Depression | Definition, Types & Treatment of Depression


Definition of Depression

 A prolonged sense of sadness and loss of interest are symptoms of depression, a mood illness. Clinical depression, also known as major depressive disorder, affects how you feel, think, and behave and can cause a number of emotional and physical issues. You can find it difficult to carry out your regular daily tasks, and you might occasionally think life isn't worth living. Thankfully, it is also curable.

 Depression is more than just a case of the blues, and you can't immediately "snap out" of it. Long-term treatment may be necessary for depression. But resist giving up. With medicine, counselling, or both, the majority of depressed persons get improved symptoms.



What Kinds of Depression Are There?

 Persistent depressive disorder (PDD) 

PDD, formerly known as dysthymia, is a diagnosis given to those who have at least two significant depressive symptoms for at least two years at a time. It is possible to have both PDD and MDD simultaneously, a condition known as double depression, and to alternate between severe and less-severe symptoms. PDD sufferers are frequently misdiagnosed as moody, irritable, unpredictable, or gloomy people rather than being acknowledged as having a diagnosable condition.


 Seasonal affective disorder (SAD)

Depression that happens at the same time every year, typically starting in the fall and lasting through the winter, is known as seasonal affective disorder (SAD). Changes in sunshine are connected to SAD, which is frequently followed by more sleep, weight gain, and cravings for carb-heavy diets.


 Postpartum (or perinatal) depression (PPD)

Mothers who develop substantial depressive symptoms soon after giving birth are diagnosed with postpartum (or perinatal) depression (PPD). PPD is typically caused by a number of variables, including abrupt changes in hormone levels after childbirth. The "baby blues," the relatively mild symptoms of despair and anxiety that many new moms experience in the first few days after delivering, are far weaker and last shorter than feelings of acute sadness, anxiety, or tiredness.


 Premenstrual dysphoric disorder (PMDD)

Premenstrual syndrome has a more severe subtype known as premenstrual dysphoric disorder (PMDD) (PMS). The symptoms of PMDD typically appear a week or two before a woman's period and disappear two to three days later.


 Bipolar disorder 

Formerly known as manic-depressive disease, bipolar disorder is characterised by mood swings that alternate between extremely highs (mania) and lows (depression), frequently with intervals of normal mood. 2.8% of adults in the United States suffer from bipolar disorder.

 

From moderate to severe, depression symptoms might include:

 Although you might only experience depression once in your lifetime, most people experience many bouts. During these episodes, symptoms can include any of the following and may last for the majority of the day:

• Loss of interest or enjoyment in most or all regular activities, such as sex, hobbies, or sports.

• Sleep disturbances, including insomnia or sleeping too much.

• Tiredness and lack of energy, making even small tasks more difficult.

• Reduced appetite and weight loss or increased food cravings and weight gain. • Anxiety, agitation, or reactivity.

• Slowed thinking, speaking or body movements.

• Feelings of worthlessness or guilt, fixating on past failures or self-blame.

• Trouble thinking, concentrating, making decisions and remembering things.

• Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide.

• Unexplained physical problems, such as back pain or headaches.


 Many depressed individuals typically experience symptoms that are severe enough to interfere with daily activities including job, school, social interactions, or interpersonal relationships. Some people may experience widespread misery or unhappiness without truly understanding why.

                                                                    

Teens with depression symptoms

 Teens may experience the following signs and symptoms of depression:

 • Sadness, irritability, feeling down and unworthy, anger, poor performance or absence from school, feeling misunderstood and overly sensitive, using recreational drugs or alcohol, eating or sleeping excessively, self-harm, loss of interest in regular activities, and avoidance of social interaction.

 

In women

 According to the Centers for Disease Control and Prevention, depression is about twice as common in women as it is in men (CDC).

Why females seem to experience depression more frequently is a mystery to researchers. A 2021 study, however, suggests that the discrepancy might be caused by inconsistent reporting. Researchers discovered that women were more likely than men to report having depression symptoms and to seek therapy.

 According to certain study Trusted Source, being subjected to gender discrimination raises your likelihood of developing depression.

Additionally, many forms of depression, such postpartum depression and premenstrual dysphoric disorder, are exclusive to women.

 

The male

 Data from the National Health and Nutrition study, which focuses on self-reports of mental health symptoms, shows that 10.4% of women and 5.5% of men, respectively, report depression symptoms in a given 2-week period.

Males with depression are more prone than females to drink excessive amounts of alcohol, show rage, and take risks as a result of the disease.

Men may also avoid family and social situations, labour nonstop, struggle to balance job and family obligations, and engage in violent or domineering conduct in relationships as other signs of depression.

 

University students

 A person may be coping with different lives, cultures, and experiences for the first time throughout their time at college, which can be difficult.

Some students struggle to adjust to these changes, and as a result, they may experience despair, anxiety, or both, according to Trusted Source.

College students who are depressed may have trouble concentrating on their studies, insomnia, excessive sleep, changes in appetite, and avoidance of once-enjoyed social situations and activities.

 

In youthful

 Although there may be some distinctions, the typical signs and symptoms of depression in children are comparable to those in adults.

• Children may experience sorrow, impatience, clinginess, concern, aches and pains, refusal to attend school, or underweight as symptoms of depression.


 

Why does depression occur?

 The root causes of depression are not entirely understood by the medical community. There are numerous potential reasons, and occasionally a number of things interact to generate symptoms.

Trusted Source: There are several factors that could potentially be involved.

• Genetic traits

• Alterations in the neurotransmitter levels in the brain; • environmental elements including trauma exposure or a lack of social support; • psychological and social elements

• Other health issues, such bipolar disorder

 The risk of depression might rise as a result of interactions between many causes. For instance, after a stressful occurrence, a person with a family history of depression or a genetic predisposition to the disorder may exhibit depressive symptoms.

 

Treatment for depression

 Although the precise form of depression a person is experiencing may affect the course of treatment, depression is treatable.

However, 30.9% of patients either do not respond to treatment or do not respond well. Within a year, about 4 in 10 persons (Trusted Source) report a complete remission of their symptoms, but depression can recur.

Symptom management often incorporates the following Trusted Source three elements:

• Support: This might include educating family members as well as talking about workable solutions and potential causes.

• Psychotherapy: One-on-one counselling and cognitive behavioural therapy are two alternatives to talking therapy (CBT). 

• Medication: A doctor might recommend antidepressants.

 

Natural Remedy

 To treat mild to moderate depression, some patients turn to natural treatments including herbal medications.

 A 2018 systematic review of herbal treatments for depression found that 45% Trusted Source of research found that these treatments were effective and had fewer negative effects than conventional antidepressants.

 Some of the more well-liked herbs and plants that people use to alleviate depression include the following:


St. John's wort: This should not be used by those who are or may become bipolar.

Ginseng: Ginseng can help people think more clearly and feel less stressed, according to practitioners of conventional medicine.

Chamomile: This plant has flavonoids that may be antidepressant-like in action.

Lavender: This herb may assist with sleeplessness and anxiety.

Before utilising any kind of herbal remedy or supplement to treat depression, a person must consult a doctor. Some herbs have the potential to worsen symptoms or obstruct the effects of medications.

 

Diet and food

 Additionally, the study discovered that consuming more of the items listed below helps lessen depressive symptoms:

Olive oil, fruit, vegetables, fish, and seafood.

 

Exercise

 Activity Endorphin levels are increased and neurotransmitters are stimulated during aerobic exercise, which may help with depression and anxiety. According to a 2019 study, exercise may be especially beneficial for depression that is resistant to treatment.

 The effects of exercise are greatest when they are combined with conventional therapies like antidepressants and psychotherapy.

 

Diagnosis

 A person should get medical attention from a doctor or mental health expert if they believe they are exhibiting symptoms of depression.

 A licenced healthcare provider can rule out potential reasons, guarantee a correct diagnosis, and deliver safe and efficient treatment.

 When discussing symptoms, they will enquire about their duration. Additionally, a doctor may perform a physical examination to look for physical causes and prescribe a blood test to rule out other medical issues.