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Life is Full of Ups and Down.

Life is Full of Ups and Down.

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Published by SELVAM PERUMAL
Short Esei English Proficiency 1
Short Esei English Proficiency 1

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Published by: SELVAM PERUMAL on Feb 28, 2010
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05/11/2014

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DEPRESSION
Life is full of ups and down. As well as the good things in life, we allexperience stress, failure, disagreement, exclusion and even bereavement. It isnatural that we let things get to us from time-to-time.Depression in basic refer to determining what is a normal fluctuation inhuman mood. The problem with the term ‘depressed’ is that people use it everyday to describe a general feeling of sadness or being fed up. Generally, whenpeople refer to depression in a medical sense, they mean ‘clinical depression’,which can be classified as mild, as well as moderate or severe. In its mostserious form, severe depression is accompanied by psychotic symptoms, suchas hallucinations or delusions. On the other hand, mild depression which lastover 2 years is known medically as
dysthymia
.There are so many factors that cause depression. Generally it can bedivided into two groups, as biological factors and environmental factors. Thebiological factors are inheritance of an increased risk from parents and depletedlevels of neurotransmitters in brain system. The environmental factors aretraumatic life experiences, learning negative ways of thinking via interactions withothers , drug or alcohol abuse and hormonal changes. Depression may alsooccur as a direct side-effect of drugs which you may be taking for other medicalreasons, such as drugs used for lowering blood pressure, the oral contraceptive
 
pill, steroid drugs used for making inflammatory condition like rheumatoidarthritis.The accumulation of events that happen in life during life time are criticalin determining the likelihood of developing depression. As well as the trigger events we have already considered, experiences which may contribute todeveloping depression are, living in a violent household, loss or trauma in earlylife, extreme stress, poor social conditions, failures at work or socially whichundermine your self-confidence, hormonal changes as menopause or childbirthand lifestyle as lack of exercise or being over or underweight.As we would expect, there are wide range of psychological symptomsassociated with clinical depression, in that they affect our mood and behavior,and general way of thinking. Depression can also have physical symptoms suchas aches and pains, which have no immediately obvious cause. These can actas a bit of ‘red herring’ for us, and indeed doctors, in identifying that depression isthe underlying problem.A major concern associated with depression is the risk of self-harm or even suicide. The risk of suicide in people with severe depression is over four times higher than that amongst the non-depressed population.
 
Clinical depression, can be familiar with some typical symptoms aspreoccupation with negative thoughts, having a bleak view of the future, beingrestless and irritable, sleeping badly, often with excessive dreaming, exhaustion ,abnormal eating, leading to weight loss or gain, feeling very emotional and cryingoften, difficulty concentrating, poor motivation and self-harm, suicidal thoughts or actions.As there is no simple blood test or scan for clinical depression itsdiagnosis can be extremely challenging. In diagnosing depression, generalpractitioner will take account of symptoms, recent and past medical history,family history, physical condition and personal history.There are a number of strategies which a doctor can use to managedepression. The doctor decides to treat depression depends on how serious itappears to be. The three main approaches are watchful waiting, talking treatmentand antidepressant drugs. There are also a number of less commonly usedoptions.‘Watchful waiting’ describes a period of time in which we and doctor willkeep a close eye on the symptoms, taking note of any improvement or deterioration. There will be no treatment, either with drugs or psychologicalapproaches, during this time. In Watchful waiting therapy the doctor will make adecision whether treatment given by him needs to be stepped up.

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