Everyone gets "depressed" from time to time because
of disappointments or frustrations of daily life. After a short period of
feeling unhappy or sad, however, circumstances may change and our mood improves.
But for many people, the symptoms of depression are
more severe and last longer. These people have a medical illness called
"clinical depression" which is very different from "feeling down" or "having the
blues". When we mention "depression" we are referring to "clinical depression".
If you believe that you are suffering from depression
— you are not alone.
About 1 in 5 people will experience depression at
some point during their life. Depression is most common in adults between the
ages of 18—44, although it may occur at any point in a person’s lifetime. For
many people the illness can start in childhood or adolescence but goes unnoticed
because the symptoms — moodiness, irritability, risk-taking behavior — may
resemble typical teenage problems.
Women are at especially high risk. Depression is
about twice as common in women than in men. While depressed symptoms can occur
at any time in a woman’s life, depression often coincides with hormonal changes
experienced during menstrual periods, pregnancy or after giving birth.
Late-onset depression affecting people over age 55 is
also a problem and is often unreported as it is sometimes mistaken as simply
"growing old". Most older people who become depressed have previously
experienced one or more bouts of depression when they were younger.
Depression is most often associated with four types of
symptoms:
People with depression have either a
persistent feeling of sadness, or a reduced feeling of pleasure in activities
(hobbies, family activities, etc.) that were once considered enjoyable. There
may be a decline in having sexual relations. Sometimes depression is experienced
as intense irritability.
The most common physical symptoms involve:
People with
depression often have negative thoughts. Feelings of helplessness or
hopelessness are prominent, as are guilt or pessimism. Self-esteem and
self-confidence may suffer since they do not feel good about themselves. Many
depressed people complain that they can’t focus their attention, have trouble
concentrating or can’t remember things.
The vast majority of people with depression also
have accompanying symptoms of anxiety, such as excessive worrying, nervousness,
restlessness, panicky feelings or difficulty falling asleep. In fact, these
symptoms may be so severe that many people seek help from their physician for
anxiety, only to find that they are suffering from depression.
Depression is a medical illness that can be treated.
So if you think you have depression, it is important to see a mental health
professional as soon as possible.
Depression won’t go away if you try to cheer up, take
more vitamins, drink more alcohol or go on a vacation. If the depression is not
treated properly by a mental health professional, it can last for months or
years and can lead to difficulties in your personal/social life or at school and
on the job.
Your primary care physician will want to give you a
thorough physical examination since depression may occur with some medical
illnesses, or may be caused by a medication that you may be taking for another
medical condition.
If your depression is not due to a medical condition,
your doctor will want to talk to you about the different treatments available:
Newer antidepressant medications have proven to be very
effective in treating depression (e.g. Selective Serotonin Reuptake Inhibitors).
Other effective medication include tricyclic antidepressants (TCA's) and
monoamine oxidase (MAO) inhibitors. In about 80 percent of cases, symptoms can
be relieved and people can go back to their normal routine within a few weeks.
Many people benefit
from talking to a therapist about how to cope with stress, family or marital
problems or other things that may trigger an episode of depression. At
this point, a referral to a psychotherapist is usually made.
If you have depression, it is important to get help
immediately. There is no need to try to handle it alone. There are many people
and resources in your community who are there to help you .
With proper treatment, you can go
back to enjoying your life, your family and your work within a very short time.