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?

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

Role of relationship problems in depression and suicides - 
Almost everyday we read about people ending their lives by committing suicides from celebrities to common man to even children . Although this is not permitted in any religion and there is a legal debate on whether it should be legalized, the fact remains that people are driven towards this unfortunate step. Let's take a look at the common reasons for suicides to become so very common.

1) Lack of intimacy- We see that although we are surrounded by people most of people are having friends only on Facebook. Even among the people we interact everyday nobody wants to open up with anyone or allow you to open up with them.The fact that you are surrounded by people who don't share themselves with you intimately starts pulling your mind downwards. Work colleagues are bothered only about work, family is only bothered about the income you are generating, partners are obsessed with how much you can spend on them, friends are occupied with what benefits you can share with them. Therefore all in all, despite having all relationships, people feel left out and alone like as if their inner self has been left unwanted and uncared of. The monotony of mechanical life hastens the culmination of this abuse into drastic steps like suicide.

2) High demands- People are often left to fend with high demands from them from their social circle. Many people cannot attempt this and some who attempt are not able to make it. This leaves them with a feeling of failure which is often frowned and looked down upon whether it is a student or a professional. It is no surprise that today even below 10 years olds are successfully attempting suicides.

3) Inappropriate planning- Planning is a key necessity for successful results whether it is financial or relationships. but unfortunately many people are unable to obtain the correct know how which will enable to implement their plans successfully.

4) Inability to cope- Many people plan to do things but are unable to cope with the harsh realities that come with the plans. To some it may be unseen to some unbearable. So although they set out on doing something the journey is not what they had expected.

5) Lack of results- Sometimes although everything is planned well, executed well and completed well it does not fetch us the rewards that may seem appropriate to the level of efforts. This is something that is very difficult to deal for most people and is a result of many unfortunate casualties.

6) Lack of desire-It is very important to have something to look forward to in life. But unfortunately in an age where drinking water and using the toilet cost s money many people cannot think of having something to look forward to and hence this unfortunate step.

Therefore, you have to be very prudent in what we are doing today because we can never predict which way our lives may go and even importantly which way you may yourself go based purely on circumstances beyond our control dependent on the choices we make today or others make for us. Although suicide is not a sensible solution to any problem it does remain a common reality. If you are feeling suicidal please remember to seek help.

Please feel free to consult me privately for further assistance.

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Health Tip - Role of Relationship Problems in Depression and Suicides

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?

Depression is recognized as a mood disorder characterized by the prolonged feeling of sadness and loss of interest in otherwise regular activities. The symptoms include loss of sleep and appetite, loss of interest, persistent feeling of sadness and lowered self-esteem. These symptoms should last for a minimum of 4 weeks for the individual to be diagnosed with depression. Sometimes, at its later stages, depression can also be accompanied by suicidal tendencies.

How it can be treated?

Role of anti-depressants: Depression has become rather common in the present day scenario. The treatment varies from prescription drugs to therapy. People who have depression are usually given mood enhancers and anti-depressants. Antidepressants are medicines used to help people who have depression. With the help of these depression medications, most people can achieve significant recovery from depression. Most antidepressants are believed to work by slowing the removal of certain chemicals from the brain. These chemicals are called neurotransmitters (such as serotonin and norepinephrine). Neurotransmitters are needed for normal brain function and are involved in the control of mood and in other responses and functions, such as eating, sleep, pain, and thinking. Antidepressants help people with depression by making these natural chemicals more available to the brain. By restoring the brain s chemical balance, antidepressants help relieve the symptoms of depression. Specifically, antidepressant drugs help reduce the extreme sadness, hopelessness, and lack of interest in life that are typical in people with depression. However, these are but short-term solutions to depression and don t necessarily cure the individual completely. For the treatment to be effective, the drug intake must be combined with therapeutic techniques to solve the problem at the root level.
Therapy: Different therapeutic techniques are used to treat depression depending majorly on the individual, the cause of depression and general history and state of mind. Research suggests that client centered therapy and cognitive behavioral therapy are a good start with an average case of depression. The therapists usually incorporate several other methods based on the client s need to get maximum effect. Adlerian techniques, where individuals are made to comprehend the thoughts and emotions which influence their lifestyles and adopt a more productive and positive way of life, are rather helpful with most clients who suffer from depression.
Note
Depression is a fairly common mental health disorder today, affecting a large population. Depression must be acknowledged as a proper mood disorder and not just a passing phase. It is completely curable with proper medicine and therapeutic sessions. The individual is able to move over the feelings of unhappiness and lack of interest with proper care and acceptance from loved ones in addition to therapy and the drugs, of course.

Depression - Is it Curable?

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

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