Depression is one of the complex physical and psychological disorders. The disease is characterized by loss of pleasure or interest, sadness, feelings of guilt, low self worth, disturbed sleep and appetite, poor concentration and feelings of tiredness. The common effect of this condition is leads to the decreased activity level in some parts of the brain. The disease is a mild one that causes little annoyance in daily life. But the extreme stages may lead to severe effects where the affected person may fail to participate in their social life. In rare cases severity of suicide is even possible.

Depression is diagnosed by these symptoms:

    Lack of interest or joy in activities
    Sadness or low mood levels
    Feel of guilt without any reason
    Pessimism
    Inferiority thoughts
    Slow thought process
    Irritability
    Slow in interpreting sensorial stimuli
    Slow physical reactions
    Slow physical processes or digestion.

Types of depression
It can be either be a single disease or the effect of other diseases. It can also be due to two or more factors. Based on the cause the disease, it has been divided into six types, which are

    Reactive depression: Caused due to psychological struggle and stress.
    Endogenous depression: Caused due to strain or lack of rest.
    Depression by physical disease: This is caused due to any physical disease such as Parkinson s disease, stroke, hypertension, heart disease, cushing s syndrome, mononucleosis, hypothyroidism neurotransmitters in the brain etc.
    Depressive consequence of unsound lifestyle: This is caused due to less exercise, too much alcohol, coffee or tea consumption, least intake of necessary nutrients, too much sugar intake and fat.
    Postnatal depression: This happens mostly in women after pregnancy and child birth.
    Seasonal affective disorder: This happen due to cold and dark seasons of the year. The lack of light is the factor for causing depression as well. 

Treatment of depression
Best way to treat depression is through Psychotherapy, also anti - depression medicines are usually prescribed to treat the effects of depression. But the intake of these types of medicines result in nervous disorder. However, the best way to treat is through environmental changes and positive and happy surrounds to the affected person along with psychological counseling.

6 Types of Depression! + How it Affects Us?

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?

A depressive disorder is not just a passing phase of the mind; it is a condition which involves your body, mind, and thoughts. It comes in the way of your daily life, thereby preventing you from carrying out your regular routine, even making it harder for you to concentrate or work properly. The exact causes are still not known, but as certain studies suggest, it might be hereditary, due to changes in the neuroendocrine functions, or due to other psychological and social factors.

Some of the depressive disorders are:

- Major depressive disorder
- Persistent depressive disorder
- Other specified or unspecified depressive disorders

Others are classified by their causes:

- Premenstrual Dysphoric disorder
- Another medical condition induced depressive disorder
- Substance/Medication-induced depressive disorder

Depressive disorders can set in at any point in time, but primarily, symptoms are visible in your late teens, 20's or your 30's.

Symptoms

For major depression the symptoms are:

1.Feelings of depression throughout the day
2.Significantly diminished interest in all your activities

All You Need to Know about Depressive Disorders

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

It's International Women s Day yet again. A time to celebrate women s accomplishments- both those of legendary creators including Mother Teresa, Kiran Bedi, Anuradha Koirala   the anti-sex-trafficking activist & Mary Kom to name a few and the women in our lives who mentor and inspire us every day. It s a day to celebrate our journey towards gender equality and women empowerment.

This year s International Women s Day theme is  Time is Now: Rural and urban activists transforming women's lives.  It comes on the heels of unprecedented global movement for women s rights, equality, and justice. The theme has taken the global campaigns and marches on issues ranging from sexual harassment and femicide to equal pay and women s political representation.

Women still have a long way to go to attain equality and non-discrimination from her male counterparts. 2018 International Women s day is an 'iron in the fire opportunity' to bring a call to action to entrust women with what they actually deserve, not only in a particular sector but to every woman who resides in urban as well as rural areas. It is a step to respect and appreciate the women who step out every day for the livelihood of their families and kids - a step to stop casual sexism faced by urban women in the workplace.

Women, experiencing sexual harassment in the workplace, not only bear strained relationships with their counterparts but also are at risk of numerous health problems. Let us know about the health effects of sexual harassment:

Depression: Self-doubt and criticism can lead to depression and loss of interest in work or other activities. Women also experience loss of self-confidence and feelings of failure & powerlessness.
Anxiety: Many women feel anxious about going to work, communicating with co-workers or being involved in social situations.
Insomnia: Sexual harassment trauma can cause nightmares and may lessen the woman's ability to sleep properly.
Post-traumatic stress disorder (PTSD): Studies say that sexual harassment meets the Criteria A1 and A2 of PTSD. The stress of sexual harassment may cause a woman to relive the trauma even when it is not happening, or avoid things or people that remind her of the sexual harassment.
The International Women s Day echoes a word for transforming the lives of women with a bold determination not just on papers but in reality to support the women all around the globe. Many working women have sad tales to tell as they are exploited at a very high level, and they actually lead a stressful life in comparison to their male counterparts.

So, the spotlight this year is to fight against the injustice that most women face every day and to bring about a change that will be remembered for years and will outshine the lives of such women who devote themselves for the livelihood of their families.

Join a campaign, embrace your inner activist and empower the women in your life...

The #TimeisNow To-

Raise your voice
Support each other
Share the workload
Get involved
Educate the next generation
Know your rights

#TimeIsNow - This International Women's Day, Empower The Woman In Your Life! 

Depression is more than just feeling low or down. It is a serious illness that is caused by various changes in the brain chemistry. There are a lot of factors that cause depression, which range from genetics to change in hormone level, stress, grief, medical conditions and other life circumstances. All these can lead to depression and that is something which does not go away on its own. However, there are a few efficient ways through which patients can deal with depression. These are as follows:

Exercise: Taking a brisk walk for fifteen to twenty minutes every day can be very healthy, not only for your body,  but also for your mental health as well. Dancing, jogging, cycling and yoga are alternatives as well. Although, people who are depressed might not feel like doing any of those things, but one should try to do them anyway. Once a person gets into the exercising routine, they will start noticing the change in their mood. Deep breathing, yoga exercises and meditation can also help people feel better and less depressed.
Anti-depressants: Three brain chemicals that are responsible for handling your mood are norepinephrine, serotonin and dopamine. During depression, the brain circuits that make use of these chemicals stop working properly. In this case, antidepressants can be very useful. These tweak the chemicals that run through the brain and help improve your overall mood.
Psychotherapy: It is a method through which therapists find out a person s everyday stressors. This therapy is a powerful treatment for depression. Combining psychotherapy with medications can be even better and more effective. This also makes the symptoms easier to take. When a person talks about his feelings and problems with a stranger, it can help him or her release certain amount of stress.
Social support: Talking to a friend or attending group therapies has proven to be beneficial. However, it is important that the person you talk to is someone who you will feel comfortable around. Therefore, it could be someone you know or someone who empathises with you. This is possible either with your close ones or group therapies where the people you talk with, have been going through the same problem you have.
Meditation: Calmness and meditation can help you channelize your positive energy and thoughts over the negative ones. It can help a person see new perspective, develop forgiveness and compassion. Much like exercise, meditating briefly can help you gain immediate effects. It helps a person get over depression. This happens over time. One might not be successful in releasing their stress at once. It is a process that takes time.
The treatment that you get for your depression will depend on the kind of depression that you have. Some might get psychotherapy while others might get antidepressants or for some, exercise could be enough. 

Depression - 5 Ways to Deal With It!

Don't wait any longer, manage your Major Depressive Disorder online with a Lybrate doctor today

Consult for Major Depressive Disorder - Online and Easy!

FilterClear All

COMMON SPECIALITIES

COMMON ISSUES