What is dangerous depression after a heart attack: the impact on rehabilitation

Posted on June 4, 2019  in Uncategorized

If an artery that supplies blood to a specific area of ​​the heart muscle is blocked for a relatively long time, a heart attack occurs. This is a serious condition associated with ischemia and necrosis of a part of the myocardium – a muscle that actively contracts and pumps   blood   on the body. If a small area has suffered, the death of the myocardial region does not lead to death, but it significantly affects the health and subsequent life of the patient. He needs long-term rehabilitation to recover as much as possible after a heart attack, but the development of depression can be a serious problem. Mental health disorders can complicate the recovery process and even pose a risk of re-attack in the near future.

Artery occlusion and its consequences

The myocardium is a functionally active part of the heart that continuously contracts in a strictly defined rhythm to ensure the blood supply to all tissues and organs. For constant activity, the myocardium needs a lot of oxygen and glucose to get energy for work. Therefore, the heart has its own circulatory system – a network of coronary arteries that feed the organ. Along with other vessels of the body, the coronary arteries also suffer from atherosclerosis, they form plaques, partially narrowing the lumen, which causes poor blood supply.

If the artery is completely blocked, a certain area of ​​the myocardium is left completely without oxygen and nutrition, due to which tissue necrosis is formed. Fortunately, a heart attack does not always kill. Rapid treatment, such as a stenting procedure (the affected artery is opened by a stent) or bypass surgery (workarounds for blood in the area of ​​the affected artery), may limit the area of ​​damage. In this case, the heart attack will not be so extensive, which makes the prognosis more favorable.

What is dangerous heart attack?

The development of a heart attack can reduce the ability of the heart muscle of a person to pump a sufficient amount of blood into the aorta, leads to serious impairments in health due to circulatory disorders and has a profound effect on a person’s mental state. Patients who have suffered a myocardial infarction, say that they no longer feel invulnerable and full of strength, they have a fear of death. So, the very real threat of death can induce a person to make the necessary changes in lifestyle – to quit smoking, play sports and reconsider his usual diet in order to lose weight. But a heart attack is also a serious psychological stress, shock, and in order to embark on the path of recovery, you need to talk about pep and a special mood. Unfortunately, in some patients after a heart attack develops   depression, which can significantly complicate the rehabilitation process.

Why does depression form?

For many patients, significant limitations in the life of a postponed heart attack and the threat of its recurrence become a strong stressful event, which leads to an increased level of anxiety, negative emotions and depression. According to statistics, the level of depression after a heart attack is very high, ranging from 20 to 40%.

The exact cause of this phenomenon, psychiatrists can not determine, it was suggested that this is the reaction of the psyche to a very life-threatening complication. The timing of the onset is different, but it is characteristic that without treatment, depression can last for many months or even years after a heart attack, adversely affecting the health of the patient and increasing the risk of recurrent ischemia. Some researchers suggest that inflammatory or neurohormonal changes that occur during   heart attack can also be part of a cascade of events leading to the development of depression.

If the average prevalence of depression in the world ranges from 7-8%, then among people who have suffered a myocardial infarction, severe depression occurs in 20-25% of cases, that is, three times more often.

Problems of rehabilitation of patients with depression

In addition to the deterioration in the quality of life associated with both the heart attack itself and the accompanying mental disorders, the development of depression can seriously inhibit recovery and the rehabilitation process. So, depressive disorders reduce the likelihood that a patient will take prescribed medications or make recommended changes in lifestyle, for example, to eat better. Because of this, rehabilitation is delayed, the risk of complications increases, including the repeated ischemic attack, which can be fatal.

People who are in post-infarction depression may feel hopelessly ill and helpless, and often believe that rehabilitation will not help them. Because of this, they show less initiative, refuse to take drugs and activities that would help their recovery. In addition, patients who are depressed often eat foods that are high in carbohydrates to feel better (seize stress), such habits after a heart attack are dangerous to gain weight and increase blood pressure, which increases the risk of a repetition of the tragic scenario. Such behavior certainly will not help rehabilitation after a heart attack, but only harm.

Post-infarction health conditions and risks of deterioration

It has long been known that depression negatively affects human health and is one of the risk factors for the development of cardiovascular diseases. Patients suffering from neurosis, having increased anxiety and signs of depression, regularly note a deterioration in the state of somatic health.Often detected arrhythmia, hypertension, headache, shortness of breath and other unpleasant symptoms. All this negatively affects the state of the heart and threatens to have a heart attack. Therefore, preventive measures and treatment of depression are important in order to prevent dangerous complications.

But if this is a patient who has already had a heart attack, his post-infarction depression doubles the risk of recurrence, while the risk of death after a second heart attack is 50% higher. Therefore, care about your own mental health should be no less active than physical rehabilitation. However, many physicians who observe people in the rehabilitation period overlook this risk factor, for the most part deal only with the problems of the physical body, rather than mental health.

Some people need to talk with a psychotherapist and non-drug therapy to eliminate post-infarction depression so that their condition improves, others need medications or a combination of them with psychotherapy. In addition, it is important to help patients return to normal life as soon as possible with minimum restrictions. Own helplessness and a number of prohibitions and restrictions also adversely affect the psyche.

Can a blood test reveal depression?

Posted on May 31, 2019  in Uncategorized

Can that   blood test   one day reveal depression? Scientists believe that this is quite possible. Moreover, active studies are being conducted on certain markers in the blood plasma, the change of which with a certain degree of probability will indicate the presence of depressive disorders. The problem is quite serious – the patient feels sluggish, his appetite is disturbed, and the sleep pattern is significantly affected. He is either constantly drowsy or suffering from insomnia. The head is clouded by worries and sad thoughts, and emotions are a mixture of hopelessness, self-hatred and guilt.

Depression and its diagnosis: development prospects

If a patient has a whole complex of complaints, including both problems of mood and emotions, guilt and anxiety, and disruption of the internal organs, sleep and appetite disorders, discomfort in different parts of the body – this can be a serious depressive disorder. Today, depression is diagnosed based on   there are complaints and some objective signs, as well as answers to the doctor’s questions, there are no laboratory tests and blood tests that detect this pathology. But scientists believe that the appearance of such a study is quite possible, and blood taken from a finger or a vein, in a few years, will help identify depression, along with somatic disorders.

Blood test in the diagnosis of depressive disorders

Although it looks surreal, the appearance of a blood test, which could determine depression based on the deviation of certain indicators, is quite possible in the near future in the practice of doctors. Researchers at Northwestern University recently announced that they have developed a blood test for screening for depression, and after all the necessary studies that determine the accuracy and clarity of the results, they are hoping to gradually put it into practice. According to them, an objective clinical diagnosis can help doctors accurately determine whether a patient is depressed or has other disorders. Besides,   A blood test can also help identify people who are prone to depression, even if they do not yet have any emotional or physical symptoms. This will allow doctors to apply certain types of prophylactic treatment for individuals.

What will blood show?

A study published in the Journal of Translational Psychiatry compared blood samples from 32 adult patients with clinical   depression   was diagnosed with the traditional method, and 32 people who had no signs of depression. The samples analyzed the levels of nine blood biomarkers – molecules that help process the genetic DNA code and translate commands to the body. It was found that blood in patients with depression had an altered level of these molecules.   it   the discovery can help clinicians detect the presence of depression in a more comprehensible way, reducing the degree of subjective assessment. Not always the patient himself can accurately and clearly describe his emotions and sensations, does not always attach importance to some symptoms, while blood taken for analysis can show more precisely whether there is a problem or not.

Difficulties of evaluation: emotions, malaise, appetite

Depression, like many mental health problems, is today diagnosed mainly on the basis of nonspecific symptoms — those complaints and symptoms that the patient reports or that the doctor identifies during the conversation. Experts evaluate bad mood, negative emotions, motivation, sleep changes, appetite disturbances. But these symptoms are common to many mental disorders, and can also be manifestations of many others – somatic, endocrine and even infectious diseases. Thus, the presence of a screening test that can be used to more accurately detect depression can make a huge difference in treatment.

Depression is often misdiagnosed or not detected at all for many reasons. On the one hand, patients often underestimate their emotions and feelings, do not report some complaints, or cannot fully explain their symptoms. In addition, the district physician may simply not have the experience or training to properly evaluate the patient’s complaints about a serious depressive disorder. Often, to identify depression you need a long conversation, filling out a questionnaire and finding out so many nuances, practitioners often simply don’t have time for this.

Sleep problems, pain, malaise

It is no secret that patients with potential mental disorders often have physical problems, those that are more visible and require the attention of a physician. The predominance of complaints of a somatic nature, when sleep is disturbed or appetite is disturbed, body weight changes dramatically, or pain occurs in certain areas, leading to the fact that problems of negative emotions and mental deviations fade into the background. Therefore, an accurate diagnosis can be determined many months after the onset of pathology. But the longer the depression is not detected and not treated, the harder it is to treat it later. Sometimes, if the patient complains of poor sleep, constant fatigue and unwillingness to do anything, doctors look for more objective reasons for this. A laboratory test can speed up the diagnostic process, plus, equally important, the clinical, unbiased nature of the test can help eliminate diagnostic errors for mental illness.

One of the interesting aspects was that cognitive-behavioral therapy changed biomarkers in the blood. All patients in the “depressive” group worked with a psychotherapist. Four months later, the examination and blood test was repeated. Patients noted the elimination of depression; sleep, appetite returned to normal, depression and negative emotions disappeared. At the same time, they also observed changes in their DNA markers, indicating that the treatment worked. However, three of their biomarker levels still differed from those in the control group. Scientists suggest that some people may be genetically more susceptible to depression than others.

Bad mood: how dangerous is chronic depression?

Posted on May 27, 2019  in Uncategorized

How often do you notice a bad mood? This is not about a temporary breakdown, but a constant feeling of oppression and discontent, which invariably accompanies a person regardless of physical condition, weather, work or life. Most of us write off such a mood for everyday problems, lack of finances, weather, blockages at work, personal problems. But few people suspect that these are signs of a serious psychological disorder bordering on depression. This condition is called dysthymia. How to recognize it and how to help yourself .

What is dysthymia

Depression is a mental disorder characterized by poor mood, chronic fatigue and apathy, decreased physical and mental activity. According to WHO statistics, it occupies one of the first places among the reasons why people do not come to study or work. The worst thing is that part of the population, prone to depression, partially or completely loses working capacity.

Today, doctors no longer consider this disease as exclusively psychological, but are classified as systemic pathologies. Prolonged depressive state negatively affects the work of internal organs, metabolic processes, causing their oppression and dysfunction.

There are about ten types of depression, classifying them according to the features of the clinical picture. A condition that is characterized by a chronic course (at least two years) with less severe symptoms of depression is called dysthymia. According to statistics, about 68% of the population aged 13 to 75 years suffer from dysthymia. For the first time this term was used in medical practice by the doctor of medical sciences, psychiatrist Robert Spitzer, replacing the diagnosis of “neurotic depression” with them. Dysthymia is also called a permanent depressive disorder, because its main feature is the duration of the condition.

How is depression diagnosed

Depression, like any other disease, cannot be diagnosed and treated on its own. Confirm or refute the diagnosis can psychotherapist after collecting anamnesis.

The diagnosis is confirmed, if for two years or more, a person complains of depressed causeless mood, and such   depression   accompanies him most of the time. Against the background of depressed mood, insomnia, or hypersomnia, appears, characterized by excessive sleep at night and often repeated daytime episodes. The appetite of such people is generally reduced, and only 12% have overeating, respectively – obesity. Concentration, mental activity leaves much to be desired: problems arise at work, study, it is becoming more and more difficult to decide independently.There are fears of responsibility, independence, mostly pessimistic thoughts prevail. There is a fine line between dysthymia and depression: dysthymia lasts at least two years, and its symptoms are easily tolerated by humans.

Depression: the main symptoms of dysthymia

Dysthymia is a young disease. It is manifested in children and adolescents, although parents stubbornly associate this condition with transitional age, difficulties at school, or a character trait. In most cases, the person receives the correct diagnosis as early as adulthood. In children and adolescents, dysthymic symptoms are as follows:

  • Low level of physical and mental activity.
  • Reluctance to talk.
  • Lack of concentration, memory impairment.
  • Causeless tearfulness.
  • Loss of interest in toys, books, other activities.

In adults, the state of depression is complemented by several characteristic points:

  • Self-criticism (more comparable to self-flagellation) regarding their physical data, mental abilities, position in society.
  • Feeling of inferiority.
  • Fear of the simplest household problems.
  • Pessimistic mood for the future.
  • Guilt for some deeds from the past.
  • Loss of interest in lovemaking, decreased libido.
  • Social self-isolation.

Symptomatology reaches its peak by the year 21. At this age, you can already determine the type of disease:

  • Somatized dysthymia. This condition is characterized by the main features of depression: feeling unwell, tearfulness, sleep disturbances. Some patients complain of constipation, pain in the intestines and larynx, shortness of breath, rapid heartbeat.
  • The clinical picture of characterological dysthymia is closely connected with the pessimistic infusion, depression, complex loser.

Prevention and treatment of depression

As dysthymia develops at an early age, it is important to speak the same language with the child. Communication culture, care, love and understanding – the best prevention for children and adolescents. Although adults no less need the support of loved ones.

Treatment of depression includes the whole complex: psychopharmacotherapy, psychotherapy, folk remedies. Immediately, we note that people in the state of this form of depression do not need hospitalization: they do not pose a danger to others, and they have no thoughts of suicide.

Drug treatment for depression consists in taking traditional tricyclic antidepressants. This is the best   medicine that increases serotonin and norepinephrine, which have a positive effect on the nervous system.

Folk Medications for Depression – Herbs

Many recipes for depression and nature itself. Broths and teas, which have practically no contraindications, are considered effective. Today, they are prescribed in parallel with the medication, achieving a good effect.

Chamomile, mint, lemon balm, St. John’s wort, motherwort and   valerian   – these herbs help to cope with most of the symptoms. Herbal depression treatment has long been practiced. Its main advantage is the absence of addiction.

The process of communication as a remedy for dysthymia

The help of a specialist, child or adult psychotherapist will never be superfluous. Today, more than ten individual and group types of psychotherapy practice. AT   communication process   with a psychologist, heightened self-esteem, self-determination of the meaning of life, the acquisition of interpersonal skills and assertiveness.

Be attentive to your family and friends: a bad mood can be a sign of a serious psychological disorder. Often they are not able to ask for help, and your task is to become a reliable friend and mentor, an assistant in solving problems and overcoming fears.

Ways to not get out of depression

Posted on May 23, 2019  in Uncategorized

Currently, depression is one of the most common forms of mental illness. How is it characterized? The emotional state is depressed and lonely; the person understands that there is no point in his existence. For these reasons, experiencing   depressed   often ends with suicide attempts. An expert can help to get rid of depressive thoughts – communication with him helps to cope with painful emotions, teaches to support oneself.

When a person tries to overcome negative feelings, bring himself back to life, he can look for ways to deal with depression on his own, without resorting to a psychologist.

Sometimes self-medication not only does not bring the desired effect, but can also cause harm to health. What is the psychology of human feelings? What does not help to cope with depressive manifestations? Read this article.

Psychology of Depressed State

The occurrence of depression is due to several reasons. Among them:

  • accelerated lifestyle, professional workload and lack of necessary rest;
  • stay in stress and the inability to get rid of it;
  • dissatisfaction with self and life conditions;
  • experiencing psychological trauma – child or adulthood;
  • the consequences of living grief and loss;
  • emotional turmoil, such as: quarrels, conflicts, experiencing fear;
  • abuse of drugs, alcohol;
  • emotional exhaustion;
  • genetic predisposition;
  • lack of support and care from other people to a person when he is in a difficult life situation;
  • loneliness;
  • central nervous system disorders – diseases that are related to psychiatric abnormalities. Among them: psychosis, a variety of personality disorders, mania, phobias.

If a person does not do anything to overcome depression, then it can “absorb” him entirely, negatively affect not only the emotional state – memory and attention deterioration, increased irritability, lack of objectivity, derealization – but also physical. Running   depression   can lead to disturbances in brain activity, the work of the heart and blood vessels, the nervous system, sleep disorders, and others.

Communication and rejection of it

Sometimes friends and relatives of a person who suffers from depression advise him to communicate more with others, in order not to “leave” dark thoughts, to be distracted through communication. Is this way of dealing with emotional depression so helpful? Depression is the result of experiencing psychological trauma, which means that a person has “live” feelings inside the person, which are characterized by soreness and negative.

If he doesn’t realize them and doesn’t express them — at a psychologist’s reception — then contacts with friends, noisy companies, trips will not help him ease his emotional state.

Feelings should be understood and expressed – so that you can feel something like spiritual emptiness, and then relief.

Tips from others to be a little alone, to limit communication – also will not bring the desired result. Loneliness can be dangerous for someone who has a strong emotional experience, suffers, worries, fears.

Habit ignore depression

“Do not pay attention” – friends can say, when they see that a person is experiencing heavy emotions, “confused” in life, he is not happy with himself.   Habit   to ignore depressive symptoms does not mean a caring attitude towards oneself, but, on the contrary, that a person is trying to pretend that nothing happens to him. Thus, depressed people “abandon” themselves.

Attempts to ignore depression, “hold on” with all our strength, so as not to show pain, tears, dissatisfaction, can lead to the fact that the emotional state worsens.

Depression, no matter what its nature, requires a compulsory visit to a specialist. In individual work with a psychologist, a person gets the opportunity to meet with himself and his “face to face” emotions, understand what is happening to him, what are the causes of emotional reactions, and become aware of a traumatic experience. After some time working with depression, living grief, loss, shock, there is the realization that everything can be changed for the better – a person begins to understand that his life is in his hands and, despite difficult or unpleasant events, he always has a chance something that is amenable to change.

Hobbies, entertainment and work

“Going headlong” into work, practicing hobbies, and having fun are methods that people often use when trying to overcome feelings of pain and frustration. This approach to treating depression and self-help is extremely ineffective. Avoiding emotions, consciously abandoning one’s inner state, trying to redirect consciousness to another direction do not bring relief – this is indicated by the psychology of the personality.

As a rule, this leads to the fact that a person, more and more often, becomes irritable, sensitive, can cry over trifles, sharply reacts to any criticism of himself, takes everything to heart, feels inferior, untenable.

As practice shows, avoiding the feelings and the habit of “not thinking about the bad” ultimately leads to an increase in depressive thoughts — there is a sudden awareness of the complete meaninglessness of existence, immersion in apathy.

Distractions such as work, hobbies, fun pastime can be useful if they bring sincere joy, help a person to understand and understand the information relating to his personality, behavior, relationships.

Hobbies such as creativity, proper rest in a new, pleasing and pacifying atmosphere contribute to improving the emotional state, but only in conjunction with the psychotherapeutic work on oneself.

Getting out of depression alone is almost impossible. A psychologist will provide powerful support in a difficult life period of a person, will make it clear that he is not alone, will teach you to rely on yourself.

Prevention of depression – a myth or reality?

Is it possible to predict the appearance of depression? Life and events that occur in it can be unpredictable, therefore, no one is immune from sometimes not “falling” into depressive thoughts and feelings.

However, everyone is able to lead a way of life that will help increase emotional stability, be well aware of their role in life, understand feelings, control behavior. In such cases, the predisposition to depression decreases.

For this you need:

  • follow a full sleep and rest;
  • eat right;
  • communicate with positive people;
  • leave a place in life for joy;
  • do what you love;
  • understand the psychology of their feelings;
  • meet personal needs;
  • strive for optimism.

Autumn depression: how to help yourself?

Posted on May 19, 2019  in Uncategorized

“It is a sad time, eyes of enchantment …” – autumn is perhaps the most romantic time of the year. I want to bury myself under a warm blanket with a cup of hot chocolate and a little sadness about the past summer. And, nevertheless, many people at this time are covered by such a characteristic phenomenon as the autumn   depression. At first glance it may seem that this condition is a manifestation of weak character and inclination to hypochondria. However, autumn depression occurs for very specific reasons that are easy to explain in terms of physiology. What are the main symptoms of this condition, its etiology and how to help yourself if life is not a joy?

Causes of autumn depression

In autumn, the daylight becomes much shorter, especially the inhabitants of the northern regions, the Polar region, feel this. In December, the sun may not show at all in some localities of our country: enlightenment comes for a few hours, and darkness surrounds most of the day.

For a person, sunlight is as vital a necessity as water and food. After all, under the action of ultraviolet rays, the brain produces a hormone   serotonin, which affects mood. Its sufficient synthesis provides a positive attitude and vitality. Reduced production leads to a depressed mood, so the dark season is the cause of this condition.

In addition, the emotional background is influenced not only by the amount of the hormone serotonin, but also by the protein content that transports it. And it also depends on the length of daylight.

Natural production of serotonin and transport proteins is genetically determined, that is, there are a number of people from whom it was initially reduced. They are prone to depression at any time of the year, and the likelihood of autumnal deterioration in mood is particularly high.

Symptoms of autumn depression

Suspect the symptoms of autumn   depressed   anyone can and for this he does not necessarily need expert advice.

The probability of this condition is very high if a person has a combination of several symptoms:

  • Constant drowsiness during the daytime, night sleep is not refreshing, after waking up a person already feels tired.
  • Reduced motivation, interest in life and familiar activities, apathy.
  • Nothing brings pleasure: neither communication with a loved one and friends, nor work, nor activities with children.
  • Change in appetite: some people completely lose their appetite, while others spend the whole evening at the fridge.
  • Distraction, reduced concentration, inability to focus on one case.
  • Reduced self-esteem, increased guilt, own worthlessness, uselessness.
  • The emergence of suicidal thoughts.
  • The feeling of anxiety, the approach of something terrible, baseless experiences.

Depending on the severity of these symptoms, autumn depression can be mild, moderate or severe. The appearance of a suicidal mood is a dangerous symptom that requires mandatory consultation by a specialist (psychiatrist, psychologist, psychotherapist, psychoanalyst).

Food in the fight against autumn depression

Autumn depression of mild and moderate degree is quite amenable to correction with non-drug measures. The main means of raising the mood, no doubt, are certain foods.

Many people know that sweet food, in particular chocolate, helps to get rid of any blues. The reason is that it is a natural donor of the hormone serotonin. A few cloves of bitter chocolate can be the best antidepressant. However, one should not understand this advice literally: if you consume a whole tile every day throughout the fall, then by the winter you can gain a few extra pounds. As a result, by the New Year, a complete stranger will look at you from the mirror, which will only aggravate the depressive mood.

In addition to chocolate, there are other foods that help fight the autumn depression: bananas, dates, dried fruits, flour. It is also worth enriching your diet with protein foods: they help to accumulate energy for the cold winter and to maintain strength to fight infectious diseases. Therefore, in the autumn it is necessary to eat meat products, fish and other seafood, nuts, cottage cheese, cheese, eggs.

Another great helper in the fight against autumn depression is grapefruit. It is said that all citrus fruits contain a large amount of vitamins of group C and B, therefore they are very useful in the fall. However, it is the grapefruit that affects the exchange of serotonin, is a low-calorie product, so it does not harm the figure. Besides, it’s just delicious!

How else can you help yourself in the autumn depression

Fighting autumn depression is important and necessary, because autumn is an important period: the beginning of the school year, many different activities at work. Therefore, it is not necessary to fall out of life because of this temporary blues. How else can you handle this seasonal condition?

  • Additional lighting in the apartment and at work.

This item is extremely important, because under the action of light in the body, the hormone serotonin is produced, which is the key to a good mood. You can buy brighter light bulbs, an extra lamp, replace dark curtains and bed linen with light ones. Homely atmosphere should not cause melancholy, but only a feeling of joy, comfort and coziness.

  • Medicinal herbs in the fight against depression.

Black tea and strong coffee are stress-like drinks, as they constrict blood vessels, increase heartbeat, increase pressure. However, the symptoms of depression on the background of their frequent admission can only increase. Broths of linden, thyme, peppermint help to cope with longing, green tea is a great way to calm down and feel the positive mood.

  • Physical activity.

The best fight against melancholy is playing sports. Any kind of physical activity gives vitality, improves mood. In addition, contemplation in the mirror of your own figure with a relief press, slender legs and beautiful buttocks – this is the best antidepressant!

  • Increased sleep duration.

Naturally, if the window is constantly dark, then you want to sleep all day. You should not resist your body, because he always feels that he is better. The duration of a night’s sleep should be at least 7 hours, but in the fall and winter it can be increased to 8-9.

  • More humor!

Try not to go into viewing melodramas, after which you want to cry. Humorous shows, comedies, light reality shows help keep a good mood.

Are there cures for autumn depression?

If all of the above methods do not allow to cope with the autumn depression, life has lost all meaning, and even suicidal thoughts arise, then consultation of a specialist in mental problems is necessary. Sometimes simple communication with a competent psychologist or psychoanalyst is enough to understand: this is a temporary condition that will sooner or later pass.

In the fight against autumn depression, as a form of depression in general, special   medication. They belong to the group of serotonergic antidepressants, for example   Citalopram,   fluoxetine, fluvoxamine. These drugs have a number of side effects, so they are sold only by prescription from a doctor. One of these manifestations is a pronounced increase in appetite, which can adversely affect the figure.

Autumn depression is a condition that is seasonal. As soon as light day starts to increase, good mood and joy to life returns to people.

How to deal with depression

Posted on May 15, 2019  in Uncategorized

Depression has an impact on the human body, his thoughts, relationships with others, as well as other areas of life. Manifestations may be weaker or stronger, but there is good news – depression is treated. We will talk further about how to deal with it better in the article.

Signs of Depression: How to Recognize Alarming Symptoms

Depression is manifested in the mindset of a person, his feelings, actions, and body. From the point of view of a change in thinking, the following may speak of the onset of a depressive state.   symptoms:

  • endless reflections, doubts;
  • difficulty concentrating;
  • feeling of hopelessness;
  • self-deprecating thoughts;
  • difficulty making decisions;
  • self-flagellation.

From the point of view of physical manifestation, such changes can indicate depression:

  • unhealthy eating behavior (loss of appetite or increased craving for food);
  • sleep disorders;
  • headaches;
  • pain in the neck and shoulders;
  • anxiety;
  • dizziness;
  • shaking hands, cold hands or hot flashes;
  • chest pressure;
  • feeling of coma in the throat;
  • digestive disorders (such as constipation or diarrhea); causes of depression
  • decrease in sexual desire.

Emotional signs of depression:

  • feeling of despair, hopelessness, despondency, weakness;
  • appearance of fears of the future;
  • feeling lonely;
  • lethargy, lack of interest;
  • emotional excitability;
  • inability to rejoice, feeling of insensitivity and inner emptiness;
  • sense of inferiority and guilt.

Signs of depression in behavior:

  • refusal to communicate with friends, partners, colleagues;
  • detachment;
  • hopeless crying;
  • difficulty or acute reluctance to perform daily tasks (brushing your teeth, preparing food, etc.)
  • neglect or rejection of the hobby;
  • absent-mindedness

The severity and causes of depression: is it worth fighting?

People tend to make mistakes and also take responsibility for them. Unfortunately, not everything in life goes smoothly, and sometimes you have to react to disappointments, injuries and losses. When do unnecessary experiences turn into dangerous pathological depression?

Forms of depression:

  • easy;
  • moderate;
  • heavy;
  • recurrent depressive disorder.

The terms “endogenous depression”, “reactive depression”, “neurotic depression” and “psychogenic depression” are less commonly used by professionals today. The treatment process does not take into account   causes of depression   and a provoking factor, how much is the severity of the condition. After all, only a small proportion falls on the result of a hereditary disorder (for example, bipolar affective disorder), the main cause of most depressions is the lack of mental coping strategies.

Psychological coping strategies include the ability to cope with rejection, criticism, loss, to be able to endure conflicts and solve them, to cope with mistakes and defeats. From improving these skills depends on the outcome of treatment and   prophylaxis   ailment.

The fact that people react differently in the same situation shows that it is not the situation itself that causes depression, but negative thoughts about it.

Genetic depression, such as bipolar affective disorder , and severe depression, need treatment. As a rule, this is done using a combination of drugs in an outpatient or inpatient psychotherapy.

In mild to moderate depression, the victim can help himself.

A psychotherapist’s consultation will be especially helpful in the event of:

  • lack of strength to overcome the causes of depression;
  • inability to concentrate;
  • appearance of memory problems;
  • chronic depression and a sense of hopelessness.

Top Tips for Prevention and Self-Overcoming Depression

Owners of mild or moderate depression to smooth out the situation will help the following tips.

  • More movement. An excellent means to increase the proportion of positive emotions are regular exercise. Especially useful gardening, walking or cycling (at least two hours a week, 30 minutes a day), swimming. A sufficient level of mobility will help improve mood. Achieving all the new results in the performance of physical activity creates a feeling that a person can change the situation, becomes stronger and better. In addition, the extra time in the fresh air will help strengthen your health, giving vitality.
  • Cultivating new perspectives on life and conflict resolution strategies. The main cause of depression is an unjustifiably negative assessment of the situation. For example, when the assessment is much worse than the real situation. In such a situation, a person sees himself in it much more helpless and hopeless, which intensifies the depression. Therefore, it is important to check the truth of their judgments. For example, with the help of a psychologist or independently. To do this, it is important to provide yourself with evidence of the real hopelessness of what is happening, as well as to recognize exactly which actions or thoughts led to its development. After that, try to present the most difficult development of the situation and the way out of it, because more often the unknown scares us. It is important to learn to perceive personal mistakes not as a sign of unfitness, but as an invaluable experience.
  • It is necessary as often as possible to focus on something positive or neutral. Instead of self-typical questions for a depressed person, such as: “Why me?”, “How can I live without …?”, “How can I endure it?”, Etc., others should be asked. For example: “What can I do to change the situation for the better?”, “How did others cope with this situation?”, “When did I cope with this situation before?”, “What helped me then?”, “Who could help me ? “,” What would be good for me now? “.
  • You can break a serious situation into daily mini-goals. In overcoming you need patience, and excessively high expectations reinforce depressive thoughts and feelings. The gradual solution of small tasks on the way to success and reward for them is the best positive motivator.
  • Do not self-resort to taking antidepressants. For the treatment of mild and moderate signs of depression, psychotherapy is more effective than medication. The appointment of medicines is only a doctor. Do not be afraid to seek psychotherapeutic support, as well as live, breathing deeply. After all, only someone who is satisfied with himself can have positive relationships with other people and the world around him.

Hypothyroidism and depression

Posted on May 11, 2019  in Uncategorized

Hypothyroidism is a disease that develops as a result of a decrease or lack of production and   blood   thyroid hormones. The latter produces two main hormones – triiodothyronine and tetraiodothyronine , which are called T3 and T4 for simplicity. “Guides” the production of thyroid hormones thyroid-stimulating hormone of the pituitary gland (TSH). If T3 and T4 become low, then the pituitary receives a signal, and the level of TSH in the blood increases, which stimulates the production of thyroid hormones.

Symptoms of hypothyroidism: weakness, constipation, hair loss

In adults (more often women) hypothyroidism is manifested by fatigue, changes in blood pressure, disorders of the digestive system, excessive sensitivity to cold,   hair loss, weight gain that is difficult to lose, dry skin, menstrual disorder, swelling, as well as weakness, fatigue, reluctance to do anything and depressed mood. These latter symptoms bring hypothyroidism closer to depression, which is also characterized by similar manifestations.

Naturally, doctors and patients are wondering if there is a link between depression and hypothyroidism, and how to distinguish between these two conditions. In addition, they can be combined in one patient. It is logical to assume that before treating depression the patient should check the level of thyroid hormones (with hypothyroidism, the level of T4 is reduced, and TSH is increased), and vice versa – if under the influence of hormone replacement therapy, which is used for hypothyroidism, symptoms of depression do not pass, refer the patient to psychotherapist.

How often do hypothyroidism and depression

The relationship between depression and hypothyroidism has long been identified. Statistics show that depression develops in 40-66% of patients with hypothyroidism. And some experts believe that depression in hypothyroidism is more common than in the general population, regardless of how well hypothyroidism is treated.

Russian scientists conducted a study in which patients with hypothyroidism were asked to answer the questions of the Hamilton test (a questionnaire to detect depression). It turned out that moderate depression occurred in 72.9% of patients with overt symptoms of hypothyroidism. The authors came to the conclusion that the signs of depression are the initial manifestations of hypothyroidism. On the other hand, implicit hypothyroidism is diagnosed in 9–52% of patients with depression.

Signs of Depression Against Hypothyroidism: Anxiety

Depression is characterized by reduced mood, loss of the ability to enjoy life, loss of interest in things that previously could be carried away, decreased activity, vigor, slowed thought processes, decreased performance, decreased attention and memory, feelings of guilt, thoughts of their own uselessness and worthlessness, insomnia or drowsiness. In severe cases, it comes to reluctance to live and thoughts about suicide.

According to doctors, on the background of hypothyroidism, depression is more severe. Often there is the so-called astenodepressive syndrome, when the symptoms of depression are combined with asthenia, that is, weakness, lack of strength. It manifests itself as irritability, tearfulness, and at the same time, lethargy of emotions, lack of initiative , inhibition of physical and mental activity.

Patients with hypothyroidism are also peculiar   anxiety, even panic attacks. They talk more actively about their complaints than patients with depression without hypothyroidism. In the absence of hypothyroidism, patients often have a pessimistic mood, low self-esteem, whereas hypothyroidism is not characteristic of pessimism, but there is a tendency to hypochondria – fear of complications, fear that the treatment will not work.

Treatment of depression in hypothyroidism

Researchers have found that antidepressant treatment is less effective if depression occurs in the setting of hypothyroidism. In a third of patients after the elimination of hypothyroidism, no signs of depression are observed. However, with the addition of triiodothyronine to thyroxin treatment, that is, the actual hormone T3, depression occurred in 90% of cases.

It is important to note that both diseases respond well to treatment, although they are treated differently. And you can get rid of that and the other. If there are symptoms of depression, it makes sense to turn to a psychotherapist who, if the treatment fails, will refer the patient to an endocrinologist to check the level of thyroid hormones. A competent doctor is able to pick up such antidepressants that will relieve the state of depression, if it persists after the treatment of hypothyroidism for three to four months.

The link between depression and hypothyroidism

Some doctors call the thyroid gland the “battery” of our body. With the insufficiency of its hormones, all processes, including metabolism, slow down, thermoregulation is disturbed. Most of all, it is the nervous and digestive systems that suffer from hypothyroidism. It is not for nothing that in case of congenital hypothyroidism in children, in the absence of timely treatment, mental retardation develops. The normal functioning of the thyroid gland makes people energetic, active. And with a lack of her hormones, lethargy, weakness, depressed mood and other signs appear.

Depression, to put it simply, develops with a deficiency in the body of a substance called   serotonin. In hypothyroidism, there is a violation of the metabolism and the production of certain mediators (serotonin also belongs to mediators). Symptoms of depression will overlap with signs of hypothyroidism. But the intake of properly selected antidepressants can get rid of depression, as well as the intake of synthetic thyroid hormones allows you to get rid of hypothyroidism. Thus, both diseases are connected not only by the clinical picture (partially), but also by biochemical changes in the body. By the way, interestingly, an excess of thyroid hormones (hyperthyroidism) can also cause symptoms of depression.

Depression in adolescents: signs, manifestations, symptoms

Posted on May 7, 2019  in Uncategorized

Adolescent depression is not a temporary emotional decline, but a serious illness requiring urgent and adequate treatment. If depression is delayed and goes into a severe form, it causes serious health problems, significantly worsens the quality of life and in the worst cases leads to suicide.According to the World Health Organization, suicide ranks third in the list of causes of death among adolescents in the age group 15–19 years. And in some regions of Europe and Asia, this is the main or second leading cause of adolescent mortality. How to notice and recognize depression in time? What should take   parents to help your child? Let us examine these questions in this article.

Depression in adolescence

Adolescence is a period of emotional instability, strong internal experiences, increased vulnerability to stress factors. Teenagers are keenly aware of even the most insignificant difficulties, they endure every failure with difficulty. They suffer from self-doubt, are too anxious about their body and appearance, often in conflict with their parents, often display irritability, lack of balance, aggressiveness in communication. In favorable conditions, the adolescent manages to successfully cope with the emotional and psychological difficulties of puberty. Under adverse circumstances, age-related emotional instability is transformed into various forms of mental disorders.

The formation of depression in adolescence is influenced by many factors: genetic predisposition, unhealthy family atmosphere, low social status, loss of one of the parents, bullying, etc. Depression is a serious mental disorder that does not go away on its own over time. Depression negatively affects all areas of a child’s life and, if left untreated, leads to such tragic consequences as disability and suicide. The problem is exacerbated by the lack of support from parents. Adults often blame the first manifestations of depression in adolescents on the peculiarities of transitional age and leave the child alone with a dangerous disease.

Depression in adolescents: symptoms

Depressive states   teenagers   Symptoms include:

  • reduced mood, pessimism prevails with a sense of hopelessness and hopelessness, sadness, despondency, acute melancholy;
  • fatigue, loss of strength, lethargy, apathy;
  • irritability, incontinence, anger;
  • tearfulness;
  • loss of interest in previous hobbies;
  • the child throws his studies, his performance at school decreases;
  • self-isolation, thirst for solitude (even for those children who previously differed sociability);
  • chronic anxiety, increased anxiety;
  • sense of inferiority;
  • inadequate guilt;
  • loss of appetite, sleep problems;
  • psychosomatic pains in different parts of the body (back, head, abdomen);
  • memory impairment, reduced concentration;
  • suicidal thoughts.

Some symptoms are mild. Some of them may not appear at all. The presence of depression can be assumed in the event that there is a large part of the above symptoms.

How to recognize depression by teen behavior?

It is quite difficult for a non-specialist to detect the presence of depression, especially if a teenager suffering from this disease tends to hide his condition. But there are several indirect signs that can help parents recognize depression in a child. They are related to the behavior of a teenager.The following behavioral manifestations can signal the presence of depression:

  • Escape from home.

A child can really run away or just threaten to do it. Even words that are not supported by action should be taken seriously. They can not be regarded as manipulation or blackmail. This is an alarming signal, a demonstration of emotional distress, a cry for help, which should not be ignored.

  • The decline in performance.

If a child began to study poorly and began to skip school, there could be many reasons for this: educational overload, problems with teachers or classmates, irresponsibility, laziness, etc. But it could also be a developing depression. This disease is accompanied by inhibition of thinking, memory impairment, inability to concentrate, a decrease in motivation to study and other activities.

  • Insulation, craving for solitude.

With developing depression, a teenager may stop communicating with old friends. He is gradually fenced off from others and shuts himself.   The network of his social contacts is increasingly narrowing. Often a teenager prefers virtual communication to real. In severe cases, he may cease to leave the house altogether.

  • Manifestations of aggressiveness, violent acts.

The aggressive behavior of adolescents testifies to the helplessness, confusion and inability of an immature person to independently cope with their problems. Often aggressive behavior is demonstrated by those adolescents who themselves have been abused. Aggression is manifested in frequent conversations about violence, outbursts of anger, verbal and physical violence. One of the indicators of adolescent depression is self-aggression, self-harm, desire for self-harm.

  • Substance use.

A depressed person often resorts to alcohol and drugs in order to at least temporarily stifle pain, turn off consciousness and escape from unbearable reality.

  • Risky behaviors.

A teenager can deliberately provoke extreme situations in order to get a powerful adrenaline rush and thus switch, temporarily block the symptoms of depression. What is adolescent risk behavior? This occupation of extreme sports, participation in offenses, risky cheeky behavior, dangerous self, walking on roofs, construction sites, etc. This also includes experiments with drugs, smoking, drinking alcohol, self-harming.

Adolescence itself is a difficult period. Almost every teenager tries certain forms of behavior that deviate from established norms. Parents will have to make some effort to recognize depression, and then help the child get out of this state.

What should parents do?

When a teenager manifests   signs of depression, parents often get lost or become more stringent, exert psychological pressure, increase demands on the child, which should not be done in any way. Under constant pressure and strict control, a teenager may even withdraw into himself or go into open conflict with adults, and his painful condition will be aggravated. To successfully resolve a difficult problem, parents need to act as follows:

  • Try to call the child to a confidential conversation. A teenager should be gently questioned about his feelings and anxieties, avoiding notations and not turning the conversation into an interrogation. The technique of active listening used in psychological practice will help to build a conversation correctly.
  • You can not blame the child for weakness, shame him, demand to take himself in hand, cheer up, do not limp. Depression is not a voluntary choice of a person or something contrived, frivolous. She, like any other disease, can not be defeated by willpower. Depression is a serious and insidious disease that requires skilled treatment.
  • Parents need to convince the child that in the family they accept him as he is and love unconditional love.
  • You can not devalue the experiences of a teenager and make fun of his hobbies. To an adult, adolescent experiences may seem exaggerated and groundless, and problems insignificant. But for a teenager, this is not at all the case. In adolescence, even minor difficulties are perceived as global insoluble problems. As for hobbies, parents need to respect the choice of the child, even if from a height of age he seems to them stupid, strange or ridiculous.

If a teenager does not make contact with his parents, he may open up to a specialist. Sometimes children more easily agree to a frank conversation with a stranger than with a loved one. In any case, a specialist will have to turn to: a person who is depressed needs the help of a psychiatrist and a psychologist. Initially, the specialist will make an accurate diagnosis through interviews, testing, testing. Then, medication treatment will be prescribed: antidepressants, anxiolytics, etc. Psychotherapy is required: individual or group sessions.

Eight Depression Myths

Posted on May 3, 2019  in Uncategorized

Today it is no secret to anyone that the tides during menopause exist. And that mood swings and depression are not women’s moods, as some claim, but the concomitant symptoms of menopause.

Climax and depression

According to the laws of medicine   climax   in women occurs after about 45 years. There are diagnostic methods that are almost 100% likely to indicate the onset of menopause – an ultrasound scan and an analysis of hormones. But in most cases, women themselves can make a diagnosis.Irritability, tearfulness, turning into despair, and depression – from moderate to severe – all these symptoms may indicate the onset of menopause. And if nervousness is reinforced by the autumn blues, a short light day, dreary weather and experiences, then it is even worse. And in this case, the quirky female mind begins to invent all sorts of versions on the topic of depression in women and ways to combat it. Today we will present the most common myths and tell you if they have a basis.

Anti-depression foods

They say that sweets help to cope with depression. In fact, the nature of this disorder is so diverse that it is quite difficult to give an unambiguous answer beyond a particular case. Indeed, some people, especially those with a tendency to heightened anxiety, seize depression, absorbing sweet  Food   a lot. And some of them actually help to lift your spirits. These are black chocolate, dates, figs, bananas, which owe their antidepressant properties to the content of tryptophan – the precursor to the hormone of happiness, serotonin. The use of these products helps to relieve tension for a while and calm down. However, a decrease in the level of this hormone is only one of the causes of depression. In the case of chronic stress, the level of stress hormone increases – cortisol, which, in addition to lowering mood, can lead to problems such as weight gain, increased pressure, mental disorder. With a high level of this hormone, a person can form a behavioral stereotype in which food intake becomes uncontrollable and turns into one of the ways to relieve tension, rather than alleviate hunger.

Depression in women develops more often than in men. And blame this climax and PMS

Indeed, depression in women develops more often than in men. But the assertion that only climax is to blame for this does not have scientific evidence. Unpleasant and sometimes painful symptoms of PMS or menopause can spoil the mood, like any other malaise, but it will not necessarily be depression in women.

Many diseases develop amid depression

Such a relationship actually exists. Various somatic disorders can be manifestations of depression. Previously, in the classifications of mental illness there was even such a definition as massed depression. It talked about disorders involving physical pain – headache, heart, joint, and eating disorders (bulimia and anorexia), sleep disorders, and so on. As a rule, such patients receive an appointment with a psychiatrist after other specialists cannot identify the cause of physical indisposition.

Social networking provokes signs of depression

Some people try to cope with the signs of depression through social networking. However, there is an opinion that any trolling or lack of likes for the selfies laid out can aggravate the depression even more. We will not categorically reject such a way of communication. Methods for getting rid of depression can be different, it depends on the nature of the disease and the reason for its development. But in any case, communication, both among friends and online, is a powerful factor that can have not only a negative impact on the human psyche, but also a positive one.

The magical properties of antidepressants

Argued that antidepressants are the best way to neutralize   signs of depression. Indeed, taking antidepressants is one of the steps on the road to recovery. By improving mood, depression medications give a person the opportunity to more adequately perceive the world around him and assess his own state. However, do not forget about the dangers of self. Antidepressants are serious drugs, the uncontrolled use of which can lead to the development of undesirable complications.

Bad mood is depression

It is believed that a bad mood, apathy, lack of desire to do something are 100% signs of depression. And there is no other way out of this situation, except as a treatment by a psychiatrist. This is fundamentally wrong. In fact, the blues, gloom, apathy, bad mood do not always become manifestations of depression. Moreover, in most cases, depressive states disappear without the help of a specialist. This is a mild mental disorder that was triggered by psychological stress. A favorable solution to the conflict or a change in attitude towards the situation destroys the cause of the discomfort and, accordingly, the reason for the experience. As a result, depression retreats. No wonder they say: “Let go of the situation, and it will become easier.”

Depression is a chronic disease

It is said that if a diagnosis of depression was made once, then it will definitely happen again, and not once. Not necessary. It all depends on the cause and severity of the disorder. If there is a genetic predisposition, this probability does exist. However, heredity is not the only and far from the main cause of this condition. And in all other cases, repetition may not be.

Severe depression can be managed without the help of a specialist

It is believed that the treatment of depression, even severe – it is a waste of money. It is better to take a vacation, go to the sea and rethink your life there. The decision will come by itself, and will remove everything as a hand. Such advice is often heard by people suffering from a severe form of the disease. In fact, in severe and moderately severe depression, rethinking of one’s past and future life often occurs in a negative context. Therefore, it is rather difficult to get out of this state without the help of a specialist.

Depression and its effects on the body: sleep and appetite problems

Posted on April 29, 2019  in Uncategorized

If the patient is constantly suffering from muscle pain, sleep disturbances, migraine attacks or digestive problems, he may not expect a diagnosis of depression at all. But there is a chance that   depression   provokes changes in the physical body, even without serious emotional deviations, feelings of sadness or anxiety. And the long-term unrecognized presence of such depression threatens the development of serious somatic, neurological diseases or endocrine disorders.

Signs of depression: not always mood and emotions

A serious depressive disorder is a condition that is characterized primarily by persistent, depressed mood and a lack of interest in life. But many people do not know that depression has a number of other symptoms, and they are not just psychological. In fact, most of the signs that characterize  depression, are physical, that is – it is the signals of their own body. Manifestations range from changes in the rhythm and depth of sleep, appetite fluctuations and a feeling of weakness in the morning, to common body pain, headache and gastrointestinal disorders. Symptoms on the part of the body are so common that their assessment and identification is an integral part of the diagnosis of depression.

But too often during the diagnostic process, the psychological symptoms recede into the background in relation to the physical. As a result, patients and doctors do not realize that the problem in the first place is depression. According to doctors, screening people for not only physical, but also emotional symptoms is important for effective treatment.

Connection of depression with body problems

Doctors can not explain why it is depression associated with many physical ailments, why suffer   body. But along with bad mood and loss of pleasure in life, depressed patients often notice that they experience discomfort in different areas of the body. For example, a lower back or stomach ache. There may also be headache or chronic constipation, diarrhea and other symptoms of digestive disorders. Often, a person develops numbness or tingling in the extremities or parts of the body. The patient will try to detect the source of discomfort by looking for a physical cause, various diseases, such as thyroid problems or low blood hemoglobin. At the same time, a person, however, does not realize that it is not the body that actually suffers, but his brain.

Various pains, discomfort “from the head”

Although there is no single scientific explanation for this series of physical symptoms, scientists know that depression reduces the pain threshold. The brain combines psychology and general physiology. Areas that modulate or regulate mood also regulate pain. If they are out of order due to depression, people may experience pain or even severe pain in different parts of the body. It is also noted that depression causes changes in the vegetative system that can lead to gastrointestinal disorders.

Not all physical symptoms of depression — fatigue, lack of concentration, or intestinal problems — have a definite medical explanation. The exact reasons why people with depression experience pain that feels stronger than usual, or why they suffer from constipation, have decreased activity, are not yet clear.

Search for a disease, not mental problems

Doctors say that when patients experience the physical “side effects” of depression, their first instinctive desire is to see a doctor to determine what is wrong, what diseases they have. Once at the doctor’s office, they vividly describe the physical symptoms, manifestations, respond to a series of clarifying questions, and can undergo laboratory tests. Together with the doctor, they are looking for an easily identifiable physical response – the presence of a specific disease. Often they simply do not mention that they feel depressed, and a busy doctor who does not deal with mental health, but somatic, does not assess their emotional state, except for somatic diseases or infections.

It is quite normal for doctors to examine patients for diabetes, to exclude the development of hypertension and blood pressure surges. Screening patients for depression is not very common. Therefore, if the patient himself in the listing of complaints does not provide several typical symptoms (no interest in life, everything seems gray, apathy, drowsiness) that make up the diagnosis of clinical depression, often the diagnosis is incorrect.

Bad sleep, mood and appetite – this is not the norm!

Even if doctors ask patients if they are depressed, they do not always get a clear answer. Sometimes a person focuses on his pain in the abdomen or back, and cannot mention the poor mood or disturbed sleep accompanying them because he is afraid of the stigma of mental illness. In other cases, patients are simply not aware of the signs of depression and have no idea what they are experiencing. And sometimes they think that this is normal – poor sleep, depression, a feeling of sadness, so they do not mention that their frequent migraines are also accompanied by depression.

Many believe that poor sleep, lethargy or drowsiness – is the result of hard work, failure in the mode or just age. But in reality, sleep problems are often one of the manifestations of depression. Sometimes it is difficult to accurately describe all the sensations that arise, their close intertwining, plus, some patients are simply not so psychologically minded, and it may be difficult for them to turn the emotions that they experience into words. Therefore, they may feel bad, they have a disturbed sleep, mood, but it is easier to say that their back hurts, they feel tired and irritated, than to describe the nuances.

Recognize and treat depression

Does a recurring headache combined with a feeling of indisposition always mean that the patient has clinical depression? Doctors say it is not always clear. Depression is a complex disease, and it presents various symptoms and their combinations. It is difficult to describe the “normal” feelings and depressive. However, there is a difference between isolated pain in the arm, which is probably musculoskeletal, and many of the combined physical symptoms that commonly occur in depressed patients. Therefore, doctors should monitor patients for problems such as pain, irritable bowel syndrome and sleep disorders, and then check them for emotional symptoms to rule out depression.

If physical symptoms are indeed part of clinical depression, the patient is likely to need treatment, exercise, and medication. As emotional symptoms improve, so do physical ones. However, symptoms should be assessed on an ongoing basis. If they do not disappear, another treatment may be required.