What is Depression?
What is Depression?
Depression is a common mood disorder that causes a persistent feeling of low mood characterized by sadness and lack of motivation that interfere with your everyday activities. It also includes loss of interest in activities you once used to cherish. It leads to a variety of emotional and physical problems and also decreases your ability to function at work and at home.
Overview
Depression is also called clinical depression or major depressive disorder and it affects the way you feel, think and behave and can lead you to a variety of physical and psychological problems. You may have trouble doing normal day-to-day activities and sometimes you might feel as if your life isn’t worth living.
Depression is a serious medical condition that can get worse without proper treatment but, if you seek treatment you will see improvements in symptoms in just a few weeks and it is of course treatable, although it requires long term treatment.

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What are the symptoms of Depression?
Symptoms of depressions vary from individual to individual, commonly seen symptoms include:
⦁ Feeling of sadness or having a hopeless mood.
⦁ Loss of interest in activities which you once used to appreciate and enjoy.
⦁ Changes in appetite and developing eating disorders like Anorexia Nervosa or Bulimia Nervosa which results in too much weight loss or gain in weight respectively.
⦁ Angry outbursts, irritability or frustration, even over small matters.
⦁ Insomnia (Trouble falling asleep) or Hypersomnia (sleeping too much).
⦁ Loss of motivation, energy or increased fatigue.
⦁ Increase in pointless physical activities, slurred speech etc., observed by others.
⦁ Difficulty in concentrating, thinking and making decisions.
⦁ Thoughts of hopelessness and suicide.

What are the common types of depression?
There are many different types of depression, different events in your life become the reason of some types of depression, and chemical changes in your brain also cause some types of depression, common types of depression include:
Major depression:
It involves the feeling of depression for most of the time, for most days of the week.
Persistent Depressive Disorder:
If you have depression for more than 2 years it’s called persistent depressive disorder. It involves chronic major depression and dysthymia.
Bipolar disorder:
It is also known as manic depression. It has mood episodes that range from extremes of high energy with an “up” mood to low “depressive” periods.
Seasonal Affective Disorder (SAD):
It is a period of depression that most often occurs during the winter months, when the days grow short and routines also get tougher, it usually goes by the end of winter.
Psychotic depression:
It includes the symptoms of major depression along with “psychotic” symptoms, such as Illusions, Delusions or Obsession.
Postpartum Depression:
Women who have major depression in the weeks and months after childbirth may have postpartum depression.
Situational Depression:
It includes having a depressed mood when you’re having trouble managing a stressful event in your life, such as a divorce or losing a loved one.
Atypical Depression:
This type is different than the continuous sadness of typical depression. It is considered to be a specifier that describes a pattern of depressive symptoms. If you have atypical depression, a positive event can temporarily improve your mood.
Premenstrual dysphoric disorder (PMDD):
Also known as pre-menstrual syndrome. It causes more serious Pre-menstrual symptoms like severe irritability, depression, and anxiety due to sudden upsurge in hormones.

What are the causes of depression?
There are numerous possible causes of depression. They can range from biological, genetic and chemical to circumstantial causes.
Common causes of depression include:
Family history
You have a greater chance of developing depression if you have a family history of depression or history of another mood disorder.
Early childhood trauma:
Some events affect the way your body reacts to fear and stressful situations and cause you to become prone to depression.
Structure of brain:
There’s a greater risk of depression to grow if the frontal lobe of your brain is less active.
Medical conditions.
Certain medical and psychological conditions may put you at higher risk of developing depression i.e. chronic illness, chronic pain, sleeplessness or attention-deficit hyperactivity disorder etc.
Drug use.
A history of consumption of illicit drug or alcohol misuse can affect your risk.
Biological causes of depression:
It is likely that in clinical depression, neurotransmitter function that carry signals from one part of the brain to the next is disrupted. It is also seen that increase or decrease in serotonin, noradrenaline and dopamine (i.e. hormones that are regulators of mood) can also cause depression.

What are the risk factors of depression?
Depression is usually observed in 20s or 30s, though it may occur at any age. Women are more affected by depression than men. The factors which increase the risk of developing depression include:
- Specific personality traits, such as low self-esteem and being too much dependent, self-critical or pessimistic. Traumatic events, such as suffering from physical or sexual abuse, death of a loved one, a difficult relationship, or financial issues.
- Close relatives with a history of depression, bipolar disorder, alcoholism or suicide.
- History of other physiological or psychological disorders, such as anxiety disorder or post-traumatic stress disorder.
- Abuse of alcohol or illicit drugs.
- Serious illness, e.g. cancer or heart disease.
- Certain medications, such as some high blood pressure medications or sleeping pills etc.
Complications of Depression:
If depression is not treated it results in serious physical and psychological issues that affect every area of your life, examples of complications associated with depression include:
- Sudden weight loss or obesity, which might lead to diabetes and heart diseases
- Body ache or physical illness
- Alcohol or drug addiction
- Panic disorder, Anxiety or anti-social behavior
- Relationship difficulties and work problems
- Social isolation
- Suicide attempts
- Self-harm
Early childhood trauma:
Some events affect the way your body reacts to fear and stressful situations and cause you to become prone to depression.
Structure of brain:
There’s a greater risk of depression to grow if the frontal lobe of your brain is less active.
Medical conditions.
Certain medical and psychological conditions may put you at higher risk of developing depression i.e. chronic illness, chronic pain, sleeplessness or attention-deficit hyperactivity disorder etc.
Drug use.
A history of consumption of illicit drug or alcohol misuse can affect your risk.
Biological causes of depression:
It is likely that in clinical depression, neurotransmitter function that carry signals from one part of the brain to the next is disrupted. It is also seen that increase or decrease in serotonin, noradrenaline and dopamine (i.e. hormones that are regulators of mood) can also cause depression.
Diagnosis of depression:
Diagnostic evaluation of depression includes a consultation and a physical examination. In some cases, a blood test might be done to make sure the depression is not due to a medical condition like a thyroid issue, heart disease or a vitamin deficiency etc. The assessment will specify the symptoms and discover medical and family history and also the environmental factors to make a diagnosis and a treatment plan according to specific type of depression.
How to prevent Depression?
Following are the strategies that are seen to help prevent depression:
- Management of stress, to increase your strength, resilience and to boost your self-esteem.
- In times of crisis reaching out to family and friends, to help you go through difficult times.
- Considering getting long-term treatment helps to prevent re-occurrence of symptoms.
- Seeking treatment at the earliest stage of problem helps to prevent depression from getting worse.
- Keeping a track of your triggers and learning to avoid and manage them.
- Making some leisure time for yourself.
- Regular exercise
- Getting plenty of sleep
- Maintaining medicinal treatments
- Practicing meditation
- Spending some time in nature
- Practicing gratitude
- Keeping your focus on the brighter side
When to seek help for depression?
You should seek medical help for depression if you are facing following symptoms lasting for two weeks or more:
- Sleep problems
- Loss of appetite
- Unexplainable emotional changes
- Sudden loss of interest in almost everything
- Feelings of hopelessness or helplessness
- Palpitations (irregular heart beat)
- Suicidal thoughts
- If you are not feeling like yourself and want help to understand, make an appointment to visit your health care provider. It is very important to be honest so they can completely understand what is wrong and get a clear understanding of what you are feeling and they may decide the appropriate type of treatment for you

Treatment of Depression:
Depression is among the most treatable of mental disorders. 80% to 90% of people with depression eventually respond well to treatment. Almost all patients gain some relief from their symptoms. Different approaches like medicinal, therapeutic and natural remedies are used to treat depression.
Medicinal treatment:
- Anti-depressants, which include selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) are commonly used to treat depression.
- Anti-anxiety medications: These include drugs, which can help to reduce the symptoms of anxiety and depression.
- Mood stabilizers: When antidepressants don’t work by themselves these drugs may be used to stabilize mood and decrease the emotional instability.
- Vitamins: Deficiency of vitamin B-6, vitamin B 12 and vitamin D are seen to increase depression symptom therefore the supplementation of these vitamins is helpful.

Therapeutic treatment of Depression includes:
Electroconvulsive Therapy (ECT):
It is a medical treatment that is commonly used for patients with major depression who have are not responding to other treatments. It involves a short-term electrical stimulation of the brain while the patient is under anaesthesia.
Psychotherapy:
Speaking with a therapist can help you in learning skills to cope with negative and depressive feelings. You may also benefit from family or group therapy sessions.
Natural remedies for depression Include:
⦁ Exercise
⦁ Stress management
⦁ Meditation
⦁ Use of essential oils like lavender oil and bergamot oil which have anti depressive properties
⦁ Aromatherapy
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