DEPRESSION

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Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest, also called major depressive disorder or clinical depression. It affects how you feel, think, and behave and can lead to a variety of emotional and physical problems. Depression is not a weakness; you cannot simply “snap out “of it. Depression may require long-term treatment. But we should not feel discouraged because most people with depression feel better with medication, psychotherapy, or both.

Let us see know about the symptoms of depression –:

• Feelings of sadness, tearfulness, emptiness, or hopelessness
• Angry outbursts, irritability or frustration, even over small matters
• Loss of interest or pleasure in most or all normal activities, in their hobbies or sports
• Sleep disturbances, including insomnia or sleeping too much
• Tiredness and lack of energy, so even small tasks take extra effort
• Reduced appetite and weight loss or increased cravings for food and weight gain
• Anxiety, agitation, or restlessness
• Slowed thinking, speaking, or body movements
• Feelings of worthlessness or guilt fixating on past failures or self-blame
• Trouble thinking, concentrating, making decisions, and remembering things
• Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts, or suicide
• Unexplained physical problems, such as back pain or headaches.

People dealing with depression may occur only once during their life, people typically have multiple episodes, and during these episodes, symptoms occur most of the day, nearly every day which also affects their day-to-day activities, such as work, school, social activities, or relationships with others. Some people might even feel generally miserable without really knowing the exact reason.

• Depression in children and teens may include sadness, irritability, clinginess, worry, aches, pains, being extremely sensitive, feeling misunderstood, anger, and poor performance.
• Depression in symptoms in older adults may include memory, difficulties or personality changes, fatigue, and often wanting to stay at home, rather than go out to socialize or do new things.

Causes of depression –:

• Biological differences – People with depression appear to have physical changes in their brains. The significance of these changes is still uncertain.
• Brain chemistry – Neurotransmitters are naturally occurring brain chemicals that likely play a role in depression.
• Hormones – Changes in the body’s balance of hormones may be involved in causing or triggering depression.
• Inherited traits – Depression is more common in people whose blood relatives also have this condition. Research shows genes may be involved in causing depression.

Risk factors of depression –:

• Certain personality traits, such as low self-esteem and being too dependent, self-critical, or pessimistic
• Traumatic or stressful events, such as physical or sexual abuse, the death or loss of a loved one, a difficult relationship, or financial problems.
• History of other mental health disorders, such as anxiety disorder, eating disorders, or post-traumatic stress disorder. Abuse of alcohol or recreational drugs.
• Serious or chronic illness, including cancer, stroke, chronic pain, or heart disease. Certain medications may also trigger depression such as some high blood pressure medications or sleeping pills.

Complications in depression – :

• Excess weight or obesity, which can lead to heart disease and diabetes
• Pain or physical illness
• Alcohol or drug misuse
• Anxiety, panic disorder, or social phobia
• Family conflicts, relationship difficulties, and work or school problems
• Social isolation
• Suicidal feelings, suicide attempts, or suicide
• Self-mutation, such as cutting
• Premature death from medical conditions

Prevention of depression -:

There is no fixed way to prevent depression but these strategies may play a major role –
• Take steps to control stress
• Reach out to family and friends
• Get treatment at the earliest sign of a problem
• Consider getting long–term treatment because it helps to prevent a relapse of symptoms.

Types of depressive disorders -:

• Major depressive disorder
• Anxious distress, Melancholy, Agitated (Major depression looks different in different people. So they are characterized into three types.)
• Persistent depressive disorder
• Bipolar disorder
• Seasonal affective disorder (SAD)
• Psychotic disorder
• Peripartum (Postpartum) Depression
• Premenstrual Dysphoric Disorder
• ‘Situational ’Depression
• Atypical depression
• Clinical depression