Monday, August 26, 2013

" Depression is an illness of mind and body.  Most people have both physical and psychological symptoms, but their exact nature will vary from one person to another.  Different symptoms will be more or less prominent in each person's illness."  (Dr K. McKenzie) "

11)   Signs &Symptoms of depression

The signs and symptoms of clinical depression vary from individual to individual, some people under eat, some overeat; some get insomnia, others excessively sleep; but there are some symptoms common to most.  Many people think you have to be suicidal or can’t get out of bed in order to be depressed, this is not so.   
Depression can vary in its severity from mild to moderate to severe.  In mild depression symptoms are not so severe as those in severe depression and a lot of people with mild to moderate clinical depression can still function, go to work, etc. all be it with a struggle.  So it is possible to be depressed but not appear depressed.  Also to complicate matters further it is possible for a person to be depressed without
knowing it (masked depression) because their symptoms may be mainly physically based.
There are many signs and symptoms of depression; these can become worse as the severity of the depression increases, depending on the severity of the depression some of the symptoms can include
Physical Symptoms
_ Fatigue
_Agitation
_ Pain
_ Muscle aches
_ Low or increased libido
_ Headaches, Migraines
_ Tension headaches
_ Neck ache
_ Low back pain
_ Taking unnecessary risks
_ Withdrawing from people
_ Neglecting self-hygiene
_ Reduced activity
_ Neglecting domestic and family tasks
_ Unable to sleep, early morning wakening or excessively sleeping
_ Weight loss or gain, not due to dieting
_ Feeling of being slowed down or speeded up
_ Gastro-intestinal, constipation, diarrhoea
_ Irritable bowel syndrome
_ Immune symptoms, increased susceptibility to minor infections 
Behavioral  Symptoms
_ Excessive smoking, drinking, gambling, sex; taking recreational drugs, excessive shopping, excessive eating, binge eating.
_ Behaving out of the ordinary, ie shop-lifting, drink driving etc.
_ Slowed thinking
_ Difficulty concentrating
_ Poor short term memory
_ Problems making decisions
_ Ruminating
_ Excessive, unrealistic guilt
_ Thinking we are worthless
_ Thinking we are a failure
_ Low confidence
_ Low self esteem
_ Low motivation
_ Excessive worrying
_ Depressed thinking 
Thinking Symptoms
_ Self-bullying internal self talk
_ Negative, pessimistic thinking about self,
other people and the world in general.
_ Remembering all the mistakes we have made
_ Thinking we are a bad partner, parent etc
_ Thinking we are weak and useless
_ Oversensitive to perceived criticism
_ Suicidal and morbid thoughts
_ Excessive self blame
_ Helplessness/hopelessness
 _ Morbid thoughts about death
_ Irritability
_ Impatience
_ Anger
_ Aggression
_ Excessive crying
_ Excessive worrying
_ Feeling sad 
Feeling Symptoms
_ Anhedonia - loss of pleasure in things we used to find pleasurable
_ Emotional numbing, loss of feelings towards family, friends
_ Overwhelming feeling of impending doom
_ Reduced or increased libido
_ Feeling useless
_ Despair
_ Relationship difficulties 
Social Symptoms
_ Domestic violence
_ Problems with keeping a job
_ Isolating self from friends and famil

2)   Strategies for treatment the depression

balanced lifestyle
Leading a balanced lifestyle can help make living with depression more manageable. The strategies below are suggestions from real people who have had success in managing the illness.
Become an expert
There are many excellent sources of information on depression. Learn all you can about medications, keep up with current research and treatment options, attend local conferences and network with other people at meetings and support groups. Build a personal library of useful websites and helpful books.
Recognize early symptoms
Learning your pattern of symptom development is key. Identifying certain triggers, times of year or other factors that may aggravate symptoms may help identify an emerging episode. This can prompt more aggressive intervention to prevent the worsening of symptoms. Don’t be afraid to ask the people around you for help—they can help monitor behavior.
Engage in your treatment
The relationship with your health care providers is fundamental
to the successful management of major depression. To be partners, you both must develop a trust and a strong line of communication. Provide the information your health care provider needs to help you recover, including complete and honest reports about reactions to medications, improving or worsening symptoms and anything that could trigger a depressive episode.
Develop a plan
To reduce uncertainty and stress, know what to do in a crisis. Although it might be challenging to discuss your illness, get your loved ones, friends and health care providers to help. Most communities have a crisis hotline or emergency walk-in centers, so know where they are and keep them handy.
Find support
Emotional support from others living with depression is an important part of recovery. It is helpful to share thoughts, fears and questions with others who have the same illness. For more on NAMI support and education programs, see the resources section. Online message boards and groups found through social sites like meetup.com are good resources for connecting with others, too.
 Avoid alcohol and substances
Drugs and alcohol disturb an already delicate emotional balance, and can also interact dangerously with medications. Both depression and mania make these drugs appear to be attractive options to “slow down” or “perk up,” but the potential damage will block your road to recovery.
Get healthy
Maintain a well-balanced diet and engage in regular exercise. This helps produce positive mental and physical health benefits. Try to incorporate low-key activities like meditation, yoga or Tai Chi into your life to help alleviate stress and achieve balance.
Get involved
If paid employment is not an option now, volunteer work can enrich your life, teach you useful skills and help create a sense of purpose and structure. Learning a new skill or immersing yourself in a hobby--particularly a creative one--can offer constructive alone time to help balance out a busy life. Engaging in your community—from coaching youth sports to helping your parks and neighborhoods stay clean and green— are all ways you can get involved with the world around you.
Friends and Family
There are many actions a caregiver can take to provide help to a loved one living with depression. Offering emotional support, talking and listening carefully to what a loved one is experiencing and learning about the illness so you can understand what your friend or relative is experiencing are all great ways to be supportive.  Caregivers also need support and the opportunity to talk to people who understand and can help. It is common for both the person living with the illness and family members to experience grief because of the drastic changes in their lives and the trauma that previous episodes may have caused.
Individuals living with mental illness, and their families, must work together and discuss past episodes so that they can clearly recognize the early signs of a developing episode. Whatever the indicator of possible relapse is, everyone should agree on what the objective signs of a possible episode are.





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