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Depression
A whole body illness
What is depression?
• Whole body illness that affects physical
health as well as emotional health.
• May influence factors such as
eating, sleeping, working and relationships
with others.
Types of depression
• Major depressive disorder: Combination of
symptoms that interfere with daily
functioning
• Dysthymic disorder: long term (2 yrs or
longer) symptoms which do not disable the
person but prevent normal functioning or
feeling well.
• Minor depression: Symptoms 2 weeks or
longer, but without full criteria.
Other forms of depression
• Psychotic depression (severe depression with psychosis
and breaks from reality)
• Postpartum depression (following child birth)
• Seasonal affective disorder (SAD) depression during the
winter months, can be treated with light therapy
• Bipolar disorder: Combination of depression and mania
Clinical Depression diagnosis
Clinical depression will show at least 5 of the following
symptoms, most days
• Sad, low, empty
• Loss of interest & pleasure
• Feelings of worthlessness or guilt
• Difficulty thinking, concentrating or making decisions
• Decreased energy, fatigue, feeling slower
• Changes in appetite and/or weight
• Oversleeping, early morning wakening or insomnia
• Thoughts of death, suicide
Causes of depression
• Combination of
genetic, biological, environmental and
psychological
• Brains of depressed people look different
than non depressed people
• Can run in families
How it is diagnosed
• Medications and some medical conditions can
mimic depression, so ask doctor first
• Other mental illnesses can come before
depression, such as anxiety disorders, obsessive
compulsive disorder, panic disorder, social phobia
and more
• Can be accompanied by alcohol and/or substance
abuse
• Can occur with serious medical illness
Treatments
• Medication: Antidepressants work on brain
chemicals such as serotonin, norepinephrine and
dopamine
• St. John’s wort is an herb which may help.
However, it may interfere with other medications!
• Psychotherapy
• Electroconvulsive therapy and brain stimulation
Helping a friend or relative
• Offer emotional support & understanding
• Talk and then listen carefully
• Do not dismiss feelings
• Don’t ignore talk of suicide
• Invite them out for walks, outings etc.
• Provide assistance in getting to doctors office
• Remind that eventually, things do get better.
Helping yourself
• Seek treatment early
• Exercise and get out more
• Set realistic goals
• Break large tasks into small ones
• Spend time with people and confine in a friend
• Expect to feel better gradually
• Postpone important decisions until you feel better
• Allow positive thoughts to replace negative ones
• Educate yourself about depression
Some facts
• Estimated 17.5 million Americans have some depression
• 9.2 million have clinical depression
• 2/3 of depressed will not seek treatment
• 80% of those treated significantly improve quality of life
• Women experience depression twice as much as men
• By 2020, WHO estimates depression will be the 2nd
highest cause of loss of quality of life
• CDC reports in 1996 that suicide was 9th cause of death
• Major depression is 1.5 to 3.0 more common among
biological relatives of those depressed
Resources
• http://www.psychiatry.wustl.edu/depression
/depression_facts.htm
• http://www.nimh.nih.gov/health/topics/depr
ession/index.shtml

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Depression

  • 2. What is depression? • Whole body illness that affects physical health as well as emotional health. • May influence factors such as eating, sleeping, working and relationships with others.
  • 3. Types of depression • Major depressive disorder: Combination of symptoms that interfere with daily functioning • Dysthymic disorder: long term (2 yrs or longer) symptoms which do not disable the person but prevent normal functioning or feeling well. • Minor depression: Symptoms 2 weeks or longer, but without full criteria.
  • 4. Other forms of depression • Psychotic depression (severe depression with psychosis and breaks from reality) • Postpartum depression (following child birth) • Seasonal affective disorder (SAD) depression during the winter months, can be treated with light therapy • Bipolar disorder: Combination of depression and mania
  • 5. Clinical Depression diagnosis Clinical depression will show at least 5 of the following symptoms, most days • Sad, low, empty • Loss of interest & pleasure • Feelings of worthlessness or guilt • Difficulty thinking, concentrating or making decisions • Decreased energy, fatigue, feeling slower • Changes in appetite and/or weight • Oversleeping, early morning wakening or insomnia • Thoughts of death, suicide
  • 6. Causes of depression • Combination of genetic, biological, environmental and psychological • Brains of depressed people look different than non depressed people • Can run in families
  • 7. How it is diagnosed • Medications and some medical conditions can mimic depression, so ask doctor first • Other mental illnesses can come before depression, such as anxiety disorders, obsessive compulsive disorder, panic disorder, social phobia and more • Can be accompanied by alcohol and/or substance abuse • Can occur with serious medical illness
  • 8. Treatments • Medication: Antidepressants work on brain chemicals such as serotonin, norepinephrine and dopamine • St. John’s wort is an herb which may help. However, it may interfere with other medications! • Psychotherapy • Electroconvulsive therapy and brain stimulation
  • 9. Helping a friend or relative • Offer emotional support & understanding • Talk and then listen carefully • Do not dismiss feelings • Don’t ignore talk of suicide • Invite them out for walks, outings etc. • Provide assistance in getting to doctors office • Remind that eventually, things do get better.
  • 10. Helping yourself • Seek treatment early • Exercise and get out more • Set realistic goals • Break large tasks into small ones • Spend time with people and confine in a friend • Expect to feel better gradually • Postpone important decisions until you feel better • Allow positive thoughts to replace negative ones • Educate yourself about depression
  • 11. Some facts • Estimated 17.5 million Americans have some depression • 9.2 million have clinical depression • 2/3 of depressed will not seek treatment • 80% of those treated significantly improve quality of life • Women experience depression twice as much as men • By 2020, WHO estimates depression will be the 2nd highest cause of loss of quality of life • CDC reports in 1996 that suicide was 9th cause of death • Major depression is 1.5 to 3.0 more common among biological relatives of those depressed