What is depression?

It is a state of mind when a person feels very low, loses interest in routine daily activities, feels hopeless and helpless. Many times the person starts thinking about suicide. It is a very dangerous state and needs immediate intervention from mental health professionals.

Assessment of depression:

Anyone feeling very sad cannot be called as a" depressed" person. To confirm the depression, the person needs to undergo assessment tests by either a psychologist or a psychiatrist. A" depression test" is carried out to see the exact intensity of depression.

Symptoms of depression:

Feeling very sad all the time, continuously for more than 15 days: feeling very sad continuously for a period of 15 days or more confirms depression. But just feeling sad sometimes is not depression.

 Crying for no specific reason: a depressed person may cry without any specific reason or provocation. The internal feeling of sadness is so intense, that the person cries without a good reason.
 Feeling worthless and hopeless: a depressed person has very low self esteem. The person thinks that he/she is useless, has no value and respect in the society. A depressed person feels hopeless. He/she thinks that'this is the end of the world' and things cannot improve. The person does not have any hopes about future and may start thinking about committing suicide or may attempt suicide.
 Loss of interest in life: the person loses interest in life. Does not feel like taking part in any activities which she/he were interested in doing earlier. There is nothing to look forward to, in their life.
 Ignoring personal hygiene: the person is so disinterested in life that she/he becomes careless about personal hygiene. They may not take bath for days together, may not even change their clothes or comb their hair or brush their teeth and are least bothered about the general cleanliness.
 Sleep disorders: the depressed person may sleep all the time or may not be able to sleep at all, which affects their overall health.
 Eating disorders: the person with depressive symptoms may stop eating or eat very little or in some cases eat a lot.
 Lack of sexual desire: the person may lose interest in sex and stop interacting with the sexual partner or start avoiding them.
 Feeling like a loser all the time, not wanting to fight back: the person has no self confidence and hence loses all the faith in his/her own abilities. Does not believe that he/she can face difficult situations and also can fight back.
 Becoming antisocial: the person avoids meeting other people and does not interact with people at home.

Causes of depression:

There are various factors, which may cause depression:

Family history: a person who has a family history of depression is more likely to have depression. If any of the parents or grandparents were diagnosed with depression then the person is more susceptible to depression.

Trauma: if a person has gone through a'life changing' experience, it can cause depression. Situations, such as a sudden death of a loved one or in case of witnessing devastating natural disasters like earthquake or tsunami or a war survivor, someone who has experienced terrorist attack or when someone has suffered sexual or physical abuse etc. May cause depression.

Health issues: if a person is having terminal illness, that can cause depression as the person has to endure lot of pain and has no hopes about recovery.

Relationship problems: if a person is dissatisfied with his/her close relationships like relation with the spouse, parents, siblings or offsprings, then the person may feel like a failure and feels worthless, unwanted or betrayed.

Financial issues: a person having any financial issue like not able to get a job or loss of job, incurring heavy losses in business or unable to earn enough money to satisfy the basic needs etc. Might get depressed.

Failures in life: failure to pass an examination, failure to achieve targets/goals, failure in love affair etc. May result in depression.

Treatment for depression:

Depression may fall in the category of mild, moderate and severe. But it is very important that the person gets assessed for the severity of depression.

Assessment by a psychiatrist/psychologist/counsellor: a person needs to be assessed by either a psychiatrist or a psychologist or a counsellor, to understand the intensity of depression. These mental health professionals may assess a person by talking to him/her and if required by applying certain'depression assessment' tests.

Medication and counselling: in case of moderate to severe depression, a psychiatrist will prescribe certain medication. Along with the medicines, counselling sessions work very well. In case of mild depression, only counselling also can be helpful.

Depression is treatable: if you come across someone with depressive symptoms, kindly advise them to seek help from a counsellor, psychologist or a psychiatrist.

Depression What You Need to Know About It

Depression is a mental health disorder where one experiences lack of interest in activities and has a continuously depressed mood which can lead to serious impairments in that person s daily life.

Day by day, the number of patients suffering from depression is increasing. More than the facts, it is various myths people hear that makes them more vulnerable when suffering from this mental health disorder. Below are the 5 common myths and facts regarding depression.

Myth #1: Lazy people suffer from depression
People who have a lethargic life suffer from depression and hardworking people never experience it. This is probably one of the most widely believed myths about depression. However, in reality, it is excessive work pressure and overworking and the feeling that they are bound with responsibilities and are being exploited at the workplace that causes depression. Anyone can develop this mental condition, and workload and lifestyle do not always have something to do with depression.

Myth #2: Women are the main victims of depression
Another popular myth regarding depression is that it is women who mainly suffer from it. Yes, it is true that women are more sensitive than men, but developing depression has nothing to do with gender. Anyone, at any age, at any time, can suffer from depression.

Myth #3: Talking can never help in easing depression
There are some people who believe that depression is a mental health disorder, is only treated with psychiatric medicines that can help in dealing with this condition. However, what they don't understand is that doing something constructive and having positive conversations with their loved ones can actually benefit their mental health. Even, psychiatrists believe that talking sessions are one of the ways of treating depression.

Myth #4: Depression is the same as sadness
Consistently unhappy and sad people are often considered as being depressed. However, the fact is that both sadness and depression are two different things. While one can get over the former condition of feeling low and sad; suffering from depression leads to chemical changes inside the brain, causing changes in the behaviour, thinking, etc. of the affected person, thereby persistently damaging the daily life.

Myth #5: There s no link between depression and Physical exercise
Many people assume that physical exercise isn't helpful in dealing with depression since it is a mental illness and not a physical condition. However, the fact is that moderate amount of physical exercise not only helps in improving mental aspects but also boosts the concentration power of the person.

No matter how mild or serious the form of depression one suffers from, opting for psychiatric help becomes crucial to avoid risks of deterioration of the condition in any way. After all, a professional psychiatrist can not only help one suffering from depression by treating them with necessary medications and therapies but also help in differentiating the facts from the myths thoroughly.

5 Myths About Depression Debunked!

Do you believe that the world is a hostile place and you are a victim? Are you the one who often doubts his or her abilities? If so, you might be showing signs of low self-esteem. Interestingly, self-esteem has nothing do with your actual ability or talent. Your looks, weight or skills are not responsible for your low self esteem. It largely depends upon the fact that how you value yourself.

It has been observed in most cases that self-esteem is often affected by a number of reasons, including ill-health, unpleasant memories from the past, and termination of relationships. Low self-esteem is generally marked in survivors of physical or sexual abuse, victims of racial discrimination or people who have had a traumatic past life.

If you don t pay attention towards this issue, you might end up developing certain serious mental disorders. Low self-esteem is also the root cause behind the occurrence of mental disorders like borderline personality disorder, depression, etc. However, there is nothing to worry about it. There are certain simple things that are useful in building up your self-esteem.

Here s all that you need to do to start believing in yourself and be confident about your capabilities:

1. Remember your strong points: Make three separate lists of your strengths; achievements and your qualities that you admire. Take help from your friends, parents and other well-wishers for preparing these lists. These lists will help you in understanding your abilities and goodness. You will be able to believe in your strengths. You must read through these lists at least once daily.

2. Be positive: Optimism and a positive approach towards life are the key to success. Your self-esteem is influenced by the fact that how you look at life. Life is not a bed of roses. It is unavoidable that you will have to face critical situations or problems in life. But, what is important is to face them with courage and a faith in your own abilities. Be positive and stop developing negative thoughts about yourself. Get rid of thoughts like  I am a loser ;  I can t get rid of this problem ; etc.

3. Take care of your body: Your outward appearance sometimes works wonders in lifting up your inner-self and spirits. Keep yourself clean, trim your beard or hairs; cut your nails; don t forget to floss your teeth and maintain overall personal hygiene to develop a feeling of goodness.

4. Sleep well: A good night s sleep is essential for boosting up your self - esteem.

5. Eat right: A balanced diet is a key to good health. Eating the right food in the right way keeps your mental and physical health all right. Include minerals and vitamins in your regular meals. Avoid distractions like television or radio while taking meals.

6. Exercise: Regular workouts keep you away from mental-ill health.

7. Be cool and comfortable first: When it comes to your dressing, try to put on attires that you can carry well. Wear stuffs that you love the most.

How to Build your Self Esteem?

The risk of developing depression is found by the means of various researches to be two to three times higher in individuals suffering from a chronic disease than in normal individuals. Type 1 and type 2 Diabetes are chronic diseases that can prove to be very challenging to manage due to various setbacks and complications that can come in the way. Regular monitoring of the blood sugar levels is essential in managing the blood sugar. Navigation of the health care facilities, side effects caused by medications, and other related health conditions or even diabetic complications can cause an increased risk of developing depression. If left undiagnosed and untreated, depression can give way to a poor lifestyle choice that can further deteriorate the physical health of a person. 

Various risk factors that are associated with diabetes and depression are as follows- 

lack of physical activity
poor social environment
poverty
stress during pregnancy
Depression in diabetes can occur simultaneously due to a variety of factors. These include the psychological and psychosocial impact of the disease on an individual, a potential common genetic susceptibility and certain common pathophysiological abnormalities that involve neuro-immunological and neuro-endocrinal pathways, as well as microvascular brain lesions due to diabetes mellitus. However, issues concerning pathogenesis and causality of this high co-occurrence are not fully determined yet. Still, the presence of depression in patients with diabetes mellitus is of vast importance, as it is usually associated with poor disease control, adverse health outcomes and quality of life impairment.

When an individual is suffering from diabetes, the awareness of risks of developing depression is essential. It has been widely researched and found that these two conditions can occur simultaneously, where depression is usually undiagnosed. Diabetes, specifically type 2, and depression affect each other in a bi-directional manner, which means that each of the disease can prove as a risk factor for the other. In a state of depression, it is common for a person to consume high calorie foods and also to lead a sedentary lifestyle. This tendency can prove to be a risk factor for developing type 2 diabetes. 

If an individual already has type 2 diabetes, the stress experienced during the management of disease can cause depression. Type 1 diabetes develops as result of the defect of pancreas in production of insulin. 

People with type 1 diabetes can also develop depressive symptoms due to difficulties in the management of the disease. If the symptoms of depression develop in the patient already suffering from diabetes, management of diabetes also becomes difficult. This can lead to cause various diabetes related complications and also decrease the life expectancy. 

Various signs that can be observed in a state of depression are as follows: 

Complete lack of interest in doing any activity
Irritation or mood swings
Depressed mood
Disturbed sleep pattern
Changes in the appetite
Constant feeling of despair
Guilt Fatigue, weakness
Difficulty in concentration, transient memory loss
Suicidal tendency
There is a certain risk observed between the consumption of antidepressant medicines and development of diabetes. It has been researched and concluded that consuming antidepressants should always be on physician recommendation, with a prior advice on the risks of developing diabetes. It has also been found that the people with type 2 diabetes, who are using insulin regularly, are at higher risk for developing depression as compared to the people on non-insulin medications or following only diet or lifestyle modification habits. An additional stress experienced in managing diabetes and accessing the health care services can cause such complication in insulin users. 

Common treatment protocol for depression includes psychotherapy or the cognitive behavioral therapy. It helps people to correct destructive thought patterns and behaviors that tend to increase the depressive symptoms. Other interventions like a structured problem solving approach, motivational interviewing, and interpersonal approach towards the patient is also effective in management. Certain medications can also help in mood-lifting and the management of symptoms of depression.

In diabetics, the treatment options that are available in addition to the standard medical healthcare provision includes self-management training sessions that help the people to increase healthy habits and improve control on their blood sugar levels. Diabetes as well as depression can improve with complete focus on lifestyle changes, like proper diet management and exercising regularly.

How Diabetes Can Lead To Depression?

Depression is a clinical, mental, and emotional condition that may give rise to feelings of hopelessness and chronic sadness. It slows down the way people process everyday activities and leads the patient to a sense of constant gloom and doom. It is a disabling mental condition as per who, and may be caused due to reasons like genetics, changes in the balance of hormones, stress, grief, trauma and prolonged, chronic physical ailments. Depression is also connected with food and nutrition. Do you want to know how? 
Read on to see the three ways in which food and depression are connected. 

1. Severity and duration: depression is a mental illness that signifies an imbalance in the hormones and the emotional faculties in the brain. Nutrition is the fuel that keeps the brain and body in prime working condition. When a depressive state sets in or becomes emotionally rooted, then nutritious eating and a proper diet take a back seat as the patient succumbs to a state where he or she is not concerned about the food intake. As a result, the brain and hormonal balance get further affected. This can have an adverse effect on the severity and the duration of the depressive mode, which makes it all a vicious cycle of sorts. Poor appetite, not having proper meals, skipping meals, eating junk, avoiding social settings where food will be served, and even emotional eating are all outcomes of depression too.

2. Eating disorders: many patients who have eating disorders often experience deep rooted and chronic depression. Since despondency and hopelessness are the main characteristics of depressive behaviour, the outcome is that the patient tries to behave in a way that seeks approval. And in all this, the patient usually thinks that he or she is not'good enough. In such a scenario, the patient may start trying out fad diets and eventually fall prey to eating disorders like bulimia that make the patient overeat and then vomit. These eating disorders usually come with phases of binge eating, throwing up, starving and then repeating the cycle again. Eating in secrecy is also a symptom of this condition.

3. Nutrition to fight depression: nutrition and proper food intake can build a sense of resilience by first of all improving the overall physical condition of the patient. This can take care of a lot of angst even as the minerals and vitamins travel to the brain for better functioning in the long run.

Ensure that you eat right as a part of your therapy for depression. This is as good as taking your medication on time!

Three Ways Depression Is Connected With Food

Depression can be caused because of many reasons. However, it can get worse or be triggered due to nutritional deficiency. However nutritional deficiencies and depression act in a vicious cycle. Depressed people often receive less or improper food which leads to malnutrition which again aggravate depression. Thus, both conditions should be treated simultaneously. Read further to know how:

Omega-3 fatty acids: An Omega-3 unsaturated fat deficiency can cause depression. That shows exactly how much fish, salmon, halibut or flaxseeds and walnuts we have to expend to be at an ideal level. These basic minerals lessen aggravation and take up a basic part in our mental health, particularly memory and disposition.
Vitamin D: Vitamin D deficiency is a noteworthy problem that specialists and general physicians perceive to be dangerous. This lack has been connected to depression, dementia and mental imbalance. The majority of our Vitamin D levels drop off during the fall and winter months, since daylight is the best source of vitamin D.
Magnesium: Odds are great that you are magnesium inadequate since a lot of people are. Sugar, phosphoric acid, perpetual anxiety, anti-infection agents and diuretics contain magnesium. Magnesium is infrequently alluded to as the anxiety counteracting agent.
Vitamin B complex: B vitamins like vitamin B6 and vitamin B12 have some great medical advantages, including decreased heart diseases and healthy skin and nails. Again, a vitamin B deficiency may affect your emotional wellness. Every one in four depressed or stressed woman suffers from vitamin B12 deficiency.
Folate: Individuals with a low folate level have just a seven percent reaction to treatment with antidepressants. Those with high folate levels have a reaction of 44 percent. That is the reason a lot of specialists are currently endorsing a folate called Deplin to treat dejection.
Amino acids: Amino acids are the building blocks of protein that help your mind work efficiently. An amino acid deficiency may make you feel slow, foggy, unfocused, and discouraged. Great sources of amino acids include meat, eggs, beans, seeds, and nuts.
Iron: Iron deficiency is truly common in women. Around 20 percent of the women and 50 percent of pregnant women are iron deficient. Just 3 percent of men are iron deficient. The most widely recognized type of side effect is the decreasing number of red platelets brought on by the lack of iron. The side effects include weakness, concentration issues and a foggy mind.
Zinc: Zinc is used by more proteins (a person has more than 300) than some other minerals. It is important to most of the body s systems. It also helps our stomach to determine what food items or nutrients to keep and what to dispose off.
Therefore, it is very important for a person to consume the right amount of nutrients that a human needs. Their deficiency not only causes depression, but also many other diseases and illnesses.

Nutritional Deficiency - Can it Cause Depression?

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