Common diseases & risk factors

Avi Medical helps you with depression

The risk of developing depression is higher than you think. In fact, the probability of experiencing a manifest depression once in a lifetime is 20 percent in the general population. And if you are related to a sufferer , it can be as high as 30 per cent.

In this country, this clinical picture accounts for the second largest proportion of days of incapacity to work after anomalies of the musculoskeletal system (such as osteoporosis).

Fortunately, depression is usually easily treatable with early diagnosis and targeted therapy . Our experienced doctors at Avi Medical will guide you through this process.

What is depression?

Depression belongs to the group of affective (mood) disorders and can occur both once and recurrently . The severity of a recurrent depression can vary enormously from episode to episode. Thus, a mild dysthymia (moodiness) can be followed by a strong wave. Depression does not only occur separately, but also as a concomitant disease of other mental (such as schizophrenia or an eating disorder) or somatic (such as rheumatism) disorders.

Good to know: If a depression swings into the opposite, i.e. becomes a mania, the clinical picture turns into another affective anomaly: bipolar disorder .

At what point is it depression?

Depression is diagnosed on the basis of the following leading symptoms, all of which must apply: 

  • Joylessness
  • Loss of interest and drive

Depending on the severity of the depression, there are also 

  • Concentration problems
  • Loss of self-worth
  • Guilt
  • Fears for the future 
  • Suicidality
  • Sleep disorders
  • Loss of appetite

The symptoms must be present for at least two weeks to diagnose depression. They must also not be caused by a physical cause (such as vitamin deficiency) or psychotropic substances (medication, drugs, alcohol). 

What are the triggers of depression?

The development of depression requires the interaction of three factors . These are: 

  • Biological factors, i.e. genetic abnormalities (hormonal imbalances such as a deficiency of serotonin or noradrenaline).
  • Psychological factors (trauma, severe psychological stress) 
  • Social factors (childhood, environment, working conditions)

What are possible symptoms of depression?

In addition to the leading symptoms already mentioned, the following symptoms are typical of depression: 

  • State of numbness
  • Inner restlessness 
  • Delusional states such as delusions of guilt and impoverishment, nihilistic thoughts and hypochondria
  • Pseudodementia (reversible cognitive disorder)

The treatment of depression at Avi Medical

The first step in treating depression is to rule out physical causes. Blood tests, among other things, serve this purpose. 

If this factor can be ruled out as the trigger of your depression, follow up depending on the severity and the patient's wishes:

  • referral to a psychotherapist
  • possibly supportive of this: Prescription of antidepressants 


For us at Avi Medical, this targeted therapy also includes regular re-evaluation and monitoring of the prescribed antidepressants. The reason for this is that the preparations can trigger organ abnormalities as a side effect when taken over a long period of time. Regular blood tests, ECG and compatibility evaluations with other medicines help to rule out the development of these.