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Common signs of depression that doctors can overlook

When I broke up with my first serious girlfriend (well, she broke up), I was naive, self-centered, and convinced that I could figure something out of everything. I was also 17 years old, which could explain a lot of it. I was deeply sad, but the sadness did not go away. I had just moved from California to Chicago at the beginning of my high school year and felt I had a perfect explanation of why I was feeling sick all the time. I took it as a sign that my relationship was so deep and powerful that I almost saw my feelings in front of me.

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Weeks passed, and I continued to enjoy nothing, things that bothered me I was looking forward to something, I found it hard to fall asleep at night, and I awoke with a physical sensation on my chest and the name of my lover on my lips.The dying of consumption seemed to have a romantic notion But it was only when I had unimaginative thoughts about who was going to get all my stuff when I died that it became mine. Englisch: emagazine.credit-suisse.com/app/art … = 263 & lang = en Sure, something was really wrong The feeling I had – desperation is not too strong a concept – struck me much deeper than I thought It strangely gave me relief It's not that I felt better , just there I could find out where my mental and physical symptoms came from.

I have not talked about it with my parents, my sister or any of my friends. It was not that I was ashamed, it just did not occur to me. I certainly did not think of visiting a doctor: I was seventeen years old and in good health. The idea that I might not be in perfect mental shape did not come to my mind.

The idea that I'm not in perfect mental shape did not come to my mind.

Six months passed, and when my first winter in Chicago began to turn to spring, I felt slow again. I enjoyed the time with friends. I started getting better at school and getting back into academics instead of going through the applications.

It was only years later, on the medical school, that I finally realized that I'd been through a pretty textbook case of major depression. It was a bit shocking to read about it. The diagnosis of depression is clinical, meaning that it comes from an experienced clinician who performs a careful interview and examination, rather than blood tests or imaging studies. Experience is essential because interpreting the answers to the questions requires judgment: it is not always a simple yes or no answer, even though the official diagnostic criteria (from the psychiatric reference book DSM-5) sound like yes or no Questions: [19659009] Depressed mood most of the day

  • Loss of interest or pleasure in most or all activities
  • Too much or too little sleep
  • Weight loss or weight gain; or increase or decrease appetite
  • slower (or faster) than normal move and talk
  • fatigue or low energy
  • decrease ability to concentrate, think or make decisions
  • Thoughts about worthlessness or Inappropriate Guilt
  • Recurring Thoughts on Death or Suicide Attempt or Suicide Attempt
      1. Five or more of these criteria for almost every day for two weeks or more are consistent with a diagnosis of major depressive disorder (but this must include one of the first two). listed). There are some conditions that preclude the diagnosis: Symptoms can not be attributed to another disease (unusual); can not be attributed to drug use or withdrawal (not so unusual); and when these occur in episodes of mania or hypomania (times of extreme energy, often associated with poor judgment), the diagnosis is not unipolar depression, but bipolar disorder. The symptoms must be severe enough to cause significant discomfort or psychosocial distress.

        Most often, doctors like me make the diagnosis.

        Psychiatrists are the experts in diagnosis, as well as GPs. I'm the one who diagnoses most often – though she may not notice it every time. Doctors are now advised to check patients for severe depression, but there will still be people like me who have symptoms but are not on medical treatment. It is much easier to treat when you see a doctor. What else you can do:

        Get one of the leading treatments

        There are two main treatment options for depression: medications and psychotherapy. Some people have strong feelings about these treatments. Everyone is effective on their own; a combination of the two is even more effective. There are many different types of drug treatments, and a clinician chooses one based on their best estimate of effectiveness and side effects in a person. There is increasing evidence that testing for genetic variants can help guide the best medication for an individual; However, this is generally not recommended, and I only used it when a patient did not find successful treatment.

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        Psychotherapy often makes people think of many sessions being studied on a lounger: This type, called psychodynamic therapy, is not the way depression therapy is performed, and is designed to change the behavior of family and friends, and usually takes 3 to 4 months, as opposed to psychodynamic therapy, unresolved childhood problems, and unconsciousness Feelings and usually last for years. Cognitive behavioral therapy is another short-term therapy treatment that helps people to understand their feelings and beliefs and gives exercises to increase awareness and make changes to improve them. Both therapies have proven effective in depression.

        Lose the idea that something must be hidden

        Even in 2019, the mental illness remains stigma, and many people (especially men) feel that depression is a sign of weakness, and they do not like to indulge themselves myself or to people who could help them. This is a barrier that I often had to fight. I tell people that they can not control whether they have high blood pressure, but that they can be treated and that treatment reduces the risk of damage. Depression is similar. Left untreated will increase the likelihood of poor results that are not about feeling depressed again. They include effects on other people (family, friends, work). a higher likelihood of drug and alcohol abuse; and the biggest danger of all, suicide. Depression can be a deadly disease.

        I tell people that they often can not control if they get high blood pressure. Depression is similar.

        Beware of Number One

        Men have a higher suicide risk. Although men and women are about the same in suicide and suicide attempts, men are much more likely to succeed. We are number one, but this is not an area where men want to take the lead. Treating depression in someone who thinks about it, or worse, planning suicide is something else. In addition, a person's age determines not only their risk of suicide (older men are the highest risk of all), but also how the treatment affects suicide risk. For example, a drug such as Prozac (fluoxetine) increases suicide risk in adolescents and young adults (at least in the short term) but reduces the risk in older men.

        This is not an area where men want to show the way.

        Knowing that it gets better – but you may not see that

        One hurdle in treating depression is depression itself. Some people have overwhelming fatigue that keeps them from seeing anyone. If you suffer, it means you have to make an effort. Let your family or friends help you make an appointment. If you're the family or a friend who sees signs of depression in someone's home, you can help by helping him come to an appointment. Help them find a therapist on their network, offer to drive them to an appointment, help with childcare if necessary, or find another way to overcome the barriers to getting there. A common finding in depression is the inability to see that things can always get better. This sense of hopelessness is a cruel facet of the problem that prevents proper treatment. The treatment, however, is effective to restore hope.

        Some people have overwhelming tiredness that prevents them from seeing anyone.

        Stay alert to the signs

        Once a person has suffered depression, future bouts are much more likely than for a person who has not: a study found that 13% of people within 5 years, 23% within 10 years and 42% within 20 years had a recurrence. Fortunately, most people find it much easier to recognize symptoms the second time around, and they are looking for care faster. No one who has suffered from a major depression and has gotten better wants to feel that way again.

        It's been over 30 years since I had depression. I know I'm in danger in the future, and in stressful situations, I've been careful to pay attention to my own feelings. Everyone has ups and downs, but feeling more than 2 weeks on most days would be a red flag. I also recommend that you be honest with the people who are most important: if they realize that I am not myself, they can feel safe if they let me know so that I can be treated sooner. I do not want to feel that way and my family, colleagues and friends do not want that for me either.

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