Depressive Symptoms Associated With Aggression: Violence is not usually considered to be related to depression, yet findings suggest an association between violent behavior and depression or depressive symptoms in many different disorders. When we assess the risk of violence in people with depressive symptoms, we must consider the specific disorder in which these symptoms exist. Depressive symptoms may occur in MDD, bipolar disorder, or schizophrenia. They may also occur in dementia, PTSD, or personality disorder. The assessment and treatment of the underlying disorder is important. We must also consider that this association between aggression and depressive symptoms is further modified by various demographic and historical factors. Assessment of a depressed patient’s potential for violence takes into consideration many risk factors, including a history of violence, substance abuse, childhood trauma, and impulsivity. Once these factors are combined, the risk of violence is considerably more elevated.