Definition
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
Symptoms
·
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, such as sex, hobbies or sports
·
Sleep disturbances, including insomnia
or sleeping too much
·
Tiredness and lack of energy, so even
small tasks take extra effort
·
Changes in appetite — often reduced
appetite and weight loss, but increased cravings for food and weight gain in
some people
·
Anxiety, agitation or restlessness
·
Slowed thinking, speaking or body
movements
·
Feelings of worthlessness or guilt,
fixating on past failures or blaming yourself for things that aren't your
responsibility
·
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
For many people with depression, symptoms usually are severe
enough to cause noticeable problems in day-to-day activities, such as work,
school, social activities or relationships with others. Other people may feel
generally miserable or unhappy without really knowing why.
Depression symptoms in
children and teens
Common signs and symptoms of depression in children and
teenagers are similar to those of adults, but there can be some differences.
·
In younger children, symptoms of
depression may include sadness, irritability, clinginess, worry, aches and
pains, refusing to go to school, or being underweight.
·
In teens, symptoms may include sadness,
irritability, feeling negative and worthless, anger, poor performance or poor
attendance at school, feeling misunderstood and extremely sensitive, using
drugs or alcohol, eating or sleeping too much, self-harm, loss of interest in
normal activities, and avoidance of social interaction.
Children with attention-deficit/hyperactivity disorder (ADHD)
can demonstrate irritability without sadness or loss of interest. However, major
depression can occur with ADHD.
Depression symptoms in
older adults
Depression is not a normal part of growing older, and it
should never be taken lightly. Unfortunately, depression often goes undiagnosed
and untreated in older adults, and they may feel reluctant to seek help.
Symptoms of depression may be different or less obvious in older adults, such
as:
·
Memory difficulties or personality
changes
·
Physical aches or pain
·
Fatigue, loss of appetite, sleep
problems, aches or loss of interest in sex — not caused by a medical condition
or medication
·
Often wanting to stay at home, rather
than going out to socialize or doing new things
·
Suicidal thinking or feelings,
especially in older men
Treatments and drugs
Medications and psychological
counseling (psychotherapy) are very effective for most people with depression.
Your primary care doctor or psychiatrist can prescribe medications to relieve
symptoms. However, many people with depression also benefit from seeing a
psychologist or other mental health professional.
If you have severe depression,
you may need a hospital stay, or you may need to participate in an outpatient
treatment program until your symptoms improve.
Here's a closer look at
depression treatment options.
Psychotherapy
Psychotherapy is a general term
for treating depression by talking about your condition and related issues with
a mental health provider. Psychotherapy is also known as talk therapy or
psychological therapy.
Different types of psychotherapy
can be effective for depression, such as cognitive behavioral therapy or
interpersonal therapy. Your mental health provider also may recommend other
therapies. Psychotherapy can help you:
·
Adjust to a crisis or
other current difficulty
·
Identify negative beliefs
and behaviors and replace them with healthy, positive ones
·
Explore relationships and
experiences, and develop positive interactions with others
·
Find better ways to cope
and solve problems
·
Identify issues that
contribute to your depression and change behaviors that make it worse
·
Regain a sense of
satisfaction and control in your life and help ease depression symptoms, such
as hopelessness and anger
·
Learn to set realistic
goals for your life
·
Develop the ability to
tolerate and accept distress using healthier behaviors
Hospital and
residential treatment
In some people, depression is so
severe that a hospital stay is needed. This may be necessary if you can't care
for yourself properly or when you're in immediate danger of harming yourself or
someone else. Psychiatric treatment at a hospital can help keep you calm and
safe until your mood improves.
Partial hospitalization or day
treatment programs also may help some people. These programs provide the
outpatient support and counseling needed to get symptoms under control.
Other treatment options
For some people, other procedures
may be suggested:
·
Electroconvulsive therapy (ECT). In ECT, electrical currents are passed through the brain.
Performed under anesthesia, this procedure is thought to impact the function
and effect of neurotransmitters in your brain and typically offers immediate
relief of even severe depression when other treatments don't work. Physical
side effects, such as headache, are tolerable. Some people also have memory
loss, which is usually temporary. ECT is usually used for people who don't get
better with medications, can't take antidepressants for health reasons or are
at high risk of suicide.
·
Transcranial magnetic stimulation (TMS). TMS may be an option for those who haven't responded to
antidepressants. During TMS, you sit in a reclining chair, awake, with a
treatment coil placed against your scalp. The coil sends brief magnetic pulses
to stimulate nerve cells in your brain that are involved in mood regulation and
depression. Typically, you'll have five treatments each week for up to six
weeks.
Reference
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