Signs of coming out of depression

Depression. Treatment

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The term “depression” today is familiar to almost everyone. People easily apply this label to themselves and others, putting on the same scale an ordinary melancholy or depressed mood and a very serious neuropsychiatric disease.

Depression – an emotional disorder that causes suffering, prevents the fullness of life and work, has devastating consequences for interpersonal relationships. In the worst case scenario, this illness can lead to suicide.

Important! At the first signs of depressive disorder, it is necessary to seek help from specialists. Any disease is easier to treat at the initial stage than in the neglected form.

Unfortunately, depressive disorder is often treated lightly, not considering it a disease, much less a reason to see a doctor. And not only those around them, but also the patients themselves. A depressed person can hear from others a lot of unpleasant things: accusations of laziness and indulging their whims, in unwillingness to look at life positively. These reproaches fall into fertile ground, since depression, figuratively speaking, “feeds” on guilt, false shame and depression. As a rule, the patient cannot get out of this state on his own, and his condition steadily worsens.

Biofeedback therapy in the treatment of depression

Biofeedback therapy in the treatment of depression

Biofeedback therapy in the treatment of depression

Causes and types of depression

Depending on the manifestations of the disorder and the factors that provoke the illness, there are several types of depression.

According to the origin of depressive disorders are divided into two main types:

  • Exogenous (provoked by external factors);
  • Endogenous (caused by internal human problems).

According to the degree of severity, a distinction is made between mild, moderate and severe forms of the disease.

According to the nature of the symptoms and peculiarities of the course there are such types of depression as:

Depressive episode . The primary case, which was not preceded by any episodes of malaise. It is manifested by insomnia, depressed mood, withdrawal, and decreased activity.

Recurrent depression . Signs of the disorder appear approximately once a month and last for several days. It can be manifested by other symptoms, besides emotional ones: reduction of memory and attention, deterioration of concentration.

Postpartum depression . This is a condition that women may develop in the first days and weeks after childbirth because of changes in hormones. It is manifested by nervousness, mood swings, insomnia, increased fatigue and – often – indifference to the newborn.

Depression in bipolar disorder . This disorder is characterized by alternating episodes of high and low moods. At the same time, the rest of the time, the person lives a perfectly normal life.

Chronic depressive disorder . It is characterized by a constant lasting (more than two weeks) physical and emotional emptiness, decreased appetite, and sleep disorders.

Biofeedback therapy in the treatment of depression

Biofeedback therapy in the treatment of depression

Biofeedback therapy in the treatment of depression

Causes of depression

Causes of depressive disorders in modern medicine are usually divided into three groups:

  • psychological;
  • socio-cultural;
  • biological.

Psychological factors . The overwhelming number of patients note that “before” depression, they had a large number of stresses in their life (conflicts in the family and at work, the passage of infections, overfatigue, etc.).

An obvious trigger for depression can be psychotrauma caused by the death of a loved one, loss of work, divorce, violence.

Socio-cultural factors . Many people are emotionally vulnerable because of the different labels society hangs on them. Underestimated / overestimated self-esteem, objective or perceived lack of recognition, failure to meet someone’s expectations, goals not achieved by the due date – are frequent causes of depression in modern people.

Biological factors . Sometimes depression is a consequence of internal pathological reasons – genetic predisposition, neurochemical processes, endocrine disorders, hormonal rearrangement (such depression is more common in women), etc. And cardiovascular diseases can be both a consequence and a cause of depressive disorder.

Whatever the causes of psycho-emotional disorders may be, it is almost impossible to get out of depression on your own, and taking medications recommended by “experts” from the Internet is extremely dangerous! Only a specialist can diagnose the causes of the disorder and develop a treatment tactic.

Signs of depression

The manifestations of depression are numerous, diverse and can affect not only the emotional sphere, but also the body.

The symptoms of depression include:

  • sadness, depressed mood for 2 weeks or more;
  • general fatigue;
  • pessimism;
  • apathy, lethargy;
  • irritability;
  • tearfulness;
  • feelings of guilt;
  • unstable appetite, weight changes (loss, gain);
  • sleep disturbances;
  • decreased libido;
  • attacks of anxiety, fear;
  • decreased ability to work;
  • inability to concentrate; impaired memory;
  • loss of interest in things previously loved;
  • somatic illness (complaints of physical ailments, often not previously worrying).

In neglected cases, slowed speech, delusions, marked decrease in intellect, obsessive thoughts about death, alcohol and drug abuse are not uncommon.

5 stages of depression in psychiatry

As far back as 1969, Dr. Elizabeth Kübler-Ross described the 5 known stages of grief acceptance, which includes depression. But there are also specific stages of depression, which fully describe what a person with this disorder has to face. It is noteworthy that depression can last for years, and psychosomatic disorders develop slowly, negatively affecting a person’s quality of life.

Psychiatry states that a person experiences serious negative events in the following sequence: denial, anger, bargaining, depression, and acceptance. But the duration of these transitions can vary greatly. For example, a single depression can take 2, 3, or 5 years, depending on perceptual patterns and the availability of quality medical care.

The 5 Stages of Acceptance by E. Kübler-Ross

  1. Denial. The person refuses to believe in the change that has occurred. In fact, denial of a problem or grief means that the psyche tries to isolate itself from it, as if to pretend that change does not really exist.
  2. Anger. In this stage comes anger and a search for blame. The person may blame himself or herself, others, or higher forces for the occurring misfortunes. The event is viewed as an injustice, someone’s fault.
  3. Bargaining. A person attempts to bargain in order to avoid consequences. For example, he may begin to work on the wear and tear if it is a matter of work trouble. Or bargain with God if, for example, the death of a loved one or some fatal illness is involved. This stage indicates an active attempt to find a way out.
  4. Depression. This occurs when the bargaining stage has not yielded results. The person falls into a depressed state, with apathy, laziness, sadness, pessimism. Nothing can make him happy, he is completely captured by the event that happened.
  5. Acceptance. This stage already indicates a real assessment of the situation, a possible search for prospects in the new situation. The person in acceptance understands that there is no choice, all paths have been tried, and simply prepares morally for the consequences.

Stages of depression

  1. Pessimism. A person forms negative thoughts, feelings that are obsessive in nature. If he remembers something, then only in negative tones, if he learns the news, he sees negative consequences in the events. He is upset by his social position, his own appearance, his future prospects, his job position, the people around him. At this stage, the person stops seeing the bright side and hope.
  2. Appetite disorders. Most patients suffering from depressive disorders have altered eating behavior. They may lose their appetite or, conversely, begin to eat in increased amounts.
  3. Sleep disorders. In the third stage, disorders of night sleep occur. Insomnia occurs more often: it is explained by the brain’s attempts to cope with chronic stress. The person spins, digests negative thoughts over and over again, which does not help him fall asleep. After waking up, he or she feels sluggish, frazzled, and unrested. Sometimes people fall asleep normally, but wake up in the middle of the night for no apparent reason.
  4. Guilt. The person takes responsibility for certain events, things. It is not uncommon for him or her to feel guilty for something that, in principle, is not within his or her control. Thus a feeling of insecurity, helplessness and despair is born. Later the person sees his guilt in everything that happened in his life and around him.
  5. Suicidal tendency. This is the final stage, which becomes a natural consequence of destructive feelings of guilt. This stage may also manifest itself in the infliction of various injuries on oneself: cuts, blows, and so on.

How is depression treated?

Only a psychiatrist or psychotherapist can diagnose a depressive disorder. The patient undergoes consultations with a specialist, psychological testing, and blood tests, including hormone levels. The diagnostic methods described above allow a correct diagnosis to be made. In order to treat, a complex approach is used: these are medication regimens, psychotherapy. Antidepressants are prescribed, which begin to work already in 2-3 weeks after the beginning of admission; cognitive-behavioral therapy and other techniques. Need help and expert advice? Contact us, we provide remote services, using telemedicine capabilities. Our doctors will help you understand your situation and prescribe the necessary tests and treatment.

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