This term, imposed by the DSM, actually means “marked depression. Although they are not unanimous, the U.S. criteria of DSM-IV (Diagnostic and Statistical Manual of Mental Disorders ) major depressive disorder are: A person must have at least 5 of the 9 following symptoms for a period at least two weeks, most of the time, resulting in a change in the mode of operation. At least one of these two criteria must be present: sad mood, anhedonia.

• Sad mood (depression): described as more intense than the pain of bereavement. The patient is joyless and oppressed, sometimes it is unable to perceive any sense. Generally the mood is worse in the morning. In children and adolescents, this may manifest as increased irritability.
• Anhedonia: decreased pleasure or interest in all activities, including those that usually give pleasure. Habits are changing hobbies are neglected, everything seems dull and empty, including the activities usually rewarding.
• Change involuntary weight: Increase or decrease of 5% or more of usual weight in a month. Eventually, recent change in appetite
• Sleep disorders: decrease (sleep) or increase (hypersomnia) of sleep time
• Impaired concentration or making decisions
• Behavior Disorders: agitation or retardation (bradyphrenia) reported by the surroundings.
• Asthenia: feeling of fatigue or decreased energy
• Feelings of guilt bloated, unjustified and often related to self-depreciation of the patient.
• Ideas black: will die, active suicidal ideation with or without a specific plan, eventually attempted suicide.

On the threshold of eternity. In 1890, Vincent van Gogh painted this picture often interpreted as symbolizing the despair felt in depression. Van Gogh himself suffered from depression and committed suicide the same year.

This classification has some sort of historical basis, but the distinction is hardly used nowadays. The endogenous depression is characterized by pain latent moral contrast with emotional numbing (also called emotional anesthesia) outside for a pessimism, a marked inhibition, auto devaluation themes and ideas of self-accusation delusions of ruin, disaster, incurable, insomnia with early awakening, anorexia with weight loss, disgust of life inaccessible to any argument. The fluctuation of symptoms during the day is special in endogenous depression: a very strong wake up (morning), they tend to fade late in the day. Overall, the melancholic is disregarding the pathological aspect of his condition and refused any medical use, unnecessary. Form unipolar and bipolar depression: endogenous depression is often an expression of bipolar disorder (formerly called “manic-depressive”). It was initially well defined, tends to be divided into categories because of the evolutionary aspects, family history and therapeutic responses to the same unequal treatment. The form consists of bipolar depression and access to episodes of euphoric excitement, separated by a gap. The pole shape is in turn defined by the repetitive occurrence of one type of access generally depressed.

There are also secondary depression due to drugs, organic disease, psychiatric disease, or depression or alexithymia involution.

In psychiatry the term ‘depression’ of Latin depressio. , “Draft” means a disease for some, or syndrome to others, whose central event is a mental condition characterized by fatigue important, a self-deprecation, pessimism causing significant disruption in reporting psycho-emotional

It is a common disease which affects almost 20% of people during their life and that marks a break with the usual psychological functioning of patients. The risk of progression to the more serious the condition is suicide, especially when it could not be detected and supported. Thus, almost 70% of people dying by suicide in France suffered from depression most often not diagnosed and treated

• Do not confuse depression with what is commonly called “coup de blues” or “depression” that reflects a sad passing, normal in a difficult situation.
• The term depression has a different meaning or classification in psychopathology and psychoanalysis, which he described a painful psychological process associated with a loss without being necessarily pathological. 10% of French signs of depression

Adolescent girls in primary

Who is affected by the disorder of the vision itself? It is not known what proportion of the population affected by this evil, but American studies suggest the figure of one in 50 who would fixate on her looks. The disease mostly adolescents and young adults.

The causes of this disorder are still poorly known. It is an anxiety that will find expression as a focus on a body part.

The dysmorphic disorder is often associated with other disorders shrinks: depression, eating disorders, manic-depressive, anxiety, obsessive compulsive disorders and other phobias (including agoraphobia).

At first I did not pay much attention but for 6 months it has become unlivable. I try to convince my self that it does not see that it is ridiculous to do that but I can not help it at least ej could not do it because since I know what it is, it qq began spending little but I do not cry victory. intence suffering is a very scary and even more that people do not understand and that it is not seen. I’m just irritable and heads I made the film when my phisical aspect, I think my face changes. I know that it is ridiculous that it can be treated. I hope again because I started to depress réeellment. I had a trigger calling a friend who is a psychoanalyst who has a word on what happened. I was ashamed to tell him what I had because I thought it invraissemblable; crazy. I even thought of skizophrénie.
Beaucop I suffered but I count myself out. I have appointments with a psychiatrist within 15 days. It’s like a new life for me begins.
I wonder if other people have lived or live a dysmorphophobie.Merci your testimony.  I speak with you. I know I am far from alone in this life. I thought the contrary there two days. phobia is that we contain ourselves on is why it is good to talk.

The dysmorphobie or dysmorphic disorder is the haunting fear (wrongly or rightly) of being ugly or malformed.

It is a disease characterized by a preoccupation or obsession with a defect in appearance, even a slight imperfection real (freckles, big nose, mottled skin, wrinkles, acne scars), or imaginary. This can cause severe depression or suicide attempts. People suffering from this disorder have degraded and distorted image of themselves and unreasonable fears of rejection because of the interpretation they make their appearance. There are two forms of the disease: a form accompanied by hallucinations and a form without hallucination. Patients (men and women) develop compulsive rituals to cover their (s) failure (s). They may remain a considerable time in front of a mirror to try to reassure but the effect is often reversed. They compulsively seek doctors, drugs or resort to plastic surgery. They can go far to improve their appearance, using methods sometimes dangerous. Some may even attempt self-surgery or suicide. Treatment is often difficult, but there has been progress with drugs such as serotonergic antidepressants.

Also called body dysmorphic disorder or syndrome of image distortion, dysmorphophobia is a disorder of perception and assessment body which is an exaggerated concern absent some defect in physical appearance, or a disproportionate assessment of physical anomalies which could present a seemingly normal.

Fear of physical deformity is a fairly common clinical picture, those with obsessive conviction of having a part or all of the deformed body suffer anguish for his alleged ugliness and tiny imperfections tend to assume a disproportionate importance. Complaints can materialize anywhere delcuerpo affecting equally attractive to people who already are not.

Dysmorphophobia, michael JacksonLos studies show that in 45% of cases the complaint focuses on the shape of the nose, although alterations, imaginary or minimum may correspond to the face, weight, height, rear belly, hair, breasts, feet, hands, genitals, legs, and extended to any part delcuerpo.

This phobia or fear of not having a normal appearance is seen more frequently in adolescents of both sexes and is extremely linked to the transformations that occur at puberty, starting at age twelve and ending in nonpathological cases, to eighteen or twenty years.

The dismorfobia is much more common among upper-class youth with little or no physical defect. Influenced by the media and high current beauty standards are beginning to have an erroneous perception or exaggerated or imagined physical defects imperceptible.

Prevention dysmorphophobia
The best treatment is prevention, and the best way of understanding. Therefore, the most effective tools is an education in the family based on love, that provides the individual the necessary trust and confidence in itself and that both forms for freedom and self-determination, and taking into account not only that which expresses his conduct, but also the needs of each etapade life and the subtle psychological changes that accompany them.

Furthermore, although there is no doubt that the physical image, and now more intense, it is essential in our daily lives, we need to relativize its importance, focusing on other human values: kindness, solidarity, honesty, culture and artistic sensibility.

Treatment dysmorphophobia
If, on the contrary, we have the disease, most importantly, be aware that you have a problem we can face.

In mild cases, support from family, friends or a loved one may be enough to restore confidence in itself, however, in severe cases we seek the help of a professional, either a psychiatrist or psychologist.

There are many types of effective therapy on body image disturbances, the most suitable are those based on the awareness of both the internal and the external space.

Psychological treatment is difficult, but with therapy and / or medication, even accepting that the problem is in your mind and not in your body can recover.

Finally, when in truth there is an impairment, cosmetic surgery, alone or associated to psychological treatment, has proved an excellent aid to reduce or eliminate some of the manifestations associated with dysmorphophobia.

A large number of people treated with cosmetic surgery, have not only been satisfied with her new look, but also found a significant increase in their self-esteem and a clear improvement in the way of relacionarsecon others.