The diagnostic approach

Depression can be associated with many illnesses but it is important to realise that the somatic symptoms may be the presentation of depressive illness and thus 'undifferentiated illness' is a feature. The patient tends to complain of aches and pains, gastrointestinal symptoms and other similar symptoms rather than emotional problems.

There is a relationship between anxiety and depression so that many depressed patients are agitated and anxious—a feature that may mask the underlying depression. 7

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