A test for major depression claiming to be a test for depression. Apparently the people at “InteliHealth” aren’t up on their set theory.
Okay, for those of you who have been misled by this test, there are several kinds of depression. I will deal here with only two (leaving out bipolar, psychotic, and compound depressions):
Major depression. Typically has a definite onset period. This is why statements like “1. I was bothered by things that don’t usually bother me” apply only to major depression. Causes sleeplessness, loss of appetite, and loss of interest in sex. People with major depression often seem completely unaffected by their environments, and impossible to cheer up.
Atypical depression is the kind the people who write these tests don’t give a rip about. Restless sleep? Not a standard feature of atypical depression. Atypicals tend to sleep too much, sometimes eat too much, and feel quite easily affected by their environments. Can rarely recall a time when the depression “hit”; often say it has been around for as long as they can remember. So obviously there is a lot distinguishing atypical from major depression.
Here is a little parable describing how atypicals get ignored by simplistic tests:
Examiner: Have you been feeling worse in the past six months?
Atypical: No, I’ve felt dismal and crappy all my life.
E: Have you experienced a loss of appetite.
A: [wipes taco sauce off chin] No, not at all. Got any nachos?
E: Have you experienced a sudden decrease in sexual desire?
A: [imagining the Examiner nude on a silk bed] Huh? Uhh, no, not at all.
E: Having trouble sleeping?
A: zzzzzzz
E: Okay, so you’re not having trouble sleeping. Do you feel immune to the affects of your environment. Like, do the things people say have tremendous impact on your emotional state?
A: What do you mean by that? Are you saying I’m a weak, spineless individual? That I have no courage of my convictions? Well you’re right! I should be shot.
E: [scans Depression Indicators List for “zero self esteem”] Has it been possible for you to be cheered up, even temporarily, in the past six months?
A: Are you asking if I’ve ever been happy in the past six months?
E: Yes.
A: Why, yes I have. That time I won the lottery I felt pretty good. The rest of the time I’ve felt like I’m in a living hell.
E: Well, it sounds like you’re doing just fine. I recommend a program of exercise, fresh air, and a positive attitude. Keep smiling!
A: What’s “smiling”?
(I scored a 33 by the way, but I don’t trust it since I wasn’t paying much attention to my answers.) Yes, I’m a little strident about this. I’m starting to feel less like this is an oversight by the “professionals”, and more like immoral negligence. Look knuckleheads, I don’t care if someone eats a side of pork at every meal - if they feel like lemon juice in a paper cut 23 hours a day they are probably depressed. Just admit it.
(And yes, I did read the little
This seems like partial admission that the test covers only a single type of depression but it’s really just more psychobabble. To equate major depression with significant depression? So the suffering of the atypicals is “insignificant”? I’m not even going to comment on that one.