Symptoms:
persistent
sad, anxious, or "empty" mood
feelings of
hopelessness, pessimism
feelings of
guilt, worthlessness, helplessness
loss of
interest or pleasure in hobbies and activities that you once enjoyed, including sex
insomnia,
early-morning awakening, or oversleeping
appetite and
or weight loss or overeating and weight gain
decreased
energy, fatigue, being "slowed down"
thoughts of
death or suicide, suicide attempts
restlessness,
irritability
difficulty
concentrating, remembering, making decisions
persistent
physical symptoms that do not respond to treatment, such as headaches, digestive
disorders, and chronic pain
Causes:
genetic
factors: if there is a family history of depression, but not
always
biochemistry: chemical imbalance of serotonin, norepinephrine and cortisol; some
medications such as reserpine
environmental
stresses: significant loss, difficult relationship, financial
problems, major life change in life pattern, acute or chronic physical illness, and
substance abuse disorder
psychosocial
factors: pessimistic thinking, low self-esteem, a sense of
little control over life events, excessive worrying.
Treatment:
An evaluation including a
medical/psychiatric history is done before any treatment is administered.
Medications: heterocyclic, serotonin reuptake blockers, MAO inhibitors, and lithium.
Psychotherapy: verbal interaction between a trained professional and a patient with
emotional or behavioral problems.
Interpersonal
Psychotherapy: therapist helps the patient understand his or
her illness and how depression and interpersonal conflicts are related
Cognitive/Behavioral
Therapy: therapist uses talk therapy and behavioral
prescriptions to alleviate negative thought patterns and beliefs.
Psychoanalysis: therapist meets with the patient to identify and resolve the patient's
past conflicts that have given rise to depression in later years.
Psychodynamic
Psychotherapy: similar to psychoanalysis, that recognizes the
significant effects that emotions and unconscious motivation can have on human behavior.
Electroconvulsive
Therapy: patient receives anesthesia and a muscle relaxant,
then electrodes are placed on the head and a small amount of electricity is applied. This
procedure is only used when medication does not work or can not be taken and is repeated
2-3 times a week until the patient improves or the treatment becomes ineffective.
Self - Help
realize
negative views will go away as treatment takes effect
participate in
support groups
mild exercise
set small
goals
work on small
task
do not expect
too much from yourself
try to be with
people
do not make
major life decisions
participate in
activities that will make you feel better
do not expect
to "snap out" of your depression
do not accept
your negative thinking
|