Depression, or major depressive disorder, is a mental health condition marked by an extended sense of sadness and despair that affects how a person thinks, feels and functions. It affects the way you think and brings about changes in your physical and emotional self. In severe cases, depression makes it extremely difficult for you in carrying out your daily activities. Yes, the condition may significantly interfere with a person's daily life and may prompt thoughts of suicide. There is no instant cure for this disorder; rather it requires a more long term approach to treat this disease.
Symptoms-
The symptoms of depression are:
Feeling of emptiness and sadness.
Violent outbursts of anger.
Disturbances in sleep patterns, resulting in insomnia in few cases.
Constant tiredness and fatigue.
Constantly agitated and anxious.
Drastic changes in your appetite (usually appetite decreases).
Physical problems such as headache and back pain.
Constant feeling of worthlessness and guilt.
Recurrent thoughts of suicide and violence.
Causes-
Although scientists agree that depression is a brain disorder, the debate continues about exact causes. Many factors may contribute to the onset of depression, including genetic characteristics, changes in hormone levels, certain medical illnesses, stress, grief, or substance abuse. Any of these factors alone or in combination can bring about the specific changes in brain chemistry that lead to the many symptoms of depression, bipolar disorder and related conditions.
Treatments-
Psychological counselling and medications are the preferred treatment alternatives for depression. The medications that are used to treat depression are antidepressants and serotonin reuptake inhibitors. It is important to consult a psychologist before opting for any treatment procedure. The doctor will carry out a thorough diagnosis and then prescribe treatment accordingly.
Psychotherapy is another treatment process that is used to treat depression; this involves you talking about your condition to a doctor. It can help you find better and feasible ways to find solutions to problems and set realistic goals in life.
Electroconvulsive therapy is another mode of treatment that uses electric currents to modify the functioning of the neurotransmitters.


Symptoms and Treatments of Depression

We all have those days when we seem to have hit an all time low. We feel bad, sad, mad, and there seems to be no light at the end of the tunnel. However, this is a temporary, passing phase for most of us. But for people with depression, this is not the case.

Chronic depression, which is more common in women than men, can arise due to different reasons. Major life changes, marital issues, relationship issues, financial problems, chronic medical problems, death of loved ones, life stressors, weather changes, etc. can lead to depression.

This leads to prolonged periods of sadness, feeling of emptiness, loss of interest in activities which were normally pleasurable, irritability, sleeplessness, loss of appetite, weight gain, worthless and hopeless feeling, and feeling of doom. This can result in dejection, social withdrawal, poor performance at work/school, and an overall declining quality of life.

In most cases, there is usually a past, unpleasant experience which leads to depression. This could be different for different people, depending on their tolerance. While some may go into depression over minor relationship issues, for others, it could be as severe as sexual abuse in the past.

Ayurveda recognizes  sadhaka agni  as a fire that helps a person to digest trauma. People with a strong sadhaka agni have a higher tolerance and take more time to get depressed compared to people who have a weak fire in them.

The following are some simple changes that can be very useful in overcoming depression.

Meditate for about 20 minutes every day.
Realize and practice detachment. Most people with depression have a loss of something they were closely attached to. Realizing that nothing in life is permanent and letting it go will play a major role in feeling better.
Get a sound, restful sleep. Stick to a routine by going to bed and getting up at the same time every day.
Walk out in the sun and get a good dose of sunlight. Add exercise to sun exposure to feel elated and upbeat about life in general.
Exercises such as yoga, walking, and cycling also are useful in improving overall balance and health. A healthy and fitter body definitely leaves one in a better mood.
Eat healthy food. Avoid packaged, canned, and processed food. Include a lot of nuts and seeds in your diet, be it roasted or soaked.
Try mood uplifting food items like black pepper, dry ginger, turmeric, amla, cloves, and cardamom.
Herbs like ashwagandha, shatavari, brahmi are highly useful in curing depression. They also treat fluid balance, govern energy and creativity in the body, improve metabolism, and clear toxins.
Ayurveda believes in not just making one feel better, but improving his/her overall well-being by getting to the root of the issue.

Depression - 8 Steps To Help You Get Rid Of It!

Is depression eating you up from within? are you facing severe emotional meltdown? emotional disturbances can ruin your life and this is why you have to look for the best preventive ways. You can have a consultation with any counsellor so that you can share your problems. Your counsellor will definitely help you to get some potential way out. 

Best ways for preventing emotional meltdown:

 Detecting the signs: the actual signs of emotional meltdown need to be detected and then only you can get rid of the same. Both your facial expressions and behavioural changes are to be observed carefully as these will help you to detect the signs. If you are remaining silent for most of the times, then there is something going on in your mind for sure. 
 Early intervention: you should rely on your intuition or sixth sense so that you can sense the troubles you are going to face. You should have a good observation power so that you can sense things easily. Remain quiet and calm so that you can take the right decisions. 
 Living well: you need to choose a completely healthy way of living, otherwise you will never get freedom from emotional troubles. Do not think much about past incidents, rather you should look forward so that you can go ahead. You should develop only positive mentality in order to discharge your duties in a perfect manner. Remain happy and keep everybody happy and then only you will be able to get the actual essence of life. Healthy eating and good habits are also needed so that your life can become more lively and refreshing. 
 Have proper communication: if you think that your friends or family members are pretty reliable, then you can openly communicate with them. This would help you to get mental relief and relaxation. If you open up your emotions and share them with anybody, then you will feel relaxed and your mind will be calm at all times. 
 Have counselling: it is not always possible to share all your secrets with your loved ones and this is the reason you have to look for the most reliable option. You can go for thorough counselling, and this can help you to get rid of depressing thoughts and other mental troubles. In this case, you have to look for the best counsellor in your locality so that you can disclose all your hidden secrets.

How to Prevent an Emotional Meltdown?

For human beings, the body is considered the temple, one that they strive to keep fit and in shape. In fact, the plethora of ailments, which people complain of suffering from, almost always deal with their physical health. In this over engagement to restore the physical health, the well being of the mental health is never considered. However truth remains that the health of the mind is equally if not more important and must be given its share of priority. With the growing age and times, depression has emerged as a gnawing problem, one that is plaguing individuals indiscriminately and one that must be eradicated as soon as possible. 
Some of the ways to combat this fatal ailment are: 

1. Exercises 
Everyday a bit of exercise not only keeps the body fit and healthy, but also goes a long way in easing and calming the mind. You need not indulge in strenuous exercises, but must make it a conscientious habit to work out a bit daily.

2. Talk to people
Though depression makes one inexorably quiet and silent, the first thing that is prescribed as a remedial measure is talk to people. Engaging in conversations with people, telling them what exactly is troubling you are proven ways to combat depression.

3. Meditate 
There is no better way to treat mental ailment than meditating.  When you suffer from depression, your body undergoes severe conflict. Meditating not only calms the mind, but also soothes away the worries.

4. Develop a support system
Depression is almost always followed by an unfathomable sense of loneliness. Talking to others does help, but at the same time try to develop a support system. Find an individual, be it parents, relatives or friends and confide in him or her. Not sharing what you are going through is never a solution and only exacerbates the fatality of the situation.

5. Change the daily routine
Monotony is never exciting and it is only time, before the humdrum of life gets to you. Changing the daily routine and incorporating something new and exciting go a long way in recuperating you from the mental dullness and fatigue.

Tips to Combat 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

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?

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