What Is Depression?
Depression/major depressive disorder is a common and serious medical illness or reason that adversely influences how you feel, the way you think and how you act. this is an emotional well-being condition set apart by an expanded sense of sadness and despair that influences how a man considers, feels and capacities/function
It can prompt an assortment of passionate/emotional and physical issues and can diminish a man’s capacity to work at work and at home. Fortunately, it is likewise treatable, Depression mood causes sentiments of trouble as well as lost enthusiasm for exercises once delighted in.
The condition may significantly interfere with a person’s daily life and may prompt thoughts of suicide.
Depression isn’t the same as sadness and grief caused by a challenging life experience, such as the death of a loved one. Globally, more than 300 million people of all ages suffer from depression.At its worst, depression can lead to suicide. Close to 800 000 people die due to suicide every year. Suicide is the second leading cause of death in 15-29-year-olds. Depression can affect people of all ages, races and socio-economic classes, and can strike at any time. The condition is found in twice as many women as men.
people with depression may experience a variety of symptoms, but most commonly, “a deep feeling of sadness or a marked loss of interest or pleasure in activity,”
Depression symptoms can vary from mild to severe and can include:
- Insomnia or excessive sleeping
- Irritability, agitation or restlessnes
- Lower sex drive Inability to focus
- Changes in appetite — weight loss or gain unrelated to dieting
- Feeling sad or having a depressed mood
- Loss of interest or pleasure in activities once enjoyed
- Trouble sleeping or sleeping too much
- Loss of energy or increased fatigue
- Increase in purposeless physical activity (e.g., hand-wringing or pacing) or slowed movements and speech (actions observable by others)
- Feeling hopeless, worthless or guilty
- Difficulty thinking, concentrating or making decisions
- Chronic fatigue and lethargy
- Explainable crying spells
- Explainable physical symptoms such as headaches or body aches
- Withdrawal from social situations and normal activities
- Thoughts of death or suicide
- Symptoms must last at least two weeks for a diagnosis of depression.
The causes of depression are not fully understood, but scientists believe that an imbalance in the brain’s signaling chemicals may be responsible for the condition in many of the patients.
However, there are several theories about what this imbalance actually is and which signaling chemicals are involved. Moreover, a variety of distressing life situations are also associated
, including early childhood trauma, a job loss, the death of a loved one, financial troubles, or a divorce.
Most likely, depression is caused by a combination of genetic, biological, environmental, and psychological factors, according to the NIMH.
Certain medical conditions may also trigger depression, including an under active thyroid gland, cancer, prolonged pain and other significant illnesses.
Hormonally induced depression can arise after childbirth or at menopause as well.
Additionally, sedatives and high blood pressure medications are linked to depression, according to the NIH.
To diagnose a person with depression disorder, doctors may ask patients about their family health history, mood and behavior patterns (such as eating and sleeping), and thoughts of suicide.
They may also ask patients to report their depression symptoms on a printed questionnaire.
In the Diagnostic and Statistical Manual of Mental Disorders (DSM), which is a mental health guidebook for doctors published by the American Psychiatric Association,
to diagnose a person with major depressive disorder, the person must show five or more of the symptoms (listed above) for at least two weeks. The person must also exhibit a depressed mood,
or loss of interest or pleasure.
It must also be ruled out that the symptoms are not caused by another medical condition, such as a thyroid problem, or due to the direct effects of a drug or medication.
So doctors may do a blood test, or test the thyroid to make sure it’s functioning properly, according to the Mayo Clinic.
And lastly, doctors look at whether “the symptoms cause clinically significant distress or impairment in social, occupational or other important areas of functioning,” according to the DSM.
Surveys have shown that up to half of Americans with depression don’t get medical help for their condition. Left untreated, major depression can set off a chain of social,
emotional and health consequences that add to patients’ overall stress. According to the Mayo Clinic, these include alcohol or drug abuse, anxiety, social isolation and relationship conflicts,
work or school difficulties, or suicide.
Depression treatment may involve psychotherapy therapy, medications, or a combination of the two.
Personality: People with low self-esteem, who are easily overwhelmed by stress, or who are generally pessimistic appear to be more likely to experience depression.
Environmental factors: Continuous exposure to violence, neglect, abuse or poverty may make some people more vulnerable to depression.
Prescription drugs, called antidepressants, help alter mood by affecting naturally occurring brain chemicals. Brain chemistry may contribute to an individual’s depression and may factor into their treatment.
For this reason, antidepressants might be prescribed to help modify one’s brain chemistry. These medications are not sedatives, “uppers” or tranquilizers. They are not habit-forming.
Generally antidepressant medications have no stimulating effect on people not experiencing depression.
Antidepressants may produce some improvement within the first week or two of use. Full benefits may not be seen for two to three months.
If a patient feels little or no improvement after several weeks, his or her psychiatrist can alter the dose of the medication or add or substitute another antidepressant.
In some situations other psychotropic medications may be helpful.
It is important to let your doctor know if a medication does not work or if you experience side effects.
which are usually temporary, include changes in sexual desire, digestive problems, headache, insomnia and nervousness.
Psychiatrists usually recommend that patients continue to take medication for six or more months after symptoms have improved.
Longer-term maintenance treatment may be suggested to decrease the risk of future episodes for certain people at high risk.
Psychotherapy, or “talk therapy,” is sometimes used alone for treatment of mild depression; for moderate to severe depression,
A number of studies have suggested that combining psychotherapy and medication together works best for treating people with severe depression.
Different types of psychotherapy include cognitive behavioral therapy, interpersonal therapy, dialectic behavioral therapy, acceptance and commitment therapy, and mindfulness techniques,
psychotherapy is often used in along with antidepressant medications. Cognitive behavioral therapy (CBT) has been found to be effective in treating depression.
CBT is a form of therapy focused on the present and problem solving. CBT helps a person to recognize distorted thinking and then change behaviors and thinking.
Psychotherapy may involve only the individual, but it can include others. For example, family or couples therapy can help address issues within these close relationships.
Group therapy involves people with similar illnesses.
Differences in certain chemicals in the brain may contribute to symptoms of depression. Genetics: Depression can run in families.
For example, if one identical twin has depression, the other has a 70 percent chance of having the illness sometime in life.
How Is Depression Treated?
Depression is among the most treatable of mental disorders. Between 80 percent and 90 percent of people with depression eventually respond well to treatment.
Almost all patients gain some relief from their symptoms.
Before a diagnosis or treatment, a health professional should conduct a thorough diagnostic evaluation, including an interview and possibly a physical examination.
In some cases, a blood test might be done to make sure the depression is not due to a medical condition like a thyroid problem. The evaluation is to identify specific
symptoms, medical and family history, cultural factors and environmental factors to arrive at a diagnosis and plan a course of action.
Less common treatments:
For patients with severe depression who have not responded to any medication or psychotherapy, doctors may consider transcranial magnetic stimulation (TMS),
according to the Mayo Clinic. TMS involves receiving brief magnetic pulses on the scalp to stimulate neurons that are thought to be involved in mood regulation and depression.
Self-help and Coping:
There are a number of things people can do to help reduce the symptoms of depression. For many people, regular exercise helps create positive feeling and improve mood.
Getting enough quality sleep on a regular basis, eating a healthy diet and avoiding alcohol (a depressant) can also help reduce symptoms of depression.
Depression is a real illness and help is available. With proper diagnosis and treatment, the vast majority of people with depression will overcome it.
If you are experiencing symptoms of depression, a first step is to see your family physician or psychiatrist. Talk about your concerns and request a thorough evaluation.
This is a start to addressing mental health needs.
Depression Is Different From Sadness or Grief/Bereavement:
The death of a loved one, loss of a job or the ending of a relationship are difficult experiences for a person to endure.
It is normal for feelings of sadness or grief to develop in response to such situations. Those experiencing loss often might describe themselves as being “depressed.”
But being sad is not the same as having depression.
The grieving process is natural and unique to each individual and shares some of the same features of depression.
Both grief and depression may involve intense sadness and withdrawal from usual activities. They are also different in important ways:
In grief, painful feelings come in waves, often intermixed with positive memories of the deceased. In major depression, mood and/or interest (pleasure) are decreased for most of two weeks.
In grief, self-esteem is usually maintained. In major depression, feelings of worthlessness and self-loathing are common.
For some people, the death of a loved one can bring on major depression. Losing a job or being a victim of a physical assault or a major disaster can lead to depression for some people.
When grief and depression co-exist, the grief is more severe and lasts longer than grief without depression. Despite some overlap between grief and depression,
they are different. Distinguishing between them can help people get the help, support or treatment they need.
Risk Factors for Depression.
we can implement these all stuff for your daily life easily which may helps for being normal:
1. Get in a routine
If you’re depressed, you need a routine, says Ian Cook, MD. He’s a psychiatrist and director of the Depression Research and Clinic Program at UCLA.Depression can strip away the structure from your life. One day melts into the next. Setting a gentle daily schedule can help you get back on track.
2 .Set goals:
When you’re depressed, you may feel like you can’t accomplish anything. That makes you feel worse about yourself. To push back, set daily goals for yourself.
“Start very small,” Cook says. “Make your goal something that you can succeed at, like doing the dishes every other day.”
As you start to feel better, you can add more challenging daily goals.
It temporarily boosts feel-good chemicals called endorphins. It may also have long-term benefits for people with depression. Regular exercise seems to encourage the brain to rewire itself in positive ways, Cook says.
How much exercise do you need? You don’t need to run marathons to get a benefit. Just walking a few times a week can help.
4. Eat healthy:
There is no magic diet that fixes depression. It’s a good idea to watch what you eat, though. If depression tends to make you overeat, getting in control of your eating will help you feel better.
Although nothing is definitive, Cook says there’s evidence that foods with omega-3 fatty acids (such as salmon and tuna) and folic acid (such as spinach and avocado) could help ease depression.
5. Get enough sleep:
Depression can make it hard to get enough shut-eye, and too little sleep can make depression worse.
What can you do? Start by making some changes to your lifestyle. Go to bed and get up at the same time every day. Try not to nap. Take all the distractions out of your bedroom — no computer and no TV. In time, you may find your sleep improves.
6. Take on responsibilities:
When you’re depressed, you may want to pull back from life and give up your responsibilities at home and at work. Don’t. Staying involved and having daily responsibilities can help you maintain a lifestyle that can help counter depression. They ground you and give you a sense of accomplishment.
If you’re not up to full-time school or work, that’s fine. Think about part-time. If that seems like too much, consider volunteer work.
7. Challenge negative thoughts:
In your fight against depression, a lot of the work is mental — changing how you think. When you’re depressed, you leap to the worst possible conclusions.
The next time you’re feeling terrible about yourself, use logic as a natural depression treatment. You might feel like no one likes you, but is there real evidence for that? You might feel like the most worthless person on the planet, but is that really likely? It takes practice, but in time you can beat back those negative thoughts before they get out of control.
8. Check with your doctor before using supplements:
“There’s promising evidence for certain supplements for depression,” Cook says. Those include fish oil, folic acid, and SA Me. But more research needs to be done before we’ll know for sure. Always check with your doctor before starting any supplement, especially if you’re already taking medications.
9. Do something new:
When you’re depressed, you’re in a rut. Push yourself to do something different. Go to a museum. Pick up a used book and read it on a park bench. Volunteer at a soup kitchen. Take a language class.
“When we challenge ourselves to do something different, there are chemical changes in the brain,” Cook says. “Trying something new alters the levels of [the brain chemical] dopamine, which is associated with pleasure, enjoyment, and learning.”
10. Try to have fun:
If you’re depressed, make time for things you enjoy. What if nothing seems fun anymore? “That’s just a symptom of depression,” Cook says. You have to keep trying anyway.