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Important depression

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Content of this page:
  • Illustrations
  • Alternative names
  • Definition
  • Causes, incidence, and factors of risk
  • Symptoms
  • Samples and tests
  • Treatment
  • Groups De Ayuda
  • Expectations (prognosis)
  • Complications
  • To call its supplier of the medical care
  • Prevention

Illustrations

Forms of depression
Must De St. Juan

Alternative return    of the names to the cover

Depression - commander; Single-pole depression; Important depressive disorder

Return    of the definition to the cover

The important depression is when 5 or more symptoms of the depression are in favor present of at least 2 weeks. These symptoms include the sad, desperate sensation, without value, or pessimist. In addition, people with the important depression often have changes of the behavior, such as new patterns eating and sleeping. The important depression increases the risk of a person of the suicide.

The causes, the incidence, and the risk factors    return to the cover

The exact cause of the depression is not known. Many investigators think that he is caused by chemical imbalances in the brain, that can hereditary or be caused by events in the life of a person.

Some types of depression look like to work in families, but the depression can also happen in the people who do not have any familiar antecedent of the disease. The exhausting life changes or the events can drive the depression in some people. Generally, a combination of factors is implied in the development of the important depression.

The important depression is one of the more common chronic conditions. Every year, more than 18 million Americans -- the men and the economic women of all the ages, races, and levels -- they suffer of the depression. It more often happens in women.

The women are specially vulnerable to the depression after giving light. This one is a result of the hormonal changes and the verification that have experimented. Whereas the new mothers experience "blue weathers commonly", the depression that lasts more of 2-3 length weeks is not normal and it does not require the treatment.

The important depression can happen in children and adolescents, and can also benefit from the treatment (it also see the adolescent depression.)

The symptoms    return to the cover

The important depression is when a person has 5 or more of the following symptoms by more than 2 weeks:

  • Hardship that to duer to me or that to duer to me excessive
  • A dramatic change in appetite, often with increase of the weight or loss
  • Fatigue and deficiency of the energy
  • Sensations of worthlessness, self-hate, and the inadequate culpability
  • Extreme concentrating itself of the difficulty
  • Agitation, restlessness, and irritability
  • Inactivity and retirement of activities generally, a loss of interest or pleasure in the activities that were enjoyed once (such sex)
  • Sensations of the desperation and the neglect
  • Thoughts of the death or the suicide

The depression can appear as rage rather and the loss of heart that sensations of the desperation and the neglect. If the depression is very severe, can be accompanied by sicopáticos symptoms, such as hallucinations and delusions. These are generally constant with pressed humor, and can be centered in subjects of the culpability, the personal insufficiency, or the disease.

The samples and the tests    return to the cover

The important depression is diagnosed if the information of the person that have more depressive symptoms 5 or by at least 2 weeks. The inventory of the scale of the depression of the dye Cuba or other tests of investigation for the depression can be beneficial in the depression that it diagnoses.

The medical causes that can demonstrate symptoms of the depression must also be eliminated before making the diagnosis of the depression.

Return    of the treatment to the cover

The depression can be treated in a variety of ways, particularly with medications and the advising. Most of people it benefits from a combination of both. Some studies have demonstrated that the drug therapy of the antidepressant combined with sicoterapia appears to have results better than any therapy only.

The medications include tricyclic antidepressants, the inhibitors of oxidized of monoamine, the selective inhibitors of re-re-uptake of serotonin (SSRIs), and some newer drugs of the antidepressant. Whereas the medications of the antidepressant can be very effective, some can not be appropriate for each one. For example, in September, 2004 that the FDA began to consider a warning that some antidepressants can increase the risk of suicidal tendencies in children.

The supplements of lithium and the thyroid can be necessary to heighten the antidepressant effectiveness. For the people with sicopáticos symptoms, such as delusions or hallucinations, the antipsicóticas medications can be necessary.

The therapy of Electroconvulsive (ECT) is a treatment that causes a grasping by means of an electrical current. ECT can improve the humor of seriously pressed people or forces suicide on that it does not respond to other treatments.

The investigation now is being conducted on the transcranial magnetic stimulus (TMS), that alters the brain that works of a way similar to ECT, but with few indirect effect. The use of the slight therapy for the depressive symptoms in the months and interventions of the winter to recover a normal cycle of the dream can be effective in releasing the depression.

Because the treatment takes effect, the negative thought diminishes. Taking time to feel better, but are daily improvements generally. It is important to maintain a form of healthy life. Eat the well-balanced meals, you avoid the alcohol and the drugs (that make the depression worse and can interfere with medications), it obtains to the regular exercise and the dream, and looks for the interpersonal relations of support.

Many consumers try herbarios products for the depression. The must of St. Juan has a long history of the use in Germany and has gained reputation like herbario antidepressant in the United States. Most of the studies German they indicated that the must of St. Juan was comparable to some antidepressants. Nevertheless, a great study lead by the national center for the complementary and alternative medicine found that the must of St. Juan was not effective for the important depression that it treated.

Because the herbarios products can have indirect effect, it always says to his doctor if you are using them.

The aid groups    return to the cover

For more information and resources, it sees the group of aid of the depression.

The expectations (prognosis)    return to the cover

The result is generally good with the treatment. Although most of the depressive episodes they are possible to be dealt with effectiveness with the medication, the sicoterapia, or both, the depression is a problem that is repeated for much people. For the people who have experienced repeated episodes of the depression, the treatment of the maintenance can be necessary to prevent the future repetitions.

The complications    return to the cover

  • Suicide (up to 15% of people with important depressive disorder it dies by suicide)
  • Increasing risk of the drug-related problems of the alcohol and
  • Increasing risk of the dependency of the tobacco
  • Increasing risk of problems with physical health and the premature death due to the medical disease

Calling his supplier of the medical care    it returns to the cover

Call 911, a direct telephone of the suicide, or obtains to a next quarter of emergency surely if you have thoughts of the suicide, a suicidal plan, or thoughts to be damaged or others.

Call immediately to his doctor if:

  • You hear the voices that are not there.
  • You have griterío you frequent spells little with or anything of provocation.
  • You have had sensations of the depression that interrupt the work, the school, or the life of family by more of length of 2 weeks.
  • You think that one of its pressed present medications can do the sensation to him. He does not change nor he stops any medications without consulting his doctor.
  • You think that you must cut behind in drinking, a member or a friend of the family has requested who you cut behind, you feels like culprit on the amount of alcohol that you drink, or you in the morning drink the first thing of the alcohol.

Return    of the prevention to the cover

Some episodes of the depression can be avoided close:

  • Learning how to relax and to handle the tension
  • To avoid the alcohol, drugs, and caffein
  • Exercising regularly
  • Good habits of the dream that maintain

The advising can help him with times of the pain, the tension, or low humor. The therapy of the family can be particularly important by the adolescences that feel blue.

For greater or other than they feel isolated social or single, attempt that is offered voluntarily or that obtains implied in activities of the group.

The medications and the psychiatric advising can prevent repetitions. Some episodes of the depression are not preventable.

Date Of the Update: 9/20/2004

Bring up to date surrounds: Editorial of A.D.A.M.. Previously reviewed by Yvette Cross, M.D., department of psychiatry, university of the medical center of Pennsylvania, Philadelphia, PA. The revision provided by the network of VeriMed Healthcare (2/17/2002).

Standard of A.D.A.M.

The proportionate information is not due to use during any medical emergency or for the diagnosis or the treatment of any medical condition. A licensed doctor must be consulted for the diagnosis and the treatment of nobodies and all the medical conditions. Call 911 for all the medical emergencies. Adam does not make any representation or guarantee with respect the exactitude, the trustworthiness, complete it, currentness, or to the puntualidad of the content, the text or the graphs. The connections to other sites are only provided for the information -- they do not constitute endorsements of those other sites. Copyright 2005, A.D.A.M., Inc.. Any duplication or distribution of the contained information attached is prohibited final.


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