What is Depression?  
 
Depression is a mood disorder that affects your entire body, including your moods, thoughts, and behaviors. Depression is not a sad mood that passes, nor is it a sign of weakness. A person with a depressive illness cannot merely “pull themselves together” and get better. If left untreated, the symptoms may last for weeks, months, or years. However, appropriate treatment can help over 80% of those who suffer from depression.
 
What are the causes of Depression? TOP
 
Depression is caused by a combination of biological, genetic, and physiological factors. Some episodes of depression can be situation-induced. A stressful environment and other psychosocial factors are involved in the onset of depression. A serious loss, difficult relationship, financial problem or any unwelcome change in life patterns can also trigger a depressive episode. (For example, loss of a loved one, loss of job, difficulty adjusting to college, parental conflict, etc)

Some types of depression run in families, indicating a genetic link - that a biological vulnerability to depression can be inherited. Major depression also seems to occur in generation after generation in some families.

Depression may be due to a chemical imbalance, physical illness, drug and alcohol use, or an inadequate diet. Certain
 

medications used alone or in combination can cause side effects much like the symptoms of depression.

Major Illnesses such as heart attack, stroke or cancer may trigger depression. AND Depression can also occur for no apparent reason!
 
Common Types of Depression TOP
 


Depressive illness comes in different forms, just as many other illnesses:

1. Major Depression
2. Dysrthymia
3. Bipolar Disorder
4. Seasonal Affective Disorder (SAD)

Major depression is manifested by a combination of symptoms that interfere with the ability to work, sleep, eat and enjoy once pleasurable activities. These disabling episodes of depression can occur once, twice or several times in a
  lifetime.

Dysthymia, a less severe type of depression, involves long-term, chronic symptoms that do not disable, but keep you from functioning at “full steam” or from feeling good. Sometimes people with dysthymia also experience major depressive episodes.

Manic-depressive or bipolar is not nearly as prevalent as other forms of depressive illnesses. It involves cycles of depression and elation or mania. Sometimes the mood switches are dramatic and rapid, but most often they are gradual. When in the depressed cycle, one can have any or all other the symptoms of a depressive illness. When in the manic cycle, any or all symptoms listed under mania may be experienced. Mania often affects thinking, judgment, and social behavior in ways that may cause serious problems and embarrassment.

Seasonal Affective Disorder is a depression that results from changes in the season. Most cases begin in the fall or winter, or when there is a decrease in sunlight.
 
Symptoms of Depression TOP
 

They vary from person to person.

Changes in feelings which may include:

a. Feeling empty
b. Inability to enjoy anything
c. Hopelessness
d. Loss of sexual desire
e. Loss of warm feelings for family or friends
f. Feelings of self blame or guilt
g. Loss of self esteem
h. Inexplicable crying spells, sadness or irritability

Changes in behavior and attitude may include:

a. General slowing down
b. Neglect of responsibilities and appearance
c. Poor memory
d. Inability to concentrate
e. Suicidal thoughts, feelings or behaviors
f. Difficulty making decisions

Physical Complaints may include:

a. Sleep disturbances such as early morning waking,
sleeping too much or insomnia
b. Lack of energy
c. Loss of appetite
d. Weight loss or gain
e. Unexplained headaches or backaches
f. Stomachaches, indigestion or changes in bowl habits

Depression symptoms children
Since children are usually unable to express their feelings in words, they tend to show sadness in their behaviors. For example, they may become withdrawn, resume old, younger behaviors (regress), or fail to thrive. They start showing poor school performance, persistent boredom and frequent complaints of headaches and stomach-aches.
They show:

a. Irritability
b. Facial expression
c. Decreased play
d. Decreased sociability
e. Lethargy
f. Low self-esteem
g. Accident proneness
h. Attachment problems/separation



Depression symptoms and signs in men
Compared to women, men with depression are more likely to experience low energy, irritability, and anger, sometimes to the point of inflicting pain on others. Men with depression are also more likely to exhibit sleep problems, a loss of interest in work or hobbies, and substance abuse. They may work excessively and engage in more risky behaviors when struggling with depression, committing suicide four times as often as women with this condition.

Depression symptoms in women
In comparison to men, women tend to develop depression at an earlier age and have depressive episodes that last longer and tend to recur more often. Women may more

 

often have a seasonal pattern to depression, as well as symptoms of atypical depression (for example, eating or sleeping too much, carbohydrate craving, weight gain, a heavy feeling in the arms and legs, mood worsening in the evenings, and trouble getting to sleep). Also, women with depression more often have anxiety, eating disorders, and dependent personality compared to men.

Perimenopause, which is the time of life immediately before and after menopause, can last as long as 10 years. While perimenopause and menopause are normal stages of life, perimenopause increases the risk of depression during that time. Also, women who have had depression in the past are five times more likely to develop major depression during perimenopause.

Pregnancy is often portrayed as a time of great joy, that's not the reality for all women. At least one in ten pregnant women suffers from bouts of depression. Depression and anxiety may go undiagnosed because women often dismiss their feelings, chalking them up to the temporary moodiness that often accompanies pregnancy. They exhibit a sense that nothing feels enjoyable or fun anymore, feel sad or “empty for most of the day, find it harder to concentrate, show extreme irritability or agitation or excessive crying, have trouble sleeping, experience extreme or never-ending fatigue, show a desire to eat all the time or not wanting to eat at all and have inappropriate guilt or feelings of worthlessness or hopelessness.

Postpartum depression (PPD) is a condition that describes a range of physical and emotional changes that many mothers can have after having a baby. Postpartum depression (PPD) can happen a few days or even months after childbirth. PPD can happen after the birth of any child, not just the first child. She may cry for no reason and can feel impatient, irritable, restless, anxious, lonely, and sad.

Depression symptoms and signs in teenagers
Depression in teens can look very different from depression in adults. In addition to becoming more irritable, teens might lose interest in activities they formerly enjoyed, experience a change in their weight, and start abusing substances. Depressed teens frequently complain about physical ailments such as headaches or stomachaches. If a thorough physical exam does not reveal a medical cause, these aches and pains may indicate depression.

They show extreme sensitivity to criticism. Depressed teens are plagued by feelings of worthlessness, making them extremely vulnerable to criticism, rejection, and failure. This is a particular problem for "over-achievers."

While adults tend to isolate themselves when depressed, teenagers usually keep up at least some friendships. However, teens with depression may socialize less than before, pull away from their parents, or start hanging out with a different crowd. Teens may go online to escape from their problems. But excessive computer use only increases their isolation and makes them more depressed.

Depression can trigger and intensify feelings of ugliness, shame, failure, and unworthiness. They may also take more risks, show less concern for their safety, and may engage in dangerous or high-risk behaviors, such as reckless driving, out-of-control drinking, etc. They are more likely to complete suicide if they often think, speak, or make "attention-getting" attempts at suicide. Suicidal thoughts or behaviors should always be taken very seriously.
 
Treatment for Depression TOP
 


Professional treatment is necessary for all these types of depression. Depressed person must see a doctor for a complete check up, go to the counseling center and talk to a counselor or talk things over with a friend, family member or a residential life staff member.
  Empirically Supported Treatments
Medication: Antidepressants can help ease the symptoms of depression and return a person to normal functioning. Antidepressants are not habit forming. They bring about neurochemical change.

Psychotherapy: This can help many depressed people understand themselves and cope with their problems.

For example:
 Interpersonal therapy (IPT) works to change relationships
   that affect depression.
 Cognitive-behavioral therapy (CBT) helps people change
   negative thinking and behavior patterns
 
Self Care for Depression TOP
 
Things to do:
 Reduce or eliminate the use of alcohol or drugs
 Exercise or engage in some form of physical activity
 Eat a proper, well-balanced diet
 Obtain an adequate amount of sleep
 Seek emotional support from family and friends
 Focus on positive aspects of your life
 Pace yourself, modify your schedule, and set realistic
  goals
 Stay Engaged Behaviorally
 Make new Hobbies/Interests


Things to avoid:
 Don’t make long-term commitments or important   decisions unless necessary
 Don’t assume things are hopeless
 Don’t engage in "emotional reasoning" (i.e.: because I
   feel awful, my life is terrible)
 Don’t assume responsibility for events which are outside
   of your control
 Don’t avoid treatment as a way of coping

Helping a depressed friend:
 Be empathetic and understanding
 

 Don’t try to "cheer up" a depressed person
 Avoid critical or shaming statements
 Challenge expressions of hopelessness
 Empathize with feelings of sadness, grief, anger and
   frustration
 Don’t argue about how bad things are
 Don’t insist that depression or sadness are the wrong
   feelings to be experiencing
 Don’t become angry even though your efforts may be
   resisted or rejected
 Advocate for their recovery from depression
 Emphasize that depression is treatable
 Seek consultation
 Encourage them to seek help, go with them to the
   counseling center
 Be supportive of counselor or doctor suggestions
 
 
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