Depressive illness is composed of a series of symptoms including depressed mood. The depressed mood, however, is not specific to depressive illness, which appears not only in depression, which means that a person suffering from "depression" referring to the fact that it is "down" mood is incorrect to classify things .
There are depressions inhibited or delayed, and depressions excited, or agitated. There are forms of depression "calm", dominated by inaction and indifference, and forms "anxious", in which the person complains and is constantly on edge.

There are also forms of depression in which the person gives the impression of being idle and locked into hibernation, but in favorable circumstances or stimulant suddenly resumed vitality and even may become euphoric and hyperactive.

In varying degrees, the depression is always a degree of anxiety, especially if the depressed person is forced or pushed to deal with any case of commitments or relationships that can not be avoided. Sometimes the anxiety is accompanied by a real state of excitement motor.

The person does not find peace, repeats of "not knowing where they stand," not knowing where to go, "walk up and down or needs to move, to leave, for example turning car. It absorbed in thoughts that are painful but are content fast, one after another, even repetitive, and not leave the person alone, like teasing and keeping awake. Sleep is typically interrupted by insomnia active with the person who tries unsuccessfully to distract himself, he can not concentrate on any activity, but is eager.

The person is involved in the content of his thoughts, can feel the urgency to find solutions, or an exit from situations that cause suffering, complaining that there can and can not conceive of a way out. Believes that everything depends on the problems of the moment, that the problems of the moment are the key to his whole life, with a tragic ending and inescapable. The thought of suicide is latent, but especially impulsivity is increased, so the person can engage in actions without self-injurious or to have them designed intention.

Sometimes people with this type of depression try to stimulate in various ways. It’s a framework common in substance abuse and alcohol, but can also be found outside of these situations. For example, the person may seek sexual relations, or eating voraciously in a disorderly fashion, or trying to calm himself abusing painkillers.

Anxiety is a different condition from agitation, because the anxious person tends to complain and is distressed, but is more passive. Calls for reassurance, seek security from others and avoid commitments that increases anxiety, but usually moves little, and if you "shake" does it "in place". Anxious depression is not associated with aggression, something that happens in depression rather agitated. The mood of agitation is irritable, jerky, not dominated. Its not sensitive to reassurance.

Regarding therapy, the difference is crucial because antidepressants often leading to resolution anxious depression worse, not agitation agitated depression. Agitated depression it does not belong to the "family" of depression, but the "family" of bipolar disorders. Agitated depression is a state of excitement, albeit with depressed mood.

The drugs mood stabilizers, such as certain antipsychotics and electroconvulsive therapy, not least the methods can be safe and effective to act on these complaints. Treatment with antidepressants alone, which began perhaps at a "non-suspicious" of seeming anxious depression, may instead worsen the picture, increase the risk of aggressive behavior against self and others, and overall levels of impulsivity.