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Major Depression Is Highly Treatable

What is major or clinical depression?

Major depressive disorder (MDD) is a condition characterized by signs and symptoms that interfere with the ability to work, sleep, eat and enjoy once enjoyable activities. Depression is common and often goes undiagnosed because the onset of the first episode of major depression may not be obvious if it is gradual or mild.

According to the DSM-IV – a manual used to diagnose mental health conditions. day, and this is a change from his/her previous level of functioning. One of the symptoms must be (a) depressed mood, or (b) loss of interest.

in. Depressed mood. For children and adolescents this can be irritable mood.

b. A significantly reduced level of interest or pleasure in most or all activities.

c. A significant weight loss or gain (eg 5% or more change in weight in a month if not dieting). This can also be an increase or decrease in appetite. For children, they cannot gain an expected amount of weight.

d. Difficulty falling or staying asleep (insomnia) or sleeping more than usual (hypersomnia).

e. Behavior that is agitated or delayed. Others must be able to observe this.

f. Feel tired, or have low energy.

g. Thoughts of worthlessness or extreme guilt (not about being sick).

h. Ability to think, concentrate or make decisions is reduced.

i. Frequent thoughts of death or suicide (with or without a specific plan), or suicide attempts.

To be considered major depression:

Your symptoms are not due to a mixed episode – simultaneous mania and depression that can occur in bipolar disorder

Symptoms must be severe enough to cause noticeable problems in daily activities, such as work, school, social activities or relationships with others

Symptoms are not due to the direct effects of something else, such as drug abuse, taking a medication or having a medical condition such as hypothyroidism

Symptoms are not caused by grief, such as temporary grief after the loss of a loved one

Treatment

Although major depression is a serious mental disorder that profoundly affects an individual’s quality of life. It is very treatable. Many types of treatment are available. Medicines and psychotherapy are very effective for most people. Some studies have shown that antidepressant drug therapy combined with psychotherapy has better results than either therapy alone.

Medications

Medications include:

Selective serotonin re-uptake inhibitors (SSRIs)

Serotonin and norepinephrine reuptake inhibitors (SNRIs)

Norepinephrine and dopamine reuptake inhibitors (NDRIs)

Atypical antidepressants

Tricyclic antidepressants

Monoamine oxidase inhibitors

Psychotherapy

There are several types of psychotherapy that have been shown to be effective for depression, including cognitive-behavioral therapy (CBT) and interpersonal therapy (IPT).

Cognitive-behavioral therapy (CBT) helps to identify negative beliefs and behaviors and replace them with healthy, positive ones.

Interpersonal therapy (IPT) focuses on the interpersonal context and on building interpersonal skills.

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