Melancholy is a severe form of depression
, and the most serious. A person with melancholy is in a state of great psychological distress, causing a general disgust with existence. The most revealing symptoms of melancholy are a major loss of life force, the lack of reactivity to pleasant stimuli, a carelessness with significant anorexia and weight loss, major guilt, and a mood marked by depression. Melancholy can lead, in cases of chronic progression
, to a diminished intellectual capacity, and can even drive the patient to suicide. This form of depression requires immediate hospitalization and the establishment of an antidepressant treatment. In some forms of melancholy, especially those with a delirious side or a phenomenon of stupor with immobility and silence, a treatment called ECT or electroconvulsive therapy using electrical stimulation delivered to the skull may be urgently considered.