Depression
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A depressive illness is a "whole-body" illness, involving your body, mood, thoughts, and behavior. It affects the way you eat and sleep, the way you feel about yourself, and the way you think about things. A depressive illness is not a passing blue mood. It is not a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness can not merely "pull themselves together" and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help over 80% of those who suffer from depression.

Symptoms:

blueshimmerbkdot.gif (1104 bytes) persistent sad, anxious, or "empty" mood
blueshimmerbkdot.gif (1104 bytes) feelings of hopelessness, pessimism
blueshimmerbkdot.gif (1104 bytes) feelings of guilt, worthlessness, helplessness
blueshimmerbkdot.gif (1104 bytes) loss of interest or pleasure in hobbies and activities that you once enjoyed, including sex
blueshimmerbkdot.gif (1104 bytes) insomnia, early-morning awakening, or oversleeping
blueshimmerbkdot.gif (1104 bytes) appetite and or weight loss or overeating and weight gain
blueshimmerbkdot.gif (1104 bytes) decreased energy, fatigue, being "slowed down"
blueshimmerbkdot.gif (1104 bytes) thoughts of death or suicide, suicide attempts
blueshimmerbkdot.gif (1104 bytes) restlessness, irritability
blueshimmerbkdot.gif (1104 bytes) difficulty concentrating, remembering, making decisions
blueshimmerbkdot.gif (1104 bytes) persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain

Causes:

blueshimmerbkdot.gif (1104 bytes) genetic factors: if there is a family history of depression, but not always
blueshimmerbkdot.gif (1104 bytes) biochemistry: chemical imbalance of serotonin, norepinephrine and cortisol; some medications such as reserpine
blueshimmerbkdot.gif (1104 bytes) environmental stresses: significant loss, difficult relationship, financial problems, major life change in life pattern, acute or chronic physical illness, and substance abuse disorder
blueshimmerbkdot.gif (1104 bytes) 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.

blueshimmerbkdot.gif (1104 bytes) Medications: heterocyclic, serotonin reuptake blockers, MAO inhibitors, and lithium.
blueshimmerbkdot.gif (1104 bytes) Psychotherapy: verbal interaction between a trained professional and a patient with emotional or behavioral problems.
blueshimmerbkdot.gif (1104 bytes) Interpersonal Psychotherapy: therapist helps the patient understand his or her illness and how depression and interpersonal conflicts are related
blueshimmerbkdot.gif (1104 bytes) Cognitive/Behavioral Therapy: therapist uses talk therapy and behavioral prescriptions to alleviate negative thought patterns and beliefs.
blueshimmerbkdot.gif (1104 bytes) Psychoanalysis: therapist meets with the patient to identify and resolve the patient's past conflicts that have given rise to depression in later years.
blueshimmerbkdot.gif (1104 bytes) Psychodynamic Psychotherapy: similar to psychoanalysis, that recognizes the significant effects that emotions and unconscious motivation can have on human behavior.
blueshimmerbkdot.gif (1104 bytes) 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

blueshimmerbkdot.gif (1104 bytes) realize negative views will go away as treatment takes effect
blueshimmerbkdot.gif (1104 bytes) participate in support groups
blueshimmerbkdot.gif (1104 bytes) mild exercise
blueshimmerbkdot.gif (1104 bytes) set small goals
blueshimmerbkdot.gif (1104 bytes) work on small task
blueshimmerbkdot.gif (1104 bytes) do not expect too much from yourself
blueshimmerbkdot.gif (1104 bytes) try to be with people
blueshimmerbkdot.gif (1104 bytes) do not make major life decisions
blueshimmerbkdot.gif (1104 bytes) participate in activities that will make you feel better
blueshimmerbkdot.gif (1104 bytes) do not expect to "snap out" of your depression
blueshimmerbkdot.gif (1104 bytes) do not accept your negative thinking

 

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Mental Health America of Augusta

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