Depression

Fatigue, pain, heaviness, GI symptoms, sleep disruption within mood/anxiety syndrome

RoutineReview due

Compare (7)

At a glance

High-risk causes: 4
Related differentials: 6

Safety snapshot

Watch forWeight losssuicidalitypsychotic depressionuntreated sleep apnoea/endocrine disease

Presentation hinge

Driven by excessive time, energy, and distress around symptoms, not by symptoms being fake.

Separates the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group. It is not specific to Depression.

Clinical review

Rows marked “Whole group”: Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group — not specific to Depression

Why it fits

Fatigue, pain, heaviness, GI symptoms, sleep disruption within mood/anxiety syndrome

Key features

Must-not-miss

Weight loss, suicidality, psychotic depression, untreated sleep apnoea/endocrine disease.

High-risk causes4 causes

Weight loss
suicidality
psychotic depression
untreated sleep apnoea/endocrine disease

Bedside question

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

Driven by excessive time, energy, and distress around symptoms, not by symptoms being fake.

Helpful clues

Immediate action

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Priority steps

Investigations

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Core tests

Mimics / overlap

Applies to the Somatic Symptoms / Illness Anxiety / Functional Neurological Symptoms / Factitious Presentation group.

None listed

Consider

Clinical reference — not validated decision support. Review before use.