What is depression? Depression is a psychiatric illness characterized by mood disturbances. The disease is caused by a disordered brain activity caused by a psychological factor that creates abnormal changes in thinking, behavior, and behavior.
Depression is more common in women than men (2 women per 1 male) occurring at different ages, especially in adulthood. The prevalence of depression is increasing day by day, according to the World Health Organization, an estimated 850,000 people die each year from suicide due to depression, which is a common disease globally. However, among those who are diagnosed and treated promptly are still very low, accounting for about 25%.
Depression is the cause of more than 50% of suicide cases, depression is caused by different causes but has a high rate in subjects who are unemployed, bankrupt, divorced, or postpartum depression …
Depression is not a strange disease that can be completely cured, so it should be examined and treated promptly.
Causes of Depression
Depression is caused by the following:
Endogenous (unexplained depression): there are many theories that are due to genetics, autoimmune factors, environment, and society, but it is not really clear.
Depression caused by stress: due to pressure from many sides such as work, family, children, bankruptcy or sudden events such as loss of loved ones, loss of money, etc.
Depression can cause diseases or injuries that directly affect the brain
Depression can be unexplained
Symptoms of Depression
Depression manifests itself with the following symptoms:
Melancholy mood: Sad mood is expressed in the patient’s facial expressions: sad, melancholy, moody, very monotonous eyes, reduced or lost wrinkles. The state of low mood is very stable due to the patient’s sadness, depression, pessimism, loss of confidence in life.
Loss of interest or previous hobbies: feeling heavy, tired, not wanting to work, walking slowly, always feeling like you don’t have enough health to do even light work, not paying attention to your surroundings Even the children who are playing around do not pay attention. Patients consider themselves to have lost all previous interests, including sexual desire. Men and women with symptoms of sexual dysfunction such as frigidity in women or erectile dysfunction in men
Sleep disorders: Insomnia is the most common symptom, accounting for 95% of cases of depression. Patients find it difficult to fall asleep, although sometimes feel very sleepy but cannot sleep, wake up earlier than usual. Patients are considered insomniac when sleeping less than 2 hours per day than usual. Patients can stay awake all day and night for many days leading to body weakness.
Loss of appetite, thin and lose weight, a few have weight gain: depressed patients lose their appetite, do not want to eat, even in some cases, completely fasting leads to thinness and weight loss. A few cases have cravings, eating more than usual leads to weight gain
Fatigue, decreased concentration, decreased energy: or complain of fatigue without any cause, reduced ability to concentrate, so work efficiency decreases. Fatigue is usually worse in the morning. No longer interested in anything. Tired patients do not want to do anything, for severe cases, they can’t even perform daily tasks such as going to the market, cooking rice, washing clothes.
Feelings of worthlessness, guilt: always having negative thoughts about yourself, feeling hopeless with no way out, no longer believing in yourself and the future. Feeling guilty towards loved ones, inferior to others, becoming useless.
Physiological manifestations: headache, neck and shoulder fatigue, palpitations, pain in limbs
Feeling anxious for no reason, irrational illness phobia, easily angry with those around you, having episodes of fear, shyness in communication, little interest in others, high demands on others
Appearance: sloppy dress, poor personal hygiene, slow or unreasonably angry gestures, monotonous sad voice suggest depression.
Suicidal intention and behavior: most depressed patients have more severe thoughts of death than suicidal thoughts. Feelings of despair with no way out. They are obsessed with illness, depressed, vulnerable, and gradually think that dying is less painful.
Who face at the risk of depression?
After a psychological trauma: bankruptcy, loss of money, debt, loss of loved ones, broken marriage, damaged children, too great work pressure, …
A few weeks after giving birth, accounting for a large percentage, it needs to be detected in time
For pupils and students: the pressure of studying is too great: many assignments, intense exams, pressure from parents and teachers,
After traumatic injury: traumatic brain injury,…
Prevention of Depression
For some unpredictable psychological trauma such as the loss of a loved one, bankruptcy, it is necessary to care, be close, share and regain trust for the patient.
Avoid psychological trauma: remove the pressure in life if possible
For those who have symptoms of depression, it is necessary to monitor and supervise the patient because the patient can commit suicide at any time.
Suggested products for depression
Measures to diagnose depression
Depression can be diagnosed according to the following 2 criteria:
ICD-10F (1992) diagnostic criteria for depression
Typical depression includes
Have at least 2 out of 3 of the following symptoms:
Losing all interest, enjoyment
Reduced energy, increased fatigue, decreased activity hoạt
Have at least 3 of the following common symptoms:
Reduced concentration of attention
Reduced self-esteem and self-confidence
The idea of being guilty and unworthy
The future looks bleak and pessimistic
suicidal thoughts and behavior
Not eating well
Symptoms persist for at least 2 weeks
Does not meet the criteria for diagnosis of other diseases
Diagnosis of depression according to DSM IV . criteria
For 2 weeks almost every day
Melancholy temperament and or denial of inherent pleasures plus at least 4 of the following symptoms
Weight loss or gain, decreased or increased appetite
Insomnia or persistent sleep
Get agitated or become sluggish
Fatigue or loss of strength
Feeling worthless or guilty
Decreased ability to concentrate
Having suicidal thoughts and behavior
How to treat depression?
If depression is not detected and treated promptly, the risk of suicide is very high, accounting for 50% of all depressed patients. Anyone in the family, relatives who have the above symptoms should be taken to a psychiatric hospital for timely detection and treatment.
The principles of treatment:
Cut out emotional disturbances
Do not self-medicate
Use the right medicine, enough according to the regimen, do not quit on your own
Inform your doctor about the side effects of the drug to give the most appropriate solution
There are many types of anti-depressants, mood-modifying drugs according to the disease mechanism, depending on the specific disease, prescribed by a psychiatrist, bringing very good results, high cure rate, and few recurrences.
Treatment with psychotherapy: sharing, sympathy, closeness to the patient
Other treatment such as physiotherapy: massage therapy, acupuncture, …