of depression is reduced, should strengthen the cognitive therapy and other psychotherapy. Liu, female, 23 years old, her depressive episodes are similar to the previous patient, such as depressed mood, reduced interest, self-blame and suicide, but she has her own characteristics compared with Zhang, such as brief excitement before the depressive episode, talk too much, bragging, feeling good about herself, high mood and other “manic” performance, or in the process of taking antidepressant treatment This kind of depressive disorder is called “bipolar depressive disorder”, and the principle of its treatment is based on mood stabilizers, such as lithium, valproate, lamotrigine, etc., and on this basis, depending on the degree of depression, or supplemented with antidepressants. In addition, when using antidepressants, we should pay special attention to the possibility of depression turning into mania. In addition, we will encounter the following kinds of “depression”, such as a pregnant woman gave birth to a baby, should be happy as a mother, but she just can’t be happy, crying, self-blame, worry, no affection for her baby, we call it “postpartum depression We call it “postpartum depression”, whose treatment is basically the same as “endogenous depression”, and it is crucial to strengthen psychotherapy and guide maternal psychological adjustment; for example, a patient with schizophrenia has completely disappeared after treatment with hallucinations, delusions and other psychotic symptoms, but “breeding “We call this situation “post-schizophrenic depression”, and the treatment measures are to take antipsychotic drugs, actively carry out psychotherapy, strengthen social support treatment, and supplement with small doses of antidepressants if necessary; furthermore, some patients The patient often shows somatosensory symptoms (headache and dizziness, neck pain, palpitations, abdominal fullness, numbness of the limbs), the patient often denies having a depressed mood, taking antidepressant treatment but can obtain unexpectedly good results, the depressed mood is not obvious, the somatosensory symptoms are prominent, so that the depressed mood is completely covered, this special form of depression, we call ” This special form of depression is called “occult depression”, also called “depression without depression”. Through these various types of depression, we can see how important it is to identify the causes of depression and to provide targeted treatment. It is really the same “depression”, but different treatment.