Thus whereas the outlook for a first episode is nice, the outlook for recurrent episodes over the long run could be poor with many patients experiencing symptoms of despair over a few years (Akiskal, 1986). Early life experiences as well as present social stressors should even be considered. A poor mother or father–baby relationship, marital discord and divorce, neglect, and physical and sexual abuse nearly certainly improve a person’s vulnerability to depression in later life (Fava & Kendler, 2000) and can play an important position within the development of GAD.
Although despair has been understood to be a time-limited dysfunction lasting on common 4 to six months with complete restoration afterwards, it is now clear that incomplete recovery and relapse are frequent. At least 50% of people following their first episode of major melancholy will go on to have at least another episode (Kupfer, 1991), and after the second and … Read More