What is the treatment of depression

Mood disorder

The human mood is a description of the person’s emotional and emotional state. Mood is characterized by joy, sadness, anger, and emotion. External and internal factors affect it. It is normal for a person to change his mood from time to time, but at the same time natural man can control his temper and control it.

In order to diagnose a person who has a mood disorder, he or she must suffer from an abnormal range of mood changes and can not control and control him, causing him a feeling of distress and affecting his social and practical life.

Depression

Depression is one of the most common mood disorders, affects one’s thinking and emotions, and leads to a person losing interest in everyday activities. About 12% of people around the world are depressed, and people at any age are at risk but often the peak In the twenties, and affected people with chronic diseases if they suffered from depression, then increased the death rates in the category of patients with chronic diseases and depression together. It is important to pay attention to this disorder because suicidal thoughts are increased in people with depression, or they may also have thoughts of killing others.

Treatment of depression

There are several options for the treatment of patients with depressive disorder, such as the option of psychological treatment and medication. The patient may need ECT. Patients who may commit suicide or kill others or who can not take care of themselves in the hospital should be retained.

Psychotherapy

Psychotherapy is one of the most common methods of treating various psychological conditions, especially in the treatment of depression and anxiety, by helping the person to manage his problems in more positive ways. This method focuses on treatment on the current problem of the patient instead of Focus on previous problems. This problem is divided into small parts. Therapy can include group therapy, support, and attempt to solve the problems experienced by the patient. Psychotherapy can be used alone or in combination with medication.

Drug therapy

The rate of response of patients with depression to drug therapy is 60% to 70%. Among the drugs used in the treatment of depressive disorder are Antidepressants. All antidepressants should be equal in their effect but differ in their side effects. It takes four to eight weeks to fully work and give effect, and antidepressants show withdrawal symptoms if the patient stops taking them on his own, so the doctor works to reduce the doses of antidepressants gradually, and the types of antidepressants; she:

• Selective serotonin reuptake inhibitors: Fluoxetine and Sertraline. This category is the safest. Most antidepressant drugs are described in this category. Side effects of this class of drugs if they occur disappear within days to weeks and include: feeling nausea, diarrhea, insomnia, loss of appetite and weight loss, and can also relieve sexual desire.
• Monoamine oxidase inhibitors: Phenylzine, a side effect that can cause high blood pressure, weight gain, dry mouth and dizziness. Class with serotonin selective serotonin reuptake inhibitors, because they increase the level of serotonin, which can lead to serotonin syndrome of hand jingling, convulsions, tiredness, and excessive sweating. Attention should also be paid to not taking this medicine with sympathomimtics. Or children (Tyramine) because they increase the risk of high blood pressure.
• Tricyclic antidepressants, such as Imipramine and Amitriptyline, are side effects of weight gain, drowsiness, dizziness, constipation, dry mouth, and urinary retention.

ECT

If the patient does not respond to the drug treatment, or if the patient can not afford medical treatment, such as if the patient is pregnant if the drug treatment is dangerous to the fetus, or if the patient needs a quick treatment because the state of depression that is a threat to his health and life as if refusing to eat and drink The patient is treated for electrocardiograms. ECT is safe; it can also be used with medication, and trauma is administered by anesthetizing the patient during an electrical shock; Yen or three, but about the side effects of treatment with electric shocks, the patient may exposed to progressive memory loss (in English: Anterograde Amnesia) but it will disappear within six months, in addition to other symptoms such as nausea, headache, and muscle pain.

Symptoms of depression

To diagnose that a person has a depressive condition, he or she must suffer at least five of the following symptoms for a period of at least two weeks. The five symptoms that the person suffers should include the first or second symptom:

• The person suffers from a depressed mood most of his time.
• Loss of enjoyment of happy and happy activities.
• Change in appetite and weight (either falling or rising).
• Feeling of insignificance or guilt.
• Insomnia or increase the number of hours of sleep.
• Low concentration.
• Feeling tired and tired.
• Emotion.
• To be aware of frequent suicidal thoughts.

These symptoms should also not be the result of a person’s addiction to a specific substance or drug, and not the result of another physical illness such as stroke or increased thyroid secretions. These symptoms should affect a person’s social and practical life.

If there are symptoms of depression when the patient at least once and did not mixed with symptoms of mania; any symptoms of an obsession with greatness and increased self-confidence as well as increasing the activity of the person, and does not need hours of normal sleep, in addition to increasing the words of the person, and the acceleration of his ideas are incoherent and taken quick and decisive decisions The person is diagnosed as having a depressive disorder.

A person with a depressive disorder suffers from many sleep problems, such as waking up many times during sleep, sleeping hard or waking up before his usual waking times. The person with the disorder is not common in increasing the number of hours of sleep, but this can happen.

Causes of Depression

The main cause of depression is not yet known, but there are many causes for depression. The environmental and biological factors of a person as well as genetic factors and socialization all affect a person’s psyche. A child who grows up in an unstable family environment suffers Of family violence suffers from a depressive disorder as they age, and if a relative of a first-degree person suffers from depressive disorder, the chance of being infected by the disorder increases two to four times than that of a relative Degree of depressive disorder, also can be caused by a disturbance disorder as a result of an imbalance in neurotransmitters in the brain, also there is a presumption that the cause of the disorder of a depressive disorder is to increase beta-adrenergic receptors in the brain sensitivity, or because of increasing the proportion of cortisol (in English: Cortisol)

Physical illnesses can cause a person to become depressed, along with substance abuse, and from diseases and physical problems that may lead to depression:

• Vascular diseases such as: cerebral thrombosis, myocardial infarction.
• Diabetes.
• Cushing Syndrome.
• Addison’s disease.
• Low blood sugar level.
• High or low level of thyroid secretion.
• High or low calcium level in the body.
• Parkinson’s disease or Parkinson’s disease.
• Cancer is especially cancer of the lymph nodes, pancreatic cancer.

As for substances and drugs that can lead to depression:

• Anti-high blood pressure.
• Corticosteroids.
• Anticonvulsants.
• Antipsychotics.
• Diuretics.
• Symptoms of withdrawal of drugs such as cocaine, amphetamine.
• Levodopa.