SMC Clinic
SMC clinic is psychiatric clinic. If you're struggling with an emotional or mental health problem, call us now to make an appointment 023 955 999. Address: No 247, St. Preah Trasak Paem (St. 63), Sk. Boeung Keng Kang I, Kh. Cham Karmorn, south of Boeung Keng Kang Market, 12302-Phnom Penh.
Mood Disorders
Anxiety Disorders
Psychotic Disorders
Drugs abuse
Mood Disorders > Mood Disorders
Major depressive disorder:
Clinical depression is one of the most common, serious mental health disorders. Depression can be temporary period or long term emotional disorder characterized by characterized by a pervasive and persistent low mood that is accompanied by low self-esteem and by a loss of interest or pleasure in normally enjoyable activities, feeling of sadness, feel lonely almost in every day life.   

Major depressive disorder is a disabling condition that adversely affects a person's family, work or school life, sleeping and eating habits, and general health. Depressive illness can vary from just interfering with usual activities and relationships to being very debilitating. Severe depression can make it hard or even impossible for sufferers to relate to and communicate with others, or to manage simple day to day tasks.  

It is believed to currently affect approximately 298 million people as of 2010 (4.3% of the global population) .The most common time of onset is between the ages of 20 and 30 years, with a later peak between 30 and 40 years.  

Depression often coexists with physical disorders common among the elderly, such as stroke, other cardiovascular diseases, Parkinson's disease, and chronic obstructive pulmonary disease.  

Common symptoms of major depression are:
  • Low mood
  • Sadness and feel lonely
  • Lack of self-esteem
  • Loss of interest
  • Feeling lazy
  • Chronic tireness
  • Withdrawing from friends and social contact
  • Sleep too little or too much
  • Feeling guilty, worthless, or consistently sad
  • Suicidal idea, plan, or attempting…,etc.  

Depression is strong associated with anxiety symptoms such as palpitation, chest oppression, cold extremities, poor or increase appetite, irritable mood and so on.  

Treatment can do much to reduce or eliminate the symptoms of depression, and usually includes a combination of the following:
  • learning new coping strategies;
  • lifestyle changes such as increasing exercise and physical fitness;
  • not using alcohol and other drugs;
  • taking medication; and
  • Individual therapy (psychological therapy), support and sometime electroconvulsive therapy (ECT).
Mania is a state of abnormally elevated or irritable mood, arousal, and/or energy levels. In a sense, it is the opposite of depression. Mania is a necessary symptom for certain psychiatric diagnoses.

Mania varies in intensity, from mild mania (hypomania) to full-blown mania with extreme energy, psychotic features, including hallucinations, delusion of grandeur, suspiciousness, catatonic behaviour, aggression, and a preoccupation with thoughts and schemes that may lead to self-neglect.

But mania is most often associated with bipolar disorder, where episodes of mania may alternate with episodes of major depression.

     Symptoms of manic disorder:
  • Elevated mood
  • Talkativeness more than previous usual time
  • Less sleep, less appetite but feel of energy
  • Grandiosity
  • Expensiveness
  • Increase of libido
  • Aggressive…, etc.

Bipolar Disorder: 

Bipolar disorder, also known as manic-depressive illness, is a major psychiatric illness brain disorder that causes unusual shifts in mood, energy, activity levels, and the ability to carry out day-to-day tasks. Symptoms of bipolar disorder are severe. They are different from the normal ups and downs that everyone goes through from time to time. Bipolar disorder symptoms can result in damaged relationships, poor job or school performance, and even suicide. But bipolar disorder can be treated, and people with this illness can lead full and productive lives.

Manic and depressive episodes may vary in length and severity from days, to weeks to months. Manic episodes may end abruptly with the onset of depression, and people may even experience periods of stability between mood swings.  

About 4% of people have bipolar disorder worldwide. Usually this disorder first appear when  person is between the age of 15 and 35.  

There are widespread problems with social stigma, stereotypes, and prejudice against individuals with bipolar disorder.

      Manic phase of this condition include:
  • Elevated mood
  • Talkativeness, grandiosity
  • Decrease need of sleep, aggressive
  • Irritable mood with an inflated sense of self-importance
  • A tendency to be distracted
  • Increase activities in everyday life
  • Expensiveness…,etc.

This manic episode will last from a few days to several months. 

     Depression phase of bipolar disorder characterized by:
  • Low self-esteem
  • Chronic worry, and feel bad of future
  • Sad mood, lack or loss of daily interest in doing thing
  • Low appetite
  • Easy to cry
  • Insomnia
  • In severe has suicidal idea, plan or action…,etc.  

Bipolar disorder is an emergency psychiatric which need hospitalization in most cases. To make sure patient is safe from injuries or suicidal episode safety environment in hospital in so importance. 

Medications like mood stabilizer anti-depression (in episode depress) or antipsychotic (in manic episode) are the first line of treatment before start psychotherapy.




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