Depression...Part 1
From: Helen Dynda (olddad66@runestone.net)
Sat Mar 31 08:57:55 2001
Depression...March 31, 2001
http://www.body1.com/infoctr/f_cnd.cfm?BulletinID=22
A depressive disorder is a "whole-body" illness, involving your body, mood,
and thoughts. It affects the way you eat and sleep, the way you feel about
yourself, and the way you think about things. A depressive disorder is not
the same as a passing blue mood. It is not a sign of personal weakness or a
condition that can be willed or wished away. People with a depressive
illness cannot merely "pull themselves together" and get better. Without
treatment, symptoms can last for weeks, months, or years. Appropriate
treatment, however, can help most people who suffer from depression.
Depressive disorders come in different forms, just as do other illnesses,
such as heart disease. This pamphlet briefly describes three of the most
prevalent types of depressive disorders. However, within these types there
are variations in the number of symptoms, their severity, and persistence.
Major depression is manifested by a combination of symptoms (see symptom
list) that interfere with the ability to work, sleep, eat, and enjoy once
pleasurable activities. These disabling episodes of depression can occur
once, twice, or several times in a lifetime.
A less severe type of depression, dysthymia, involves long- term, chronic
symptoms that do not disable, but keep you from functioning at "full steam"
or from feeling good. Sometimes people with dysthymia also experience major
depressive episodes.
Another type is bipolar disorder, formerly called manic- depressive illness.
Not nearly as prevalent as other forms of depressive disorders, bipolar
disorder involves cycles of depression and elation or mania. Sometimes the
mood switches are dramatic and rapid, but most often they are gradual. When
in the depressed cycle, you can have any or all of the symptoms of a
depressive disorder. When in the manic cycle, any or all symptoms listed
under mania may be experienced. Mania often affects thinking, judgment, and
social behavior in ways that cause serious problems and embarrassment. For
example, unwise business or financial decisions may be made when an
individual is in a manic phase. Bipolar disorder is often a chronic
recurring condition.
Not everyone who is depressed or manic experiences every symptom. Some
people experience a few symptoms, some many. Also, severity of symptoms
varies with individuals.
Depression symptoms:
-Persistent sad, anxious, or "empty" mood
-Feelings of hopelessness, pessimism
-Feelings of guilt, worthlessness, helplessness
-Loss of interest or pleasure in hobbies and activities that were once
enjoyed, including sex
-Insomnia, early-morning awakening, or oversleeping
-Appetite and/or weight loss or overeating and weight gain
-Decreased energy, fatigue, being "slowed down"
-Thoughts of death or suicide; suicide attempts
-Restlessness, irritability
-Difficulty concentrating, remembering, making decisions
-Persistent physical symptoms that do not respond to treatment, such as
headaches, digestive disorders, and chronic pain
Mania Symptoms:
-Inappropriate elation
-Inappropriate irritability
-Severe insomnia
-Grandiose notions
-Increased talking
-Disconnected and racing thoughts
-Increased sexual desire
-Markedly increased energy
-Poor judgment
-Inappropriate social behavior.
Some types of depression run in families, indicating that a biological
vulnerability can be inherited. This seems to be the case with bipolar.
Studies of families, in which members of each generation develop bipolar
disorder, found that those with the illness have a somewhat different
genetic makeup than those who do not get ill. However, the reverse is not
true: Not everybody with the genetic makeup that causes vulnerability to
bipolar disorder has the illness. Apparently additional factors, possibly a
stressful environment, are involved in its onset.
Major depression also seems to occur, generation after generation, in some
families. However, it can also occur in people who have no family history
of depression. Whether inherited or not, major depressive disorder is often
associated with having too little or too much of certain neuro-chemicals.
Psychological makeup also plays a role in vulnerability to depression.
People who have low self-esteem, who consistently view themselves and the
world with pessimism, or who are readily overwhelmed by stress are prone to
depression.
A serious loss, chronic illness, difficult relationship, financial problem,
or any unwelcome change in life patterns can also trigger a depressive
episode. Very often, a combination of genetic, psychological, and
environmental factors is involved in the onset of a depressive disorder.
|
