Depression

Depression's disease overview

What is depression ? Depression is a psychiatric illness characterized by mood disorders. The disease is caused by disorders of the brain caused by any psychological factor that forms abnormal changes in the behavior of behavior.

Women often have more depression than men (2 women/ male) occurs in many special ages in adulthood. The incidence of depression is increasing, according to the World Health Organization, estimated that each year about 850000 deaths due to suicide behavior due to depression, a common disease globally. However, among them those who are diagnosed and treated promptly are still very low, accounting for about 25%

Depression is the cause of more than 50% of suicide cases, depression due to different reasons but high percentage in unemployment, bankruptcy, divorce, ...

Depression is a disease that is no stranger to completely cured, so it is necessary to be examined and treated promptly.

Causes of Depression's disease

depression due to the following causes:

  • Endogenous (unknown depression): There are many theories that are inherited, autoimmune, environmental, social but not really clear
  • depression due to stress: due to pressure from many sides such as work, family, children, bankruptcy or sudden things that happen such as losing relatives, losing money of, ...
  • Depression may appear pathogens or trauma that directly affects the brain

  • Depression may not know the cause
  • Symptoms of Depression's disease

    Depression is manifested by the following symptoms:

  • Sad mood: The sad mood is manifested through the patient's facial expression: Sad, sad, moody eyes are very monotonous, reduce or lose wrinkles. The mood decreases very sustainably due to the patient sad, depressed, pessimistic, losing all the beliefs in life.
  • Loss of interest or previous hobbies: The feeling of heavy, fatigue does not want to work, walk slowly, always feel that I do not have enough health to work Even if it is light, not caring about the surrounding, even children who are playing and not paying attention. Patients think that they have lost all the interests inherent including sexual desire. Men and women show signs of sexual decline such as apathy in women or erectile dysfunction in men
  • Sleep disorders: Insomnia is the most common symptom accounting for 95% of depression patients. The patient felt that it was difficult to sleep, even though he sometimes felt very sleepy but could not sleep, woke up earlier than usual. Patients are considered insomnia when sleeping less than 2 hours a day than usual. Patients can stay up all day and night for many days leading to physical weakness.
  • Losing appetite, leaning weight, a few showing signs of weight gain: Patients with depression lost their appetite, did not want to eat even in case of fasting. All leads to weight loss. A few cases of cravings, eating more than usual lead to weight gain
  • Fatigue, concentration, energy reduction: or complaining fatigue without any causes, reducing the ability to focus so the work efficiency is reduced. Feeling of fatigue is often worse in the morning. No longer interested in anything. Tired patients do not want to do anything for severe cases that cannot be done in everyday tasks such as: Going to the market, cooking rice, washing clothes
  • Feelings of useless, sin: always have negative thoughts about yourself, the feeling of despair has no way out, no more faith in yourself and the future. Feeling guilty to relatives, inferior to others, becoming useless.
  • Physiological manifestations: headache, neck and shoulder fatigue, chest thrilling, limb aches
  • Feeling of no reason, ridiculous haunting, easy to get angry with those around you, there are fears, fear of communication, little care about others, High demands for others
  • Form of external form: Dressing is so wobbly, poor body hygiene, slow gesture or unjustity, sad and monotonous voice suggested about depression disease .
  • Intentional and suicide behavior: Most depressed patients have the thought of severe death rather than committing suicide intent. The feeling of despair has no way out. They are obsessed with illness, depression, vulnerability gradually thought to die for less suffering.
  • People at risk for Depression's disease

  • After a psychological trauma: bankruptcy, losing all money, debt, losing relatives, broken marriages, damaged children, too great work pressure. ..
  • After giving birth a few weeks, accounting for a fairly large proportion that needs timely detection
  • For students, students: Too large learning pressure: many homework, overwhelming exams, pressure from parents,
  • After real damage: Trauma, ...
  • Prevention of Depression's disease

  • For some unpredictable psychological trauma such as losing relatives, bankruptcy needs to be concerned, close, sharing to regain confidence for patients
  • Avoid psychological trauma: Get rid of pressure in life if possible

  • For those with depression signs that need monitoring the patient because the patient may commit suicide behavior at any time
  • Bring to psychiatric medical examination for timely diagnosis
  • Diagnostic measures for Depression's disease

    Can diagnose depression according to the following two criteria:

    The diagnostic criteria of depression according to ICD-10F (1992) Typical depression include

    with at least 2 of the following 3 symptoms:

  • Miraculous reduction
  • lost all interest, excitement
  • Reduce energy, increase fatigue, reduce activities
  • There are at least 3 common symptoms:

  • Attent attention
  • Self -esteem and confidence
  • The idea of ​​guilty and unworthy
  • look at the future Gloomy and pessimistic
  • with suicidal ideas and behaviors
  • Sleep disorders
  • Unlike appetite
  • Symptoms exist for at least 2 weeks

    Introducing the standard to diagnose other diseases

    Diagnosis of depression according to the standard DSM IV

    within 2 weeks every day

    Sorrowful temperament and or reject the inherent joys plus at least 4 of the following symptoms

  • Reduce or gain weight, reduce or increase appetite
  • Insomnia or constant sleep
  • excited or slow
  • Tired or loss of strength
  • Feeling useless or feelings of sin
  • Reduce the ability to focus
  • With suicide ideas and behaviors
  • Reduce libido
  • Depression's disease treatments

    Depression, if not detected and treated promptly, the risk of suicide patients is very high, accounting for 50% of the total number of depression patients. In the family, relatives who have the above manifestations should be taken to a mental specialist hospital to discover and treat promptly.

    Principle of treatment:

  • Cut emotional disorders
  • Anti -relapse

    Rehabilitation

  • Do not arbitrarily take medicine
  • Take the right, sufficient medication according to the regimen, do not arbitrarily quit
  • Notify the doctor the side effects of the drug to give the most appropriate solution
  • There are many antidepressants, mood regulators in accordance with the disease mechanism depending on the case of each specific disease prescribed by a psychiatrist, which is very effective. Good rate of high disease, less recurrence

  • Treatment with psychological therapy: Share, sympathetic, close to patients
  • Other treatments such as physiotherapy: Massage therapy, acupuncture, ...
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