Prolonged Depression: Recognize, Treat, Avoid Repetition

By | April 14, 2015

Imagine that your good friend, a friend or relative suddenly changed a lot, and not for the better. He constantly looks sad and depressed, has no interest in what used to be alive fascinated him; the usual classes no longer bring him joy and satisfaction. Working and learning outcomes suddenly slid down, and our hero himself admits that he became tired very quickly, but to do something important, he had to force myself. And indeed, with great pleasure, he would lie in bed all day, staring at the ceiling. Sound familiar? Perhaps this description reminds you … yourself?

Prolonged Depression: Recognize, Treat, Avoid Repetition

Prolonged Depression: Recognize, Treat, Avoid Repetition

When to sound the alarm?

Of course, seeing such a change in the close person or self, we got worried and start to figure out what was the cause of them. Maybe a tragedy or just big trouble, Or a Severe stress? General fatigue, longing for the long-awaited vacation or holidays, or maybe it’s just the season – autumn, cold, rain and wind, gray sky hanging over his head … where here to enjoy life, is not it?

And, of course, we will try to man to pull out of this quagmire – or will rely on family and friends, if we are talking about ourselves. Recommendations in this regard are well known: a change of scenery, reducing the number of stressors in life, new experiences (positive, of course), the most ordinary human warmth and care. If the case is very difficult – do not hesitate to appeal to the expert: sometimes this disorder need psychotherapy and medication.

The main thing here is to notice that something is wrong. And in most cases it is obvious that your friend or relative, a cheerful and witty, suddenly went out and sank into depression. But what if a person is in such a state of the past few years? Or even almost from birth? Is not it easier to leave it alone, we write off all disturbing signs on the character traits? In the end, it does not prevent him live!

And here we can make a terrible mistake: what we take to be the melancholic character and isolation, can be a serious illness known as prolonged depression. And this insidious disease is even “interfere live” in the truest sense: suffering from prolonged depression a person simply cannot fully learn, work, and build relationships. When the terrible circumstances such depression can even lead to death: a considerable number of severe depression ends with suicide.

Another Epidemic!

Different types of depression are very familiar to modern man. Alas, doctors and researchers agree reinforcements disappointing statistics: Depression was a real scourge of modern society. You can talk about this epidemic of depression and depressive disorders affecting up to today 20% of the population of developed countries.

What is the reason? Because of depression or “melancholy” wrote treatises even ancient doctors, why it is in the 21st century, this issue has become so acute?

Here the specialists’ opinions diverge: who speaks about the internal causes of the disease, called among the factors immune failures and even (!) A genetic predisposition, many of today’s doctors are inclined to believe that the cause of severe prolonged depression may be a violation of the nervous system: it was she who “owns” the so-called neurotransmitters, which are responsible for our mental state. Someone insists – for depression, we should “thank” the frantic pace of modern life, because even in schools today is immeasurably greater load than some twenty years ago. Then study at university, career, family – and all of this requires effort, time, DC all possibilities, because the “loser” and a “loser” now simply be prohibitively! Here are our body and cannot withstand such pressure.

Serious illness - A serious attitude

Serious illness – A serious attitude

Serious illness – A serious attitude

Now for depression and depressive disorders took seriously – psychologists and psychotherapists do not tire of repeating that this is a serious disease that affects all areas of human life (in severe cases, mental pain is added and the very real physical!) And requires good treatment, and unfortunately, among non-specialists can often hear a different opinion: this is supposedly all laziness and lack of discipline. To put this “depression” to work at the plant in two shifts, would quickly it went! Particularly this is sad when this opinion comes from relatives and or friends of the patient.

On the other hand, maybe it’s the result of some strange hobbies melancholic depressed persons claiming credit for any reason? Added two kilograms – depression, tight new shoes – depression had a fight with a guy – again depression. What, after all, is this the most depressed? How to guess its origin, how to recognize it on the way, because the majority of people receiving treatment for the disease, fall into the doctor’s office has a “blossoming” protracted depression – one of the most severe types of illness. Let’s try to understand.

Under Pressure

So, depression – a serious mental disorder, whose name derives from the Latin word deprimo – «push». Indeed, patients with depression feels depressed, sad, loses the ability to enjoy life, constantly feels useless, worthless, useless loser whose life will never change for the better. The longer such a state, the more the state of mind affects the condition of our body: depressed patients often inhibited, lose the ability to concentrate and react quickly.

In some cases, the patient recovers quickly enough and can dispense medication or treatment clinic. It is enough to observe the doctor and feel the support and care of family and friends – and the condition of the patient to normal. Sometimes you need to find the cause that caused the development of depression – such a view it is called “reactive”, ie, depression is a reaction to an event in life. Once the problem is solved, the mountain lost its sting, the stress goes away or decreases, the patient leaves and depression.

But not every case of depression so easy to win, depression can be endogenous, that is going somewhere from the depths of our body. Sometimes depression is accompanied by other serious illnesses or even drastic changes in our body: it is known, for example, that depression may suffer pregnant women or new mothers. Depression can occur in response to the reception or the abolition of drugs – is directly related to their effect on our nervous system. Finally, there is also seasonal depression, which is treated with light therapy…. Yes, our body can “be sad” even if he just lacks sunlight.

It seems that the case dragged on…

Well, if all the reasons enumerated and noted as inappropriate, is usually the same: the case of violation of our nervous system, or even the whole body.

Caused prolonged severe depression may be the above-mentioned lack of neurotransmitters or neurotransmitter, biogenic amines – serotonin, nor-epinephrine, and dopamine. These substances help to transmit nerve impulses and provoke certain biochemical reactions that affect our well-being and mood. That’s right is a deficit of neurotransmitters – in the majority of cases are due to cases of prolonged depression in the absence of whatever external factors.

Caused by these factors, depression can spill over into the chronic form, which is brief remissions will haunt a person all his life, and it lends itself to a medical treatment.

Also on the list of possible causes of hidden somatic diseases commonly associated with impaired functioning of the cardiovascular, digestive and respiratory systems, musculoskeletal system, circulatory system, the thyroid gland. However, prolonged depression can sometimes be the very cause of diseases: exhausted body just starts to falter in all respects.

Mask Off!

Mask Off!

Mask Off!

How can recognize the prolonged depression, which some doctors also called “masking”, because some patients live with the disease for decades, not even knowing about it!

Honestly, if you or your loved one is constantly in a depressed state, nothing pleases and does not attract you, you have to force yourself to do even the most important things you have no appetite (or vice versa it is brutal), you suffer (or suspect that you have themselves) dependence on alcohol or drugs – it is an occasion to visit the office of the psychologist. Even if you remember yourself so from birth, it is possible that you are seriously ill, and not just have the difficult character.

Of course, with all his need to run to the doctor if you are obsessed with thoughts of self-harm or suicide. Well, in general, doctors are the following features characteristic of almost all types of depression, but is particularly pronounced in the case of a protracted depression:

  • Constant anguish, depression and haunting can make you feel despair and or hopelessness.
  • Voltage, leaving almost never, constant expectation of something is bad stress.
  • It is not known whence undertaken guilt, self-blame, low self-esteem: even real achievements will not convince the depressed patient that he is something good.
  • Reduction or even complete loss of the ability to rejoice, to feel pleasure, interest in something, in severe cases – a complete loss of interest in the world around them and the ability to feel any emotions.
  • Sometimes people who are depressed for no reason are experiencing, for example, for the life and health of our families – so that it becomes intrusive, or to shiver fear of appearing ridiculous or unfounded, especially in public.

Ask Your Body

Such manifestations of the disease are called emotional. There are also physical symptoms of depression:

  • Sleep disorders – insomnia, disruption of physiological rhythm or hypersomnia. Sometimes patients with depression feels tired and overwhelmed, even after 10 – 12 hours of sleep.
  • Eating disorders: complete loss of appetite or overeating contrary constant is associated with weight gain.
  • Indigestion: indigestion, nausea, vomiting, diarrhea, and constipation.
  • Reduction or complete extinction of sexual needs
  • Sometimes depression and attempts to deal with it can even cause the patient to severe alcohol or drug dependence, because these substances give temporary relief.
  • Sometimes cause prolonged depression and physical pain in the body, most often a headache, abdominal pain or back pain, pain in the heart.

Introvert? Bummer? Sick…

The behavior of a person suffering from a prolonged depression also differ some specificity.

  • A sick man is passive, it is difficult to capture something or get something done.
  • Depression often leads to isolation, denial or avoidance of contact with other people. In the depressed person cannot weeks to go out.
  • When depression is hard on something to focus, sometimes patients begins apathy, they generally fail to respond to their environment and can hardly bring myself to take a vital decision or take the necessary action.
  • In patients with chronic depression have low mental and physiological reactions: they may not be the first time to realize that they were wanted or a few minutes silence before answering even the simplest question.
  • Past, present and future are seen only in the darkest colors, dominated by a pessimistic attitude towards life in general. In severe cases with depression is a thought of suicide.
To the doctor - Do not be late!

To the doctor – Do not be late!

To the doctor – Do not be late!

If a portion of the above symptoms is observed more than two weeks, you can with great confidence talk about depression.

If it is well established that depression is not reactive, and “first aid measures” listed above (a change of scenery, normalization of sleep and food, reducing the number of stresses in life, attention and care of relatives) have no effect, and depression lasts from several months to infinity – it is classified as “protracted”.

If you notice signs of depression that have appeared recently, you should immediately contact your doctor immediately: it is important to prevent the development of a long depression, because out of it is much more difficult. Well, if this state is stalking you or your loved ones for many years (often protracted depression drawn from teenage or adolescence) without medical help is not enough. Especially because after several years of prolonged depression can be complicated and have other mental disorders and diseases.

Step by Step

For the treatment of depression in the early stages of the course of psychotherapy often enough and close circle of support and if a prolonged depression, and even heavy (unconditional signs – suicidal tendencies, agitation, physiological changes, loss of emotion, apathy) – the patient will need a specially selected medical therapy.

Yes, we are talking about antidepressants – drugs designed specifically for the treatment of endogenous depression. They are; above all, help to normalize the amount of neurotransmitters and to reestablish the biochemical metabolism in the body.

Many people far from medicine, afraid of antidepressants – There is so much because of myths that they cause a lifelong relationship and have terrible side effects. Perhaps in some degree it concerned antidepressants, which used before.

New generation antidepressants, such as “prozac”, “Cipramil” “Remeron” “Lerivon” nontoxic practically no side effects, have high safety in overdose and are not addictive, in contrast to many drugs, tranquilizers, which are often confused.

In addition, complete with patient needs medication and psychotherapy: the long years spent in anguish and despair, cannot impose the indentation on the thinking and outlook. During treatment, the patient’s doctor will teach the basics and psychological self-help and self-regulation that will help to minimize the possibility of recurrence of the disease due to external factors.

Sometimes the doctor recommends attending such sessions as the patient and family, to create a family environment that will promote faster recovery.

Coming out of the consulting room, the patient should continue treatment, in particular, for at least 4-6 months, and the best of the year, to comply strictly with the so-called “support” recommendations. The list is most often is:

  • Walking in the fresh air, exercise, yoga, meditation
  • Following a clear regime bedtime and awakening.
  • A diet that includes a lot of products that contain natural serotonin
  • Complete rest, whether active or passive.
  • Phytoplankton or aromatherapy

The family depression: What to do?

Often the case that people close to scoring anxiety trying to persuade the patient to go to the doctor, but he is fiercely resistant because they do not want to admit sick or afraid of the negative consequences of disclosing their diagnosis. Many people still believe that a visit to the psychoanalyst can turn social constraints – the difficulty of university admissions or employment, obtaining a driver’s license or a visa to travel abroad. Some fear even condemnation of society, because, unfortunately, because of the low awareness, many still do not see the difference between depression and socially dangerous mental disorder. Finally, many people are concerned about, “What if by antidepressants I will develop dependence on the drug?

In this case, the relatives of the patient should see a specialist who will explain how to behave and how to build a conversation; we see the benefits of a hike to the doctor. In addition, you can use gentle persuasion tactics, telling that the treatment of depression, which does not cause any danger to society, remains a mystery doctor and patient, not related to the social life of the latter. Or that the right specialist regimen built modern antidepressants virtually eliminates the possibility of the development of drug dependence.

Even relatives of patients are often given such advice:

Patients with depression need your sympathy, participation and support. But in any case, do not dive into the disease and despair along with it! Be positive and optimistic.

Inspires the patient that depression is a temporary condition and treatable, convince him to the success of the forthcoming therapy.

In any case, even in jest do not let yourself criticism of the patient – it can take it as proof that he is to blame for your problem.

Do not forget about the positive emotions in my life, because the illness of a loved one – a lot of stress for his family. Of course, try to also inspire and sick with something positive and interesting.

Be healthy and happy!

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