treatment of depression

How To Fight With Depression

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In my previous blog I have discussed about the depression and its causes, here I will talk about treatment that can help a depressed person overcome depression. So if you have not read that then click here

Treatment-
The worst thing about depression is that it a real illness which can be very serious but best thing about this is that it is treatable. If your symptoms are severe enough then a make a doctor appointment and talk to doctor in detail. The choice of treatment depends on the pattern, severity, persistence of depressive symptoms and the history of the illness. As with many illnesses, early treatment is more effective and helps prevent the likelihood of serious recurrences. Depression must be treated by a physician or qualified mental health professional.

Few natural tips of treating Depression
1. If you feel you are sad and have the symptoms of depression, talk to the person you trust more, talk to your friend, or your loved one or who is in your close relation (like your parent, or your spouse, your best friend), Don’t be isolated, involve in social gathering, go for outing, meeting with your friends this will help you reminding past and nice memories.
2. Being optimistic- you know what is the cause or may not, but you have to be very positive towards your life, your job and in everything you are involved. Boost your mind by thinking positive only. Make your will power very strong.
3. Go near to the nature- Nature is such a precious gift in our life, nature will make you feel better in all ways it rejuvenate you to feel emotionally and physically. IT will boost your inner strength. Naturo-therapy is the best treatment for depression.
4. Yoga and Meditation– Yoga has uncountable benefits, it not only builds your inner strength and awareness but provides many mental and physical benefits. It focuses your attention on your body’s abilities at the present moment. Yoga is known for its ability to soothe tension and anxiety in the mind and body. But it can also have an impact on a person’s exercise capacity. So if you want to get rid from depression and anxiety you must practice Yoga every day. Everyday 30 minutes yoga is good for you.
5. Daily routine- You should fix your goal. Every day in the morning make “to do list” and try to do all those things within your time limit with full enthusiasm. You have to fix your daily routine from time you wake up to time you go bed, good sleep is important so try to sleep early and wake up early but never too late. Fix your meal time.
6. Hygiene- You should follow hygienic habits. Keep your room nice and clean, Open the windows in your room for fresh air and natural sunlight which helps to fight depressive mood. You can use some Quotations on your wall which boost up your mind. Clean your bed every day and change your bedsheet frequently, do not use dark and dull color bedsheets, use light and colorful bedsheets.
7. Eat healthy- Always eat healthy food rich in protein, fibers like green leafy vegetables and fruits. Drink plenty of water, 2-3 liters water every day to flush out the toxins. Eat healthy, think healthy and stay healthy.
8. Dance and Music- turn on any soothing light music while at home, dance on music can help you to feel better physically and emotionally.
9. Avoid caffeine after 4 pm, if you have difficulty in sleeping.
10. Never take alcohol.

Medical treatment-
If symptoms are severe then doctor may prescribe you antidepressants which are of different types and some medications may take few weeks or longer to take full effect.
Different kinds of antidepressants-
SSRI (Selective Serotonin Reuptake Inhibitors), SNRIs (Serotonin Nor-epinephrine Reuptake Inhibitors), NDRIs (Nor-epinephrine Dopamine Reuptake Inhibitors), MAO (Mono Amine Oxidase) inhibitors, Atypical antidepressants, Tricyclic antidepressants.
All these medication have some side effects and MAO inhibitors also have some food restrictions (cheese containing food, wine) because of drug interactions. So always discuss about side effects of the drugs with your doctor or pharmacist.

Doctor may choose to treat you with either combinations of two antidepressants, or one antidepressant and one mood stabilizer or antidepressants with antipsychotic drugs.

Guidelines for antidepressants-
1. All antidepressants have side effects so always discuss about the drug and its side effects with your doctor.
2. Keep patience, because sometimes drugs may take week or longer to show full effect.
3. Some foods are restricted in MAO inhibitors like cheese and wine, so never take this if you are taking the drugs.
4. If you want to take any other medicine please ask your doctor first.
5. If you become pregnant or planning to get pregnant or you are breastfeeding inform your doctor, because some antidepressants may pose risk to your unborn child or nursing baby.
6. Be careful while driving or using machinery, especially if your medicine makes you sleepy.
7. Never stop antidepressants without doctor’s advice, sudden stopping of drugs may cause sudden worsening of symptoms or withdrawal like symptoms. They should be stopped gradually and according to your doctor’s instructions.
8. If you develop any new symptom please inform your doctor.
9. During treatment or before treatment anytime if you have any thought of hurting yourself or suicidal thought, inform the doctor immediately.

Please note: Any medical information published on this website is not intended as a substitute for informed medical advice and you should not take any action before consulting with a health care professional.

 

Depression

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What is depression?
Depression is a simple word but it has deep and vast meaning, In my words Depression is a feeling generated by your state of mind, it is a sad feeling, or feeling low, not feeling good, not feeling energetic are usually used to express depression and person say I am depressed. Depression is very common problem nowadays. It is a real medical illness which comes in many forms and really needs attention.
Though it is a feeling in your mind state but it may be a real illness or disease. So you have to know what depression is. Life is full of ups and down and sometimes person may not accept all aspects of life and can feels sad or goes in to depression, which not only affect the person who is depressed but also his surroundings or family members who are very close to the person.
Usually people think, feeling sad or feeling dull is depression, but it is more than that, there are few signs and symptoms which can help you to diagnose depression.
1. Persistent sad feeling or anxious, loneliness, emptiness.
2. Loss of interest in daily activity and hobbies. Person may lose the interest in daily activities and he or she may lose the interest in his or her favorite activity or hobby also. He may lose interest in sex too.
3. Sleep disturbance – problem in falling asleep or problem in waking up or disturbed sleep.(Either sleeping too much or less)
4. Fatigue, low energy – person will always feel tired (fatigue), or dull. No motivation to work. Ability to think and speak are slowed down which may affect body movements too.
5. Guilt or feeling of hopelessness or worthlessness.
6. Poor concentration – person cannot concentrate on work, affects ability to take decisions, impacts memory, person finds hard to remember or recall things.
7. Suicidal thought or harming himself by any mean
8. Change in appetite- Though decrease in appetite is common but in some people there may be increase in appetite. So weight loss and weight gain both can be seen.
9. Other psychological disturbances like irritation, agitation, mood changes may be seen.
10. Unexplained body aches may also be seen like headache, pain in abdomen or in any body part.
For diagnosis at least five of these symptoms should be present during most of days, almost every day for at least two weeks and severely interrupting daily activities. If you have these symptoms then make a doctor appointment and talk to doctor in detail.

It is not necessary that all these signs will be present in a depressed person but only few of them may also present so counselling and asking questions related to all these symptoms are very important for diagnosing the problem. And if you are asking questions you have to take the patient under your confidence and make sure that information provided by the patient will not go outside. The most important question asking about suicidal thoughts or any thought to harm him-self or her-self.

Causes-
There may be different causes of depression from genetic, biochemical, environmental to any life event. Depression can occur in any age but more often starts by the age 16. In teenagers stress may be related to school life, studies or friends, any trauma, love relations, loss of loved one or any other. In adults causes may be related to family life, stressful situation between partners, work load in the office, competition everywhere, infidelity, not getting success at work, unsatisfactory jobs, any trauma or loss of loved one and much more. Sometimes depression is medication induced, related to medical problems and long term illness. In women depression may be due to hormonal changes during menstrual cycle, before menstruation known as pre menstruation syndrome (PMS). After delivery of baby depression is called as postpartum blues which is more common in women due to hormonal and physiological changes in body and adding another responsibility in her life of taking care of baby.

Depending on symptoms, duration and cause depression may be of different varieties-
Major Depression- Symptoms are severe enough to interrupt daily activities, and presents at least two weeks with noticeable change in previous level of functioning.
Bipolar I Disorder-Mood disorder in which patient experiences manic symptoms (elated mood) for at least one week that cause significant distress or impairment in his/her level of functioning.
Dysthymic Disorder-It is a chronic disorder characterized by depressed mood that presents most of the time during the day and present on most days for at least two years.
Cyclothymic Disorder- A chronic disorder characterized by many episodes of depressed mood and in between many episodes of hypomanic mood (Mild elated mood) for at least two years.
Seasonal Affective Disorder-It is characterized by depressive symptoms usually in winter months and in snowy places,when there is absence of sunlight, people can not go outside, all the activities are limited inside the closed home.
Post traumatic depression- After any trauma or because of loss of loved one .It is different from Grief in which usually return of normal baseline functioning within two months but in depression patient do not returns to his baseline level functioning.
Postpartum Depression- Symptoms starts within one month after giving birth to baby and may continue for long time.

Diagnosis-
Usually symptoms and physical exam can diagnose the Depression ,no lab tests are necessary but sometimes to rule out medical causes doctor may order for lab tests.