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The Invisible Disease: Depression

Introduction

Depression is a serious medical condition. In contrast to the normal emotional experiences of sadness, loss, or passing mood states, clinical depression is persistent and can interfere significantly with an individual's ability to function. There are three main types of depressive disorders: major depressive disorder, dysthymic disorder, and bipolar disorder (manic-depressive illness).

Episodes of depression also occur in people with bipolar disorder.

Symptoms and Types of Depression

Symptoms of depression include sad mood, loss of interest or pleasure in activities that were once enjoyed, change in appetite or weight, difficulty sleeping or oversleeping, physical slowing or agitation, energy loss, feelings of worthlessness or inappropriate guilt, difficulty thinking or concentrating, and recurrent thoughts of death or suicide. A diagnosis of major depressive disorder is made if a person has 5 or more of these symptoms and impairment in usual functioning nearly every day during the same two-week period. Major depression often begins between ages 15 to 30 but also can appear in children. 1 Episodes typically recur.

 

Some people have a chronic but less severe form of depression, called dysthymic disorder, which is diagnosed when depressed mood persists for at least 2 years (1 year in children) and is accompanied by at least 2 other symptoms of depression. Many people with dysthymia develop major depressive episodes.

 

In this disorder, depression alternates with mania, which is characterized by abnormally and persistently elevated mood or irritability and symptoms including overly-inflated self-esteem, decreased need for sleep, increased talkativeness, racing thoughts, distractibility, physical agitation, and excessive risk taking. Because bipolar disorder requires different treatment than major depressive disorder or dysthymia, obtaining an accurate diagnosis is extremely important.

 

Facts About Depression

Major depression is the leading cause of disability in the U.S. and worldwide. 2 Depressive disorders affect an estimated 9.5 percent of adult Americans ages 18 and over in a given year, 3 or about 18.8 million people in 1998. Nearly twice as many women (12 percent) as men (7 percent) are affected by a depressive disorder each year.

 

Depression can be devastating to family relationships, friendships, and the ability to work or go to school. Many people still believe that the emotional symptoms caused by depression are "not real," and that a person should be able to shake off the symptoms. Because of these inaccurate beliefs, people with depression either may not recognize that they have a treatable disorder or may be discouraged from seeking or staying on treatment due to feelings of shame and stigma. Too often, untreated or inadequately treated depression is associated with suicide.

 

Treatments

Antidepressant medications are widely used, effective treatments for depression. Existing antidepressants influence the functioning of certain chemicals in the brain called neurotransmitters. The newer medications, such as the selective serotonin reuptake inhibitors (SSRIs), tend to have fewer side effects than the older drugs, which include tricyclic antidepressants (TCAs) and monoamine oxidase inhibitors (MAOIs). Although both generations of medications are effective in relieving depression, some people will respond to one type of drug, but not another. Other types of antidepressants are now in development.

 

Certain types of psychotherapy, specifically cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT), have been found helpful for depression. Research indicates that mild to moderate depression often can be treated successfully with either therapy alone; however, severe depression appears more likely to respond to a combination of psychotherapy and medication. 7 More than 80 percent of people with depressive disorders improve when they receive appropriate treatment.

 

In situations where medication, psychotherapy, and the combination of these interventions prove ineffective, or work too slowly to relieve severe symptoms such as psychosis (e.g., hallucinations, delusional thinking) or suicidality, electroconvulsive therapy (ECT) may be considered. ECT is a highly effective treatment for severe depressive episodes.

 

The possibility of long-lasting memory problems, although a concern in the past, has been significantly reduced with modern ECT techniques. However, the potential benefits and risks of ECT, and of available alternative interventions, should be carefully reviewed and discussed with individuals considering this treatment and, where appropriate, with family or friends.

 

One herbal supplement, hypericum or St. John's wort, has been promoted as having antidepressant properties. Results from the first large-scale, controlled study of St. John's wort for major depression, which was funded in part by NIMH, are expected in 2001. Note: There is evidence that St. John's wort can reduce the effectiveness of certain medications. Use of any herbal or natural supplements should always be discussed with your doctor before they are tried.

 

Research Findings

Brain imaging research is revealing that in depression, neural circuits responsible for moods, thinking, sleep, appetite, and behavior fail to function properly, and that the regulation of critical neurotransmitters is impaired. Genetics research, including studies of twins, indicates that genes play a role in depression. Vulnerability to depression appears to result from the influence of multiple genes acting together with environmental factors.

 

Other research has shown that stressful life events, particularly in the form of loss such as the death of a close family member, may trigger major depression in susceptible individuals. The hypothalamic-pituitary-adrenal (HPA) axis, the hormonal system that regulates the body's response to stress, is overactive in many people with depression. Research findings suggest that persistent overactivation of this system may lay the groundwork for depression.

 

Studies of brain chemistry, mechanisms of action of antidepressant medications, and the cognitive distortions and disturbed interpersonal relationships commonly associated with depression, continue to inform the development of new and better treatments.

 

New Clinical Trials

NIMH is funding two new, large-scale, multi-site clinical trials on treatments for major depression in adults and adolescents. For more information about these studies—the Sequenced Treatment Alternatives to Relieve Depression (STAR*D) project, and the Treatment of Adolescents with Depression Study (TADS)—and others, visit the Clinical Trials page of the NIMH Web site.

 

For More Information

National Institute of Mental Health (NIMH)
Office of Communications and Public Liaison
Public Inquiries: (301) 443-4513
Media Inquiries: (301) 443-4536
E-mail: nimhinfo@nih.gov
Web site: http://www.nimh.nih.gov

 

Listen to Arthur Buchanan on the Mike Litman Show!
http://freesuccessaudios.com/Artlive.mp3 THIS LINK WORKS, LISTEN TODAY!

With Much Love,
Arthur Buchanan
President/CEO
Out of Darkness & Into the Light
43 Oakwood Ave. Suite 1012
Huron Ohio, 44839
www.out-of-darkness.com
www.adhdandme.com
www.biologicalhappiness.com
567-219-0994 (cell)
arthur@out-of-darkness.com

 

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Living With Someone Experiencing Depression

 

Living with someone who experiences depression is not easy at times. When they are struggling it can often be hard to know what to do and say. It is not uncommon to have feelings of anger, guilt or fear and feel overwhelmed from time to time.

 

As a family member or friend of someone who is experiencing depression it is important that you look after yourself.

Learn about depression - Having an idea about how someone is affected by depression may help you to understand why they behave the way they do. This may help you separate the illness from the person and realise that the person's mood or behaviour may not be directed at you personally.

 

Talk about what they find helpful - Make conversations about depression easy and open. Try asking about what helps them when they are feeling depressed. By talking openly, you are letting the person know about your love and support for them. You may like to talk about what you have read and ask how they feel about it.

 

Support activities - If you are living or caring for someone who is experiencing depression you may sometimes feel you are different or alone. Friends may not understand what it is like for you. Talking to people who are in a similar situation may be helpful. The Association for the Relatives and Friends of the Mentally Ill (ARAFMI) may be a good place to find some support.

You can get some more information and contact details from

 

DepressioNet

Talk to someone - It may be helpful to talk to someone you trust about how you are feeling. Friends and family are people who might be helpful to speak with. If you feel like you are having trouble doing day to day things it may be helpful to see someone like a psychologist or counsellor.

 

Listen to Arthur Buchanan on the Mike Litman Show!
http://freesuccessaudios.com/Artlive.mp3 THIS LINK WORKS, LISTEN TODAY!

With Much Love,
Arthur Buchanan
President/CEO
Out of Darkness & Into the Light
43 Oakwood Ave. Suite 1012
Huron Ohio, 44839
www.out-of-darkness.com
www.adhdandme.com
www.biologicalhappiness.com
567-219-0994 (cell)
arthur@out-of-darkness.com

 

Let's Talk About Depression

Sure, everybody feels sad or blue now and then. But if you're sad most of the time, and it's giving you problems with

• your grades or attendance at school

• your relationships with your family and friends

• alcohol, drugs, or sex

• controlling your behavior in other ways

the problem may be DEPRESSION.

 

Put yourself first occasionally - This can be hard and you may find that you feel guilty when you do something for yourself. This is important however. Making time to do things that you enjoy is important part of looking after yourself and your family member. Take time out - Having time away from your family member can also be important and allow you to relax. Try to spend some time doing what you enjoy. You may want to play sport, hang out with friends, listen to music or go for a walk.

 

The good news is that you can get treatment and feel better soon. Approximately 4% of adolescents get seriously depressed each year. Clinical depression is a serious illness that can affect anybody, including teenagers. It can affect your thoughts, feelings, behavior, and overall health.

 

Most people with depression can be helped with treatment. But a majority of depressed people never get the help they need. And, when depression isn't treated, it can get worse, last longer, and prevent you from getting the most out of this important time in your life.

 

So....Listen Up:

Here's how to tell if you or a friend might be depressed.

 

First, there are two kinds of depressive illness: the sad kind, called major depression, and manic-depression or bipolar disorder, when feeling down and depressed alternates with being speeded-up and sometimes reckless.

 

You should get evaluated by a professional if you've had five or more of the following symptoms for more than two weeks or if any of these symptoms cause such a big change that you can't keep up your usual routine.....

 

When You're Depressed...

• You feel sad or cry a lot and it doesn't go away.

• You feel guilty for no reason; you feel like you're no good; you've lost your confidence.

• Life seems meaningless or like nothing good is ever going to happen again. You have a negative attitude a lot of the time, or it seems like you have no feelings.

• You don't feel like doing a lot of the things you used to like - like music, sports, being with friends, going out - and you want to be left alone most of the time.

• It's hard to make up your mind. You forget lots of things, and it's hard to concentrate.

• You get irritated often. Little things make you lose your temper; you over-react.

• Your sleep pattern changes; you start sleeping a lot more or you have trouble falling asleep at night. Or you wake up really early most mornings and can't get back to sleep.

• Your eating pattern changes; you've lost your appetite or you eat a lot more.

• You feel restless and tired most of the time.

• You think about death, or feel like you're dying, or have thoughts about committing suicide.

 

When You're Manic...

• You feel high as a kite...like you're "on top of the world."

• You get unreal ideas about the great things you can do...things that you really can't do.

• Thoughts go racing through your head, you jump from one subject to another, and you talk a lot.

• You're a non-stop party, constantly running around.

• You do too many wild or risky things: with driving, with spending money, with sex, etc.

• You're so "up" that you don't need much sleep.

• You're rebellious or irritable and can't get along at home or school, or with your friends.

 

Talk to Someone

If you are concerned about depression in yourself or a friend, TALK TO SOMEONE about it. There are people who can help you get treatment:

 

• a professional at a mental health center or Mental Health Association

• a trusted family member

• your family doctor

• your clergy

• a school counselor or nurse

• a social worker

• a responsible adult

 

Or, if you don't know where to turn, the telephone directory or information operator should have phone numbers for a local hotline or mental health services or referrals.

 

Depression can affect people of any age, race, ethnic or economic group.

 

Let's Get Serious Here

Having depression doesn't mean that a person is weak, or a failure, or isn't really trying...it means they need treatment.

Most people with depression can be helped with psychotherapy, medicine, or both together.

Short-term psychotherapy, means talking about feelings with a trained professional who can help you change the relationships, thoughts, or behaviors that contribute to depression.

 

Medication has been developed that effectively treats depression that is severe or disabling. Antidepressant medications are not "uppers" and are not addictive. Sometimes, several types may have to be tried before you and your doctor find the one that works best.

 

Treatment can help most depressed people start to feel better in just a few weeks.

So remember, when your problems seem too big and you're feeling low for too long, YOU ARE NOT ALONE. There's help out there and you can ask for help. And if you know someone who you think is depressed, you can help: Listen and encourage your friend to ask a parent or responsible adult about treatment. If your friend doesn't ask for help soon, talk to an adult you trust and respect -- especially if your friend mentions suicide.

 

What You Need to Know About Suicide...

Most people who are depressed do not commit suicide. But depression increases the risk for suicide or suicide attempts. It is not true that people who talk about suicide do not attempt it. Suicidal thoughts, remarks, or attempts are ALWAYS SERIOUS...if any of these happen to you or a friend, you must tell a responsible adult IMMEDIATELY...it's better to be safe than sorry....

 

Why Do People Get Depressed?

Sometimes people get seriously depressed after something like a divorce in the family, major financial problems, someone you love dying, a messed up home life, or breaking up with a boyfriend or girlfriend.

 

Other times - like with other illnesses - depression just happens. Often teenagers react to the pain of depression by getting into trouble: trouble with alcohol, drugs, or sex; trouble with school or bad grades; problems with family or friends. This is another reason why it's important to get treatment for depression before it leads to other trouble.

 

Depression and Alcohol and Other Drugs

A lot of depressed people, especially teenagers, also have problems with alcohol or other drugs. (Alcohol is a drug, too.) Sometimes the depression comes first and people try drugs as a way to escape it. (In the long run, drugs or alcohol just make things worse!) Other times, the alcohol or other drug use comes first, and depression is caused by:

 

• the drug itself, or

• withdrawal from it, or

• the problems that substance use causes.

 

And sometimes you can't tell which came first...the important point is that when you have both of these problems, the sooner you get treatment, the better. Either problem can make the other worse and lead to bigger trouble, like addiction or flunking school. You need to be honest about both problems -- first with yourself and then with someone who can help you get into treatment...it's the only way to really get better and stay better.

Depression is a real medical illness and it's treatable.

Be Able to Tell Fact From Fiction

 

Myths about depression often prevent people from doing the right thing. Some common myths are:

 

Myth: It's normal for teenagers to be moody; teens dont suffer from real depression.

 

FACT:

Depression is more than just being moody, and it can affect people at any age, including teenagers.

Myth: Telling an adult that a friend might be depressed is betraying a trust. If someone wants help, he or she will get it.

 

FACT:

Depression, which saps energy and self-esteem, interferes with a person's ability or wish to get help. It is an act of true friendship to share your concerns with an adult who can help.

Myth: Talking about depression only makes it worse.

 

FACT:

Talking through feelings with a good friend is often a helpful first step. Friendship, concern, and support can provide the encouragement to talk to a parent or other trusted adult about getting evaluated for depression.

 

Listen to Arthur Buchanan on the Mike Litman Show!
http://freesuccessaudios.com/Artlive.mp3 THIS LINK WORKS, LISTEN TODAY!

With Much Love,
Arthur Buchanan
President/CEO
Out of Darkness & Into the Light
43 Oakwood Ave. Suite 1012
Huron Ohio, 44839
www.out-of-darkness.com
www.adhdandme.com
www.biologicalhappiness.com
567-219-0994 (cell)
arthur@out-of-darkness.com

There Is Hope In Managing Your Depression And Fears

When your fears and depression have the best of you, it is easy to feel that things will not get any better. This is not true. There is hope in dealing with your fears and depression. For instance, there is much help available in today’s society and the best way to deal with your fears is to find effective ways to overcome them. As a result, here are some techniques a person can use to help manage their fears and anxieties.

 

You never know when the answers your looking for will come to your doorstep. Even if the thing that you feared does happen, there are circumstances and factors that you can’t predict which can be used to your advantage. These factors can change everything. Remember: we may be ninety-nine percent correct in predicting the future, but all it takes is for that one percent to make a world of difference.

 

Challenge your negative thinking with positive statements and realistic thinking. When encountering thoughts that make your fearful or depressed, challenge those thoughts by asking yourself questions that will maintain objectivity and common sense. For example, your afraid that if you do not get that job promotion then you will be stuck at your job forever. This depresses you, however your thinking in this situation is unrealistic. The fact of the matter is that there all are kinds of jobs available and just because you don’t get this job promotion doesn’t mean that you will never get one. In addition, people change jobs all the time, and you always have that option of going elsewhere if you are unhappy at your present location.

 

There are three types of cycles that people may go through during mania. These are Rapid Cycle, Ultra-Rapid cycle and Ultradian cycles. All of these show how many episodes of mania the person goes through a year.

 

Some people get depressed and have a difficult time getting out of bed in the mornings. When this happens, a person should take a deep breath and try to find something to do to get their mind off of the problem. A person could take a walk, listen to some music, read the newspaper or do an activity that will give them a fresh perspective on things. Doing something will get your mind off of the problem and give you confidence to do other things.

 

Seek help from God. You might of heard this before, however have you tried asking God for help? Praying and talking to God about your problem can be effective. Although the answers might not come to you right away, you can’t go wrong on relying on God. You never know how God will work in ones life. All you can do is to do your best each day, hope for the best, and take it in stride by using the help of God. God will help us through our problems if we ask him.

 

As a Layman and author of an anxiety book, I have done many interviews with various counselors in how to manage fear, anxiety and depression. The techniques that I have just covered are some basic ways to manage your depression, however your best bet is to get some help from a professional and not to lose hope. Eventually, you will find the answers you are looking for.

 

Stan Popovich is the author of "A Layman's Guide to Managing Fear” an easy to read book that presents a overview of techniques that are effective in managing persistent fears and anxieties. For additional information go to: http://www.managingfear.com.

Manic Depression

So, What's the Difference?

Manic Depression is also known as Bipolar Illness.

Like depression, people with this disorder go through stages of depression, but Mania or Manic adds a cycle.

Mania is a very "up" mood, over elated, over happy. Too much of anything is no good, and because of these cycles, people experiencing Manic Depression visit the two extremes of depression and elation.

 

Sure, sounds great to be able to be really happy and energetic all the time. However, with the elated mood, the sufferer will often talk rapidly, and become disjointed.

 

Rapid Cycles are most common, and this means 3 or 4 cycles of mania per year.

 

Ultra Rapid Cycles mean that the person goes through episodes that are shorter than a week, a bit more often.

Ultradian cyclers go through distinct, dramatic mood changes within a 24 hour block.

 

Manic Depression Symptoms:

-persistent sad, or empty mood

-feelings of hopelessness, or pessimism

-feelings of guilt, worthlessness or helplessness

-loss of interest in ordinary activities

-decreased energy, a felling of fatigue or of being "slowed down"

-difficulty concentrating, remembering, making decisions

-restlessness or irritability

-sleep disturbances

-loss of appetite and weight, or weight gain

-chronic pain or other persistent bodily symptoms that are NOT cause by physical disease

-thought of death or suicide; suicide attempts

 

*If you or anyone you know experiences a large portion of these symptoms on a regular basis, you may need to talk to a professional.*

 

Listen to Arthur Buchanan on the Mike Litman Show!
http://freesuccessaudios.com/Artlive.mp3 THIS LINK WORKS, LISTEN TODAY!

With Much Love,
Arthur Buchanan
President/CEO
Out of Darkness & Into the Light
43 Oakwood Ave. Suite 1012
Huron Ohio, 44839
www.out-of-darkness.com
www.adhdandme.com
www.biologicalhappiness.com
567-219-0994 (cell)
arthur@out-of-darkness.com

 

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