Depression
Chapter 16. Mental Health Conditions

Depression is marked by sadness, hopelessness, helplessness, pessimism, and a loss of interest in life. Symptoms of depression include long-lasting crying spells, fatigue, loss of interest or pleasure in ordinary activities including sex, changes in eating and sleeping patterns, lack of concentration, and thoughts of suicide or death.

Causes
A lot of things can lead to depression:
Life changes such as the birth of a baby, divorce, retirement, loss of a job, or death of a loved one. (See Grief/Bereavement.)
Worrying about financial problems
Chronic or acute medical conditions
Abuse of alcohol, drugs, and some medications
Lack of natural, unfiltered sunlight between late fall and spring in some sensitive people. This is called Seasonal Affective Disorder (SAD). It only strikes people that are prone to this disorder.
A side effect of medicines such as some to treat high blood pressure
Holiday "blues"

Depression can, however, be a disease in and of itself.

Treatment
Whatever the cause, depression can be treated. Treatment includes medication such as antidepressants, psychotherapy, and other therapies specific to the cause of the depression, such as exposure to bright light (similar to sunlight) for depression that results from SAD.

Questions to Ask

Have you just tried to commit suicide or are you planning ways to commit suicide?
Has there been a lot less interest or pleasure in almost all activities most of the day, nearly every day for at least 2 weeks? Or, have you been in a depressed mood most of the day nearly every day and have you had any of the following for at least 2 weeks?
Feeling slowed down or restless and unable to sit still
Feeling worthless or guilty
Changes in appetite or weight loss or gain
Thoughts of death or suicide
Problems concentrating, thinking, remembering, or making decisions
Trouble sleeping or sleeping too much
Loss of energy or feeling tired all the time
Headaches
Aches and pains
Digestive problems
Sexual problems
Feelings of pessimism or hopelessness
Worried or anxious feeling

OR
Has depression interfered with daily activities for more than 2 weeks? Have you withdrawn from normal activities during this time?

OR
Has the depression occurred as the result of any of the following?
A medical problem
Taking over-the-counter or prescription medicine
Abusing alcohol or drugs
Does the depression come with dark, cloudy weather or winter months and does it lift when spring comes?
Are you feeling depressed now and do any of the following apply?
You have been depressed before and not gotten treatment.
You have been treated for depression in the past and it has returned.
You have taken medication for depression in the past.

OR
During holiday times, do you?
Withdraw from family and friends?
Dwell on past holidays to the point that it interferes with your present life?

OR

Self-Care Tips

To Overcome Mild, Situational Depression:
Be with positive people. They'll lift your morale.
Do something to help someone else. This will focus your attention away from yourself.
Get some physical exercise every day. Walk, jog, bike, play tennis, etc.
Do something different. Walk or drive to a new place. Try a new restaurant.
Take a vacation doing something you enjoy.
Tackle a new project or do something that lets you express yourself, such as writing or painting.
Relax. Listen to soft music, take a warm bath or shower. Do relaxation exercises.
Talk to someone who will let you express the tensions and frustrations you are feeling.
Avoid drugs and alcohol. These can cause or worsen depression.

{Note: For information on depression see "Places to Get Information & Help" under Depression.}

HEALTH AT HOME - Your Complete Guide to Symptoms, Solutions, and Self-Care © 1999 by Don R. Powell. American Institute for Preventive Medicine. 

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Date updated 02/01/99