Causes and symptoms of Catatonic depression

Catatonic depression is a kind of depression which is characterized by prolonged periods of speechlessness and motionlessness. It is described as a state of mind that is caused by neurogenic and motor inabilities caused due to dysfunction of various neurotransmitters like glutamate and dopamine. People who suffer from a severe case of this condition, even have difficulty in performing simple regular tasks. For example, the act of eating breakfast may take a span of hours.

Some of the common symptoms of this condition are:

- Feelings of sadness
- A change in appetite causing gain or loss of weight
- Difficulty in concentrating and thinking
- Feelings of restlessness, worthlessness, and guilt
- Fatigue
- Irritability
- A loss of interest in any activity
- Trouble sleeping
- Attempts at suicide
- Cynicism and negativism
- Agitation
- Unusual and abnormal movements
- An inability to move and difficulty in speaking
- A refusal to eat or drink due to extreme anxiety

The major causes of catatonic depression are:

1. Abnormal neurotransmitter production

Irregularities in the production of neurotransmitters are believed to be one of the major causative factors of this type of depression. These neurotransmitters present in the brain help cells to communicate with each other. Serotonin and norepinephrine are the neurotransmitters which are mostly associated with this type of depression.

2. Dopamine irregularities

Another reason for this condition is believed to be the irregularities in dopamine, glutamate, and gamma-aminobutyric acid neurotransmitter systems. Underlying neurological, physical, psychiatric or psychological conditions are accompanying issues.

Administering antidepressants or using electroconvulsive therapy are some of the known ways of treatment which have proved effective for getting relief from catatonic depression.



What Makes Catatonic Depression so Impairing?

What is schizophrenia?
We all know it as a debilitating mental illness that plagues people across the globe. Schizophrenic patients often feel like they are being overtaken by situations and events that are beyond their control. They may complain of seeing people who are not there or hearing voices where there are none. This happens because the neurotransmitters in the brain of the patient do not function appropriately. There are various types, causes and symptoms of this disease. Read up to know more.

Symptoms: psychotic symptoms like delusion are common in patients suffering from this disease. Also, the patient may be severely blunted in the emotional sense, and may bear a lost look and wear a feeling of loss or absence at all times. The thought process or cognition of the patient may also suffer in such cases. Poor concentration and lack of coordination are some symptoms of this kind of suffering. Hallucinations and distorted thought processes also characterise the patient to a great extent. The patient may also display certain typical symptoms like social withdrawal, extreme apathy, and lack of motivation. The patient will also be in an emotionally numb state once the delusions have lessened.

Causes: so what causes schizophrenia, really? while no tests or conclusive examinations exist to pin point the exact diagnosis or cause of the disease, there are many factors that can contribute to the development and progression of the same. Hereditary factors play up in many cases while chemical imbalances in the brain also lead to this condition. The serotonin levels and the functioning of the neurotransmitters are the most significant causes of this disease, in such cases. Excessive abuse of drugs like lsd and cannabis can also contribute to this condition, while family relations and a dysfunctional environment can also lead to this disease.

Types: there are many different kinds of schizophrenia. One of them is paranoid schizophrenia, which makes the patient highly suspicious. Disorganised schizophrenia can lead to incoherence in speech and thought. Catatonic schizophrenia can cause social withdrawal while residual schizophrenia can lead to a complete lack of motivation. Finally, schizoaffective disorder can lead to major mood swings.

The various kinds of schizophrenia are characterised by varying degrees of mood swings, depression, paranoia and delusional thinking. The progression of the disease can be checked with the help of cognitive behavioural therapy, which can help in reprogramming the brain of the patient to a great degree. Rehabilitation programs as well as case management can help in the long run. But the key here is to recognise the symptoms early on and get the treatment or counselling started to reduce the symptoms and their spread.

Schizophrenia: Types, Causes and Symptoms

Ending one s life is terrible. But often, instead of analysing the patient s mental condition at that time, we tend to judge them. The most common cause for suicides is undoubtedly depression. Adverse social or financial conditions often contribute to the mental condition of patients. However, a recent paper published in the journal Neuropsychopharmacology might change the way we think about suicides. Lena Brundin and her co-workers have come to the conclusion in the paper titled  Role of inflammation in suicide: from mechanism to treatment,  that our immune system can trigger off suicidal thoughts and tendencies. Let us find out how.

There is proof that certain medicines that are used to treat cancer patients can affect the immune responses. This in turn can trigger off suicidal tendencies.
Certain injuries can lead to brain disorders which are related to inflammatory responses that might be responsible for some changes in behaviour often leading to suicidal thoughts.
Just like certain medications trigger of suicidal thoughts, there are some that might diminish them like Lithium. It is used to treat bi-polar disorder. What it does is decrease immune related chemicals. Another drug has proved to be very effective in reducing suicidal thoughts and tendencies   Ketamine. Ketamine, like Lithium, has been found to block certain chemicals that are related to immune response.
Though the whole topic is still under extensive research, it can perhaps be concluded that certain drugs have the ability to lessen suicidal thoughts and depression because they block some chemicals that are related to immunity.
The suicidal mentality is very complex. It requires not just medicines, but counselling, empathy, love and understanding. Often, many patients cannot come out of their depression, resulting in therapy sessions that are fruitless. In those cases, medicines that might reduce the negative thoughts and moods will come handy. It will help the patient initially to deal with the situation and start with a lot of positivity. Every year, almost one million deaths occur due to suicide. Not only does it leave behind survivors who attempt to kill themselves but also broken families that struggle to get over the death. If this research is successful, several people will benefit from it, all over the world.

Suicidal Tendencies - Can Your Immune System Influence it?

Marriage or any healthy relationship, is a bonding and not a binding. Finding the right person and living happily ever after is only true in fairy tales. In reality, once you find the right partner, maintaining and nurturing the relationship bond itself takes a lifetime and living happily solely depends on how you cultivate relationship with your partner.

Communication is one of the chief ingredients besides trust, understanding, love, care, companionship and empathy in a happy and successful marriage. And, failure to communicate is one of the foremost reasons for the failure of relationships. Do you say I love you and appreciate your partner or do you just criticise and complain about him/her all day long? Do you consider his/her ideas and feelings or always turn them down? To communicate effectively is to express yourself freely to your partner, convey your likes and dislikes, convey what turns you on and what doesn't! Unless and until you are vocal about your thoughts and feelings, how do you expect your partner to understand you? You feel frustrated and upset because things don't happen your way but have you tried to 'express' your way to your partner?

Lack of communication in relationships results in frustration, misunderstandings, unrealistic expectations, guilt and can create personal differences. It is difficult for people who share their lives with each other to coexist for long without having regular and smooth communication for oiling the machinery of the relationship.

Couples who communicate effectively are not always devoid of arguments. Arguments happen because there is a difference of opinion between the partners; which is a very normal thing. Arguments usually end in nasty and bitter manner. However, it is up to us to convert that unhealthy argument into a healthy one! Most of us indulge in these arguments to win; not to resolve the matter! What is important is the 'progress' in the matter at hand, not the victory.

Remember, not to engage in any serious discussion or disclosure when angry as you tend to lose balance and rational reasoning. The same holds true in a situation where your partner is not up to it. Receptivity is of utmost importance. A 'No' from a partner does not mean not now, not ever. It simply means I don't want to do that right now! Feeling free to say no if the request is unappealing at that point in time.

Communication cues that can help improve the quality of argument:

Remember, there is no blaming game! WHAT is Right is more important than WHO is right.
Use I statements instead of You always statements. Example I feel angry vs. You always humiliate me. When you use I statements, you're taking the onus on you.
Attack the issue; not each other!
Refrain from the 4 C's : Caustic (sarcasm), Compare, Condemn and Criticize.
Avoid mind-reading your partner and assuming things; instead express yourself verbally.
Using 'I feel' statements are better over You are ones. When you say I feel, you're taking the onus for your feelings and thoughts and avoiding direct blame on your partner.
Have an open mind. Minds are like parachutes; they work best when open. Be proactive and open to changes, alternatives and work effectively for resolving a conflict.
Stay away from Stereotyping (generalizing - all men are like that...) 'Gunnysacking; (nursing past grievances and bringing them up for review while trying to resolve a present conflict).
No engaging in 'Summarizing self-syndrome' where both partners continue to restate his/her stance and issues without actually listening to other and without understanding other's perspective, feeling frustrated.
Cut back on 'Catastrophizing' i.e. dwelling on the worst possible outcomes of a problem or risk that you face, to the point that even remote, unlikely disasters preoccupy your attention. Often, objectivity becomes clouded, and you may gradually begin to feel or act as though these unlikely events are really going to happen.
Get rid of 'Stereotyping'; (generalizing - all men are like..) and 'Gunnysacking' (cropping up issues from the past having no relevance to current problem).
Don't send double messages- statements which have two conflicting meanings. Keep it as simple and assertive as possible.
A mind is like a parachute, it doesn't work unless it is open. So have a broad perspective, try to understand your partner's perspective and try and arrive at a mutually agreeable decision that caters to well-being as a whole. Matrimony is the high sea for which no compass has yet been invented. What counts in making a happy marriage is not how much compatible you are, but how you deal with incompatibility. Marriage was, is and never will be perfect, Yet it is the happiest wrong we are doing on earth!

Are You Happily (n)Ever After?

Depression is often equated with isolation and brooding but this is not always the case. Many people may actually suffer from depression without showing the typical symptoms of this condition. Hence, this form of depression may go unnoticed for many years. Such cases are known as high-functioning depression. Some of the symptoms of this condition include:

Having difficulty expressing happiness: Though a person may be able to work normally, a person suffering from high-functioning depression will find it difficult to express emotions such as happiness. Thus he or she may not know how to act in the event of a promotion at work, the beginning of a new relationship or any other such happy events. In such cases, the happiness a person experiences from these events is temporary and muted.
Lowered energy levels: Unlike not being able to get out of bed when suffering from typical forms of depression, a person suffering from high-functioning depression can follow his or her usual routine. However, they often find themselves lacking the energy they would normally have and feel the need to put extra effort into their normal tasks. This reduces the amount of satisfaction derived from completing tasks.
Persistent self-doubt: While being self-critical is good to a certain extent, a person suffering from this form of depression is rarely satisfied with their work. Even when recognised by their peers or given an award for their work, they feel that this praise is misguided and have trouble accepting it. Thus, suffering from this condition is akin to swimming a race against the current and with additional unnecessary weights.
Substance abuse: Since this form of depression can go undiagnosed for many years, patients often turn to alcohol and other addictive substances in frustration. This can further delay diagnosis as many of the symptoms of this condition can also be attributed to substance abuse.
Feeling like a failure: Many people suffering from this condition feel as though they are constantly wasting time no matter how much they achieve in a day. This can make them feel hopeless and cause frequent changes in jobs.
The good news is that depression can be cured. Hence if someone around you or you, yourself experience such symptoms, talk to a doctor. Alternatively, you could make a few changes in your lifestyle to lift your mood. Try meditating in the morning or fit in some light exercise into your day. You could even take up a new hobby. However, this cannot replace cognitive therapy and psychological counselling.

High Functioning Depression & Anxiety!

Smoking can cause irreparable damage to your mind and body. Chemicals in the tobacco travel to all parts of the body, leaving no area unaffected. According to available data, smoking causes 30% of all cancer deaths and about 80% deaths from emphysema and bronchitis. In addition to adversely affecting yourself, smoking also has a severe impact on your near and dear ones. According to WHO, about 600,000 people die every year from passive smoking. Out of the deaths that occur due to this, 1/3rd is that of children.

The Indian situation
While 85% of tobacco users worldwide consume it in the form of cigarettes, in India only 13% use it in that form. Additionally, 54% use it in the form of beedis. A study conducted on Indian smokers has revealed that an average of 8.2 cigarettes is smoked by an individual daily.

The study also revealed that the number of cigarettes smoked every year had grown to over 6 trillion. While 1 out of 10 adults dies from tobacco use worldwide, 5% of deaths in women and 20% of deaths in men in India are caused by cigarette and beedi smoking.

What happens when you smoke?
Cigarette smoke is made up of 4000 chemicals that are present either as tiny particles or gases and about 50 are known to lead to cancer, the toxin nicotine being one of them. In addition to nicotine, the chemicals that make up cigarette smoke also include tar and carbon monoxide. Prolonged exposure to these toxins can hamper your body's ability to filter air and clean the lungs. The smoke not only irritates the lungs but also causes excess production of mucus.

It also causes a paralysis of the tiny hair-like structures like cilia that line the airways and are responsible for removing dust and dirt from the organ. Paralysis of these hair-like structures also causes a buildup of mucus and toxic substances, leading to lung congestion. The extra mucus that is produced causes smokers to suffer from the very ubiquitous smoker's cough and chronic bronchitis.

It's also one of the many triggers of asthma, which brings about the narrowing and inflammation of the airways. Long-term exposure to tobacco smoke causes the destruction of the structure of the lung, walls of the airways as well as lung tissue. The result is a condition known as emphysema. Additionally, smoking also leads to cancer of the lung and over 80% lung cancer cases occur due to this habit.

Health Consequences of Smoking 3 Cigarettes A Day

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