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Your Online Guide » Guide to Health » Depression Cure

[T490]The Great Depression Causes And Effects
by Juliet Cohen, Jul
Clinical depression (also called major depressive disorder, or unipolar depression when compared to bipolar disorder) is a state of intense sadness, melancholia or despair that has advanced to the point of being disruptive to an individual's social functioning and/or activities of daily living. Depression affects people differently. Some feel down for extended periods of time; for others the feelings of depression come and go. Depression is a mood disorder that causes you to feel sad or hopeless for an extended period of time. More than just a bout of "the blues" or temporary feelings of grief or low energy. Many people identify the feeling of being clinically depressed as "feeling sad for no reason", or "having no motivation to do anything." One suffering from depression may feel tired, sad, irritable, lazy, unmotivated, and apathetic.

Clinical depression is not just grief or sadness. Clinical depression is generally acknowledged to be more serious than normal depressed feelings. It often leads to constant negative thinking and sometimes substance abuse. Extreme depression can culminate in its sufferers attempting or committing suicide. There are three main types of depression; unipolar disorder (major depression), bipolar disorder (manic depression) and dysthymia (prolonged sadness). Major depression usually strikes people between the ages of 25 and 44, although it can affect any person at any age. For most people, episodes of major depression last from six to nine months. Feelings of total indestructibility are common, and the manic person may believe for example that not even moving cars can stop him or her, or that he or she can fly. They experience delusions and hallucinations and sometimes talk so fast that their speech becomes illegible.

Causes of Clinical Depression

1. Genetic Predisposition (Hormonal imbalance ).

2. Medical conditions (Neurochemical ).

3. Dietary .

4. Alcohol and other drugs.

5. Sleep quality.

6. Certain styles of thinking.

Symptoms of Clinical Depression

1. Persistent feelings of sadness, irritability, or anxiety

2. Overreaction to irritations

3. Loss of interest in activities previously enjoyed, including sex

4. Sleeping too much, sleeping too little

5. Losing or gaining weight.

Treatment of Clinical Depression

Medication that relieves the symptoms of depression has been available for several decades such as citalopram (Celexa), fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft). Under some circumstances, medication and psychotherapy may be more effective than either treatment separately. Family of drugs includes fluoxetine (Prozac), paroxetine (Paxil), escitalopram (Lexapro), citalopram (Celexa), and sertraline (Zoloft). These antidepressants typically have fewer adverse side effects than the tricyclics or the MAOIs, although such effects as drowsiness, dry mouth, nervousness, anxiety, insomnia, decreased appetite, and decreased ability to function sexually may occur. Serotonin-norepinephrine reuptake inhibitors (SNRIs) such as venlafaxine (Effexor) and duloxetine (Cymbalta) are a newer form of antidepressant that works on both norepinephrine and 5-HT.Selective serotonin reuptake inhibitors (SSRIs) are medications that increase the amount of the neurochemical serotonin in the brain.

Norepinephrine (noradrenaline) reuptake inhibitors (NRIs) such as reboxetine (Edronax) act via norepinephrine (also known as noradrenaline). Tricyclic antidepressants are the oldest and include such medications as amitriptyline and desipramine. Tricyclics block the reuptake of certain neurotransmitters such as norepinephrine (noradrenaline) and serotonin. They are used less commonly now due to the development of more selective and safer drugs. Monoamine oxidase inhibitors (MAOIs) such as phenelzine (Nardil) may be used if other antidepressant medications are ineffective. Because there are potentially fatal interactions between this class of medication and certain foods, particularly those containing Tyramine. electroconvulsive therapy, are used in severe cases.

Childhood depression is different from the normal "blues" and everyday emotions that occur as a child develops. Just because a child seems depressed or sad, does not necessarily mean they have depression. Upto 2.5% of children aged 6 to 12 may have a major depressive disorder, with boys and girls at equal risk. After puberty the rates climb to the same incidence as adults with girls twice as likely to become depressed as boys. Children also have temporary periods of sadness or unhappiness, from which they recover quickly. However, it is estimated that approximately 5% of children suffer from severe depression, which can affect their daily activities at school and at home.Children are more likely to appear irritable than depressed and bored rather than sad. It is estimated that 2.5% of children in the U.S. suffer from depression. Depression is significantly more common in boys under the age of 10. But by age 16, girls have a greater incidence of depression.

Major depressive order does run in families, so children are more likely to develop the disorder if one or both of parents have it. The primary symptoms of child depression revolve around sadness, a feeling of hopelessness, and mood changes.In many ways, the symptoms are similar to those of adult depression. In the DSM-IV, the criteria for childhood and adult Major Depression are the same. Children may not have the vocabulary to talk about such feelings and so may express their feelings through behavior. Childhood depression is also associated with a family history of mood disorders and with the existence of other psychiatric conditions If the relative has had childhood or recurrent depression. Psychological and environmental factors include the loss of loved ones, conflicts in child-parent relationships, and low self-esteem. Major depressive order does run in families, so children are more likely to develop the disorder if one or both of parents have it.

Causes of Child Depression

1.Psychological factors.

2.Environmental factors.

3.Anxiety disorder

4.Behavior disorder

5.Deficit hyperactivity disorder (ADHD).

6.Eating disorder.

Symptoms of Child Depression

1.Low self esteem and lack of confidence.

2.Persistent feeling of sadness.

3.Inability to enjoy previously favorite activities.

4.Increased activity or irritability.

5.Loss of interest in usual activities, listlessness and fatigue.6.Poor appetite or binge eating.

Treatment of Child Depression

Cognitive behavioral therapy is one therapy most used for treating depression.The therapist helps kids to identify cognitive distortions. Treatment must be tailored to the needs and schedule of the child and his family. Generally, with mild to moderate depression, one first tries psychotherapy and then adds an antidepressant if the therapy has not produced enough improvement.Interpersonal therapy has also been shown to be effective in the treatment of depression. Continuing psychotherapy for several months after remission of symptoms may help children and families pull together the skills they have learned during the acute phase of depression to cope with the after-effects of depression. The role that family and the child's environment play in the treatment process is different from that of adults. Children with bipolar disorder are usually treated with psychotherapy and a combination of medicines, usually an antidepressant and a mood stabilizer. Use of an antidepressant alone can trigger bouts of mania.

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