Major depressive disorder serves as a load on the economic as well as physical well being of the individuals. It serves to be the second most important clinical condition which hinders the normal life of the individuals and impairs them from leading a perfect life. Worldwide major depressive disorder accounts as the fourth most common pathology. This psychological condition is very dangerous because it accounts as a cause for 66 percent of all suicidal deaths and it also raises the risk of pathologies of the heart and associated vasculature (British Columbia Medical Association 2004). In the United States it majorly affects the people who are suffering from a medical condition since a very long time or those who migrate to the United States and females have a greater susceptibility of suffering from this condition (Paul et al 2007).
Major depressive disorder patients present with a wide range of psychopathological conditions which differ from one person to another. It is characterized by a very low consideration regarding self existence. A person considers himself to be of no use and does not have a very high opinion of him. The patients have thoughts of remorse and do not consider their existence to hold any value. They have negative thoughts regarding everything. The patient feels low and distressed and has a bad temper along with a feeling of exhaustion and weariness. The patient cannot engage in activities which require him to remain focused and has a tendency to easily forget important things. Sleeplessness is also associated with major depressive disorder but an interesting fact is that some patients might also present somnolence. This contradicting pattern is also noted in the case of eating as some patients present with polyphagia whereas others may be anorexic. The patient complains of gastrointestinal tract