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depressive disorders

Getting Out of Depression

Some tips to get you out of depression

Major depression is the third most common mental disorder in the US.  Nearly 7 percent of the US population is affected in any one year.  Incidentally, if you are keeping track, the two most common mental disorders are Anxiety disorders and Phobia disorders, including Obsessive-Compulsive Disorder and Post-Traumatic Stress Disorder.

Major Depression, also called Major Depressive Disorder (MDD) has an average onset of 32 years of age and is more common in women than in men.  It is also called “unipolar depression” by those who are familiar with Bipolar disorder.  It may include a subset of depressive disorders such as Seasonal Affective Disorder (SAD), which affects people yearly – usually in the winter and Dysthymic Disorder, which is a less severe form of depression.

In order to be diagnosed with Major Depression, a person must meet the DSM criteria including at least five of the following for at least two weeks:
•    Depressed mood most of the day
•    Diminished interest in all or most activities
•    Significant, unintentional weight loss or gain
•    Insomnia or sleeping too much
•    Agitation or psychomotor retardation (slow movement) noticeable by others
•    Fatigue
•    Feelings of worthlessness or guilt
•    Diminished ability to think or indecisiveness
•    Suicidal thoughts

In some cases, depression can be relieved by changes in lifestyle or with psychotherapy, but in severe cases – medication may be warranted.  We are fortunate today in that there are a number of effective medications that have fewer side effects than previous treatments, and the category continues to evolve.

Even with medication – that may not begin working for at least several weeks – some lifestyle changes, and habits may help a person “emerge” from their depression and manage symptoms in the future.

Major DepressionLifestyle changes are difficult, particularly when depressed, but the effort it takes to “soldier through” is worth it in the end.  These tips for helping with depression are not easy – especially when you do not have any energy and don’t feel like getting up, but even though they may not provide a cure – they almost always provide some help.

  1. Get up and move – this is the hardest for most people to do.  It may take a tremendous amount of efforts but even simply getting off the couch or out of bed and walking around the house will help.  Getting up and moving around will increase your blood flow and heart rate will help increase blood flow to your brain and may convince your body that “hibernation” is over.
  2. Get dressed – you may have been wearing the same clothes for many days.  Changing into a “daytime” outfit can help regulate your time clock and may help you feel like you can accomplish something.  If you wear makeup or fix your hair, do so – and by all means, take a shower.
  3. Get out in the sun – don’t stay long enough to get a sunburn but studies have shown that bright light helps your brain wake up.  It resets your internal clock by adjusting your melatonin levels (a hormone responsible for inducing sleep).  It also triggers a “springtime” effect – that again tells your brain and body that winter is over, and it is time to come out of hibernation.
  4. Talk to a friend – making a phone call may not be tops on your mind, but even a wordless chat can help you feel like someone else is aware of your existence.
  5. Watch something enjoyable – even if you don’t want to enjoy anything, do something that would normally make you happy.  Just a little bit of happiness peeking through can go a long way.
  6. Go to bed and get out of bed at normal hours – sleep patterns are often destroyed by depression.  Reestablishing those normal patterns will help reset your internal clock to a natural level.
  7. Don’t take naps – again with both the normal sleeping hours and with the “getting up.”  Reinforcing physiologic habits will help establish normal brain functioning.
  8. Eat healthily – you may want to eat everything, nothing, or only certain foods.  Likely, no matter how much or how little you are eating, you are deficient in some of the necessary vitamins and nutrients – so eating a healthy diet and taking a multivitamin mineral supplement is a good idea.  B vitamins are especially helpful to restore nerve cell functioning, C and E are useful for combating inflammation that can cause sluggishness, D vitamins are useful to aid in the “sunlight” phenomenon discussed before, Calcium and Magnesium are good for the brain cells which are malfunctioning.

Most people who are depressed will find a lot of these activities difficult – and you may only be able to do one or two a day.  None of this is meant to be insulting, but there is science behind all of it – and others have been through it before.
With the help from the medication and the lifestyle adjustments – you will feel like you are coming out of the fog – and be able to do all of them – or sometimes, choose not to.  Choosing not to do something is different than feeling like you are unable to do something – and you want to have control of your life.

– Melissa Lind

When is Depression Treatment Necessary?

We may wonder when depression treatment is needed

Depression and LonelinessThere is a variety of forms for depression treatment, and they can be used in a wide range of circumstances. All of us, from time to time, have periods where we are “low” emotionally. In some cases, these “blue periods” may be sufficiently intense to make us wonder whether or not we should avail ourselves to medical interventions.

There is no clear answer to the query. All of us have unique emotional compositions, and depression strikes different people in different ways. However, there are a few solid indicators we can reference in order to determine if our sense of sadness is a normal part of our healthy emotional range or an incident of depression warranting medical advice.

The first consideration is the severity of primary symptoms. If one is feeling a bit glum, that is a far cry from experiencing the sense of utter hopelessness often associated with cases of clinical depression. A mild twinge of the “blues” is significantly different in severity to having lost one`s zest for life and the ability to appreciate previously enjoyed activities. If symptoms are out of the ordinary, depression treatment may be required. Stated in clear terms: bad moods are normal. Depression is not.

Another factor to evaluate is the presence of additional symptoms. Rarely does depression only influence one`s moods. Those suffer from a diagnosable case of this mental illness, usually experiencing other symptoms. If feeling down is accompanied by changes in appetite or sleeping habits, a heightened sense of anxiety, or other commonly experienced depression symptoms, depression treatment may be justified.

One can easily search for a list of the many possible symptoms associated with depressive disorders online. If you are trying to fix your health or that of another, such information will not serve as a replacement for a professional opinion, but can provide you with valuable background information.

Finally, we should consider not only at symptoms and their severity, but also at their longevity. Many people will experience intense periods of situational depression that tend to dissipate over the course of a few weeks. Life`s challenges can be difficult, and shameful feelings in response to them are perfectly normal. However, if those feelings don`t begin to wane in a few weeks, one may want to consider depression treatment options.

The decision to seek professional help can be difficult. If you have any doubt in whether or not you or someone you know is experiencing actual depression, as opposed to a simple “bad mood,” you should act by caution and explore the possibility of treatment before simply assuming the situation will pass “on its own.”

Deciding whether or not seek medical guidance should be informed but must be cautious. Depression is an extremely serious medical disorder and should not be taken lightly. If any warning signs occur, it is perfectly reasonable to make an appointment to investigate depression treatment.