Depression

Depression Outline I. Introduction II. Major forms of depression A. Deprsseive disorder B. Biploar disorder III. Genetic causes of depression IV. The experience of depression A. The patients experience B. The famil experience V. Major forms of treatment A. !ro"ac B. !s cotherap VI. #onclusion

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<. Bruc0heim) Allen 9.) M.D.) /AA/D The /amil Doctor 8rd (dition) #oorporation) '**8. 7. De!aulo) 5. 4a mond 5r. M.D. A%lo:) =eith 4ussell M.D. 9o: to Boo0s '*;*. >. (lmer?De:itt) !hilip ,The Gro:in& 4ole of Dru& Therapies, Time)

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!a&e ' Depression has man elements. Almost ever one has experienced depression in one form or another. $ometimes) ho:ever) it %ecomes a full?scale disorder that needs to %e professionall treated. ,It is estimated that at an &iven time three to four percent of the nations population :ill %e sufferin& from a major depressive or manic episode), -2) p. 7+*.. ,Depression can result from an chronic or severe illness and is a common reaction to stress and disa%ilit ), -<) 1hat T pe of Thin0in& #an #ause DepressionA.. !eople :ith ph sical handicaps are ,more prone to depression, -+) p.+2. %ecause the often thin0 and :orr a%out their loss or disadvanta&e. ,6ac0in& true intimac :ith God) et desirin& it) can also lead to depression) particularl if the person uses a standard defense mechanism of %lamin& God for ever thin& that &oes :ron&),-+) p.2'.. A depressive ma sometimes have a ver ne&ative vie: of themself. A lot of times the ,see themselves as a %ad person and %lame themselves for events over :hich the had no control), -7) p.+.. Decreased ph sical and mental ener& ) a chronic lo: mood) and a lo:ered self?attitude are major points to a depressive. ,Medical science has proven that resentment?an&er turned in:ard?contri%utes to the ver real %iochemical chan&es that characteri"e severe clinical depression), -+)2'.. Depression is pro%a%l the most common and can last from one full da ) up to several :ee0s) or lon&er. !a&e 2 Bipolar Disorder is li0e a roller coaster...up one second) do:n the next. This disorder has ver intense mood s:in&s :ith ,possi%le remissions and recurrences),-<) Manic DepressionBBipolar.. A person :ith Bipolar Disorder :ill sometimes sho: tons of optimism. The :ill ta0e unnecessar ris0s) then the :ill promise ever thin&) and ma even end up &ivin& ever thin& the o:n a:a . Bipolar Disorder patients experience ,a nearl continuous flo: of accelerated speech :ith a%rupt chan&es from topic to topic) usuall %ased on understanda%le associations) distractin& stimuli) or pla s on :ords. 1hen this Cfli&ht of ideas is severe) the patients speech ma %ecome disor&ani"ed and incoherent),-<) Manic DepressionBBipolar.. A person :ith this illness ma not have to &et that much sleep ever ni&ht and ma &et anno ed that others around him or her are not so active or involved. It could even &et to the point :here this person thin0s that ,he or she possesses special a%ilities or po:ers),-2)p. 7+*.. The patient experiences man different feelin&s and s mptoms :hen &oin& throu&h a state of depression or an episode of mania. The sometimes feel that it is important to hide their pain from ever one around them %ecause most of the time the could not even reall explain it to themselves) let alone an one else. Man times ,an individual expressin& a depressive episode :ill usuall descri%e his or her mood as depressed) sad) hopeless) discoura&ed) do:n in the dumps) etc....,-<) Manic DepressionBBipolar.. 1ei&ht &ain or loss is common %ecause !a&e 8 appetite is &reatl increased or decreased. 9eadaches are freDuent s mptoms. !eople experiencin& depression ,are usuall irrita%le) %ecome upset rapidl and tend to %e %othered % little items and insi&nificant incidents),-<) $ mptoms of Depression.. #r in& and sadness is ver common. 1hat ma even happen is that a person ma have such ,a sense of deadened emotions that can prevent Cnormal cr in& or

sadness),-7)p.+.. ,9allucinations) in :hich one hears voices or sees thin&s that are not reall there) sometimes occur),-7)p.+.. ,A small percenta&e of unfortunate individuals &o ri&ht from manic episodes to clinical depression and %ac0 a&ain in continuous) unendin& c cles that are devestatin& to them) their families) their friends) and their co?:or0ers.,-2) p.7<@.. A lot of times the patient ma experience even :orse feelin&s of frustration and ma have ,ideas of suicide or recurrent thou&hts of death,-<) Dealin& :ith Depression. :hich sadl depression is often lin0ed. A depressive can %ecome ver hush?hush a%out their feelin&s of suicide. The :ill ,%rood over death and ma ta0e their o:n lives),-7)p.+.. ,/ifteen percent of people :ho suffer from clinical depression commit suicide),-+)p.'+@.. Accidents and suicides are more common in depressives and account for a lar&e percenta&e of deaths. Eot onl is a depressive affected) %ut the famil s life ma also chan&e :ith a depressive livin& :ith them. ,The ripples of pain touch famil mem%ers and friends :ho %ecome) in some :a s) co? !a&e + victims),-7)p.+7.. 9avin& a depressive livin& :ith ou can %e Duite hard. The famil is al:a s near the ,shrin0in& :orld) %ordered % anxiet and fear,-<) Dealin& :ith Depression. of that particular person) therefore the famil ma also ,%e cut off from the social relationships that ma0e for health livin&),-<) Dealin& :ith Depression.. $ometimes the onl :a to convince a depressed patient to sta in the hospital or to &et outpatient treatments is % the famil mem%ers. ,The :ill pla a particularl important role in the treatment of the person),-7) p.'8;.. ,The ris0 of a depressive disorder is &reater in the families of depressive patients than in the population at lar&e),-') Depression.. ,The hi&her proportion of depression in :omen ma %e %iolo&icall induced) or it ma %e that :omen learn social roles that favor feelin&s of helplessness),-') Depression.. Identical t:ins have exactl the same &enesB therefore) studies sho: that if one t:in suffers from depression or manic?depressive illness) ,there is a 7> percent chance that the second t:in :ill also have the disorder),-2)p.7<@.. B contrast onl 2@ percent) ho:ever) of fraternal t:ins are affected. !ro"ac is the top?sellin& antidepressant. It is the most popular of dru&s ,that treat depression % increasin& levels of the %rain chemical serotonin),-;) p.8.. ,The effectiveness of !ro"ac has led some researchers to speculate that serotonin is the 0e re&ulator of mood) and that depression is essentiall a shortfall of !a&e < serotonin),->)p.8.. At one time) scientists thou&ht that !ro"ac had side effects such as serious violence and had a petition for the /DA in '**' ,to ta0e !ro"ac off the mar0et),-;)p.8.. That :as denied %ecause the /DA could not find ,a lin0 %et:een the dru& and violent %ehavior),-;)p.8.. $till) doctors have 0no:n for some time no: that :hen the serotonin level &ets raised) it can affect a persons mood. ,The cannot al:a s %e sure that the dru& :ill have the desired effect),-;)p.8.. There are man different forms of ps chotherap . In more serious cases an antidepressant and ps chotherap are used in a com%ination. There is also less of a ris0 of suicide ,than if ps chotherap is the onl form of treatment),-+)p.+7. ,/or mild depression) a fe: sessions of ps chotherap ma %e enou&h to identif the issue and help :or0 to:ards overcomin& the pro%lem),-<) 1hat T pe of Thin0in& can #ause DepressionA.. In all forms of this therap it must ,involve a confidin& relationship %et:een a professional therapist and a patient that allo:s the patients experiences and predicaments to %e shared,-7) p.'8<.. 1hile the patient is under&oin& the therap session he or she is %ein& monitored in an feelin&s) especiall suicidal feelin&s. ,The therapist :ould discuss :ith the patient the nature of depression as an illness) the fact that it :ill improve :ith treatment) and the advisa%ilit of deferrin& major life decisions until depressive s mptoms have resolved),-7) p.'+'.. !a&e 7 In conclusion) depression is a disease and should %e reco&ni"ed as one. It varies from person to person and can %e a ver traumatic and even deadl experience from all points of vie:. Depressive and Bipolar Disorders are just t:o of the man mental illnesses out there that need to %e ta0en extremel seriousl .

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