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Depression

Depression

Depression (Depression) is not a weakness or something easy to get rid of it, known as acute depressive disorder (Severe depression disorder), or clinical depression (clinical - Clinical depression).

depression test
Depression

It is a disease that affects the soul and the body. Depression affects the way you think and act, and can lead to many emotional and physical problems.

Usually, people with depression cannot continue to practice their daily lives as normal, as depression causes them to feel a lack of desire in life.

It should be noted that depression is one of the most common diseases in the world.

Dealing with depression

Today, the majority of workers in the field of health deals with depression as a chronic disease treatment requires a long - term, exactly as they are dealing with diabetes (Diabetes) or with hypertension (Hypertension).

Some people with depression experience only one period of depression, but in most patients, symptoms of depression recur and last a lifetime.

Through proper diagnosis and treatment, symptoms of depression can be reduced, even if the symptoms of depression are severe.

Proper treatment can improve the feeling of depressed patients within a few weeks, usually, and enables them to return to their normal lives as they used to enjoy before depression.

Symptoms of depression

  • Loss of desire to perform regular daily activities
  • Feeling nervous and depressed
  • Feeling of hopelessness
  • Bouts of crying for no apparent reason
  • Sleep disturbances
  • Difficulty focusing
  • Difficulties in making decisions
  • Accidentally gain or lose weight
  • Nervous
  • Worried and restless
  • Exessive sensitivity
  • Feeling tired or weak
  • Feeling undervalued
  • Loss of desire for sex
  • Suicidal thoughts or suicide attempts
  • Unexplained physical problems, such as back or head pain .

The symptoms of depression are different and varied because depression appears in different forms for different people.

For example, symptoms of depression may appear in a person who is 25 years old with a depression disease that differs from those in a person who is 70 years old.

Some people with depression may have very severe symptoms that indicate that something is not right.

Others may feel that they are "poor" in general, or that they "are not happy", without knowing a reason for this.

Causes and risk factors for depression

It is not known, yet, the exact cause of depression.

The prevailing belief, as is the case with other psychological diseases , is that many genetic, environmental, and biochemical factors can be the cause of depression, including:

  1. Biochemical factors: Research that uses imaging using modern and advanced techniques confirms the occurrence of physical (physical) changes in the brains of people with depression. It is not known exactly yet what these changes are and their degree of importance, but clarifying this matter would ultimately help define and identify the causes of depression. It is possible that the chemicals present in the human brain naturally, called "neurotransmitters" and related to mood, play a role in causing depression. An imbalance of the hormonal balance in the body would also cause depression.
  2. Genetic factors: Some research indicates that the onset of depression is more prevalent in people with biological relatives with depression. Researchers are still trying to find the genes involved in causing depression.
  3. Environmental factors: The environment is considered, in a certain degree, as a cause of depression. Environmental factors are situations and conditions in life that are difficult to face and coexist with, such as the loss of a loved one, economic problems and acute stress.
It is true that there are no accurate statistical data, but depression is a very widespread disease.

Depression transcends all boundaries and differences, racial, ethnic, and socioeconomic. No one is immune to depression.

 In general, depression begins in the late 20 years of age, but depression may appear at any age and may affect anyone, from young children to the elderly adults.

The number of women diagnosed with depression is twice that of men. This may be partly due to the fact that women are more likely to seek treatment for depression.

The most important causes that lead to depression

The exact cause of depression is not known, but research indicates several factors that seem to increase the risk of developing depression, or cause it to worsen, including:

  • Presence of biological relatives with depression
  • Suicide cases in the family
  • Life-threatening events, such as the death of a loved one
  • Depressive mood in the morning
  • Diseases, such as: cancer, heart disease , Alzheimer's or AIDS
  • Long-term continuous consumption of certain medications, such as certain types of blood pressure medication, sleeping pills and birth control pills  in some cases.

Complications of depression

Depression is a severe and stressful disease that can place a heavy burden on individuals and families.

Untreated depression may worsen and deteriorate to the point of impotence, indigence, dependence and even suicide. Depression can lead to severe emotional, behavioral, health and even judicial and economic problems that affect all different areas of life.

Depression risks 

  • Suicide
  • Alcoholism
  • Addiction to drugs
  • Anxiety
  • Heart and other diseases
  • Problems at work or in education
  • Confrontations within the family
  • Difficulties in the marital relationship
  • Social isolation

Diagnosis of depression

During regular treatment meetings, doctors and therapists ask questions about mood and ideas. Sometimes, a patient is required to fill out a questionnaire that helps them detect symptoms of depression.

When doctors suspect that the patient has depression, they perform a series of medical and psychological tests.

These tests help to refute the possibility of other diseases that may be a cause of the symptoms, help in the diagnosis and detection of other complications related to the case.

Diagnostic tests for depression

  • Physical examination
  • Lab tests
  • Psychological evaluation

Criteria for diagnosing depression

Assessment by a physician or psychotherapist helps determine whether the condition is an acute depression or one of the other illnesses that sometimes reminds of severe depression, including:
  • Clench disorder ( the Adjustment Disorder ): emotional reaction to a sharp painful event in life. It is a psychological disease associated with psychological stress and it can affect emotions, thoughts and behavior.
  • Two-way: turbulence (or: bipolar disorder - Bipolar disorder, which was formerly called: manic - depressive psychosis - Manic Depressive Psychosis), is characterized by this kind of disorder fickle mood of extremes.
  • Cycloid mood (cyclothymia): a type of confusion disorder.
  • Partial depression (or: dysthymia): It is a less severe and difficult disease, but more chronic than depression.
  • Postpartum depression (Postpartum depression): is depression shows some women after theybornnew children. It usually appears a month after birth.
  • Psychotic depression: It is an acute and difficult depression accompanied by symptoms and psychotic phenomena, such as hallucination.
  • Schizoaffective disorder: It is a disease that includes the characteristics and symptoms of schizophrenia  and Mood disorders.
  • Winter Depression : This type of depression is associated with seasonal shift and insufficient exposure to sunlight.
Severe depression differs from the diseases mentioned above, in terms of symptoms or degree of difficulty.

Depression treatment

  • Drug treatment
  • Psychotherapy
  • Electroconvulsive treatment (Electroshock treatment - ECT)
There are also methods for treating depression that did not meet research and experimentation, such as the accepted methods mentioned above, including:
  • Cerebral stimulation
  • Complementary and alternative therapies.
There are certain situations in which a family doctor can treat depression on its own.

But in other cases, a qualified psychotherapist for depression is required, a psychologist, a psychologist or a social worker.

It is very important for the patient to have an effective role in treating depression. In cooperation and joint action, the doctor (or therapist) can decide, together with the patient, which type of depression treatment is best and most appropriate for the patient's condition, taking into account what symptoms and their severity, the patient's personal choice, the ability to pay for depression, the side effects of depression and factors Other.

However, there are cases where depression is so difficult that it is necessary for the doctor, a close person or others, to follow the treatment of depression and monitor it closely until the patient recovers and reaches a position where he can participate effectively in the decision-making process.

Depression treatment methods

Below is a detailed description of methods for treating depression:

1- Medicines

There are dozens of medications available for depression. Most people can relieve symptoms of depression by combining medications with psychotherapy.

Most antidepressants are equally effective and effective. But some of them may cause very severe side effects.

Stages of depression treatment

  • Typical first choice: Many doctors begin treating depression with anti-depressants, known as Selective serotonin reuptake inhibitors - SSRI.
  • Second typical selection: a group of antidepressants known as tricyclic antidepressants (TCA - Tricyclic antidepressants).
  • The last typical selection: a group of antidepressants known as monoamine oxidase inhibitor - MAOI.

Side effects of depression medications

All anti-depressants can cause unwanted side effects.

Side effects appear at varying levels of severity in different patients. Sometimes these side effects are mild to the point that you do not need to stop taking the medicine.

In addition, these symptoms disappear or subside within a few weeks of starting treatment with anti-depressants.

2- Psychotherapy

Sometimes psychotherapy is used in parallel with drug therapy and in conjunction with it. Psychotherapy is a comprehensive name for depression through conversations with the therapist about the situation and about matters related to it.

Psychotherapy is also called conversation therapy, counseling or psychosocial therapy.

3- Electrophoresis

An electric current is passed through the brain to cause feelings to flood.

Cure depression

Depression can sometimes be so severe that it requires hospitalization (hospitalization) for treatment in the psychiatric department.

But even in cases of severe depression, it is not always easy to decide on how to treat depression and whether it is the right treatment. If the possibility exists to treat the patient outside the hospital with the same or more efficacy, the doctor will most likely not recommend admission to hospital.

Hospitalization in the psychiatric department is usually preferable in cases where the patient cannot properly care for himself, or when it is a serious fear that he or she will harm himself or anyone else.

Depression prevention

There is no way to prevent depression. But doing some things can prevent or prevent the recurrence of symptoms, such as:

  • Take measures to control stress, to raise the level of cheerfulness and the level of self-esteem that will help.
  • Support from friends and family, especially during times of crisis, can help overcome depression.
  • Early treatment of the problem, if the first signs or symptoms appear, can help prevent depression from worsening.
  • Long-term preventive treatment also prevents the recurrence of symptoms of depression.
Some people resort to complementary or alternative medicine methods to relieve symptoms of depression. These methods include the use of food additives and body-breath techniques.

Below is a breakdown of some of the common food additives used to treat depression:

  • Chrysanthemum or cardiac herb (Hypericum Perforatum) also known as "Sidi Yahya plant" or "St. John's wort" (st. Johns wort).
  • S-Adenosyl methionine / SAM, SAMe, SAM-e
  • Omega-3 fatty acids .

Body-circulating techniques to relieve depression symptoms 

  • Chinese acupuncture
  • Yoga
  • Meditation
  • Guided imagery
  • Massage therapy

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