Depression

What or what causes everyone around us to say they are depressed? Everyone is going through a difficult time due to the COVID period, and this brings a lot of emotions. These feelings often disappear within a few days or weeks, depending on the circumstances. If it lasts longer than two weeks and affects your ability to function, it may be a sign of depression.

So What is Depression?

Depression is definitely not the same as temporary sadness. Depression symptoms are different for everyone. The most common symptoms are sadness, anxiety, hopelessness and pessimism, feelings of worthlessness, guilt and helplessness that continue almost every day for weeks or months. They also state that they cannot enjoy the activities they normally enjoy, and that they cannot find the strength even to meet their daily and compulsory needs. These people also state that they distance themselves from family and social interactions. Family relatives or people around them notice this change, but they do not know how to help.

How do we deal with emotions?

If you’re feeling overwhelmed, you can go for a walk.

If you are feeling sad, allow yourself to experience that feeling for 20 minutes.

If you are feeling anxious, do breathing and relaxation exercises.

If you’re feeling lonely, call someone you love.

If you feel inadequate, remember past successes (we should be able to look at photos or videos and say, ‘I’ve done it before, I can do it now’).

Well, if a person we love is depressed, what words should we say to him? ”

If we use the sentence ‘You are not alone in the process you are going through’ instead of ‘There are people in worse situations than you’, we can make you feel that we are with you instead of comparing.

‘Stop feeling sorry for yourself! ‘ instead of ‘Do you want me to hug you? ‘ is another way of saying I’m here and I want to show you my love instead of my reproach.

Using the sentence ‘All this will pass’ instead of ‘It’s your own fault to feel this way’ will make you feel better to state that this is a process and that this process will pass, rather than using guilty discourse.

What are the Symptoms of Depression?

Some of the common symptoms of depression are: deep sadness,

Feelings of worthlessness or hopelessness

pessimistic moods

Sleep problems/disorders (frequent waking up and increased sleepiness)

Appetite Problems (weight loss or weight reduction)

Lack of energy (decreased or disrupted physical energy) or difficulty performing normal activities (dressing or eating)

difficulty concentrating

Social apathy and preoccupation with life-threatening thoughts (death and suicide).

Depression affects people differently from person to person, and you may have only some of these symptoms, or you may have other symptoms. These symptoms may be normal from time to time, but if they affect our daily life, they can be a symptom.

Depression in Men: Working long hours, substance use, increased tendency to violence, tantrums…

Depression in Teens: Restlessness, anger, headaches and stomachaches.

Depression in Elderly Individuals: It manifests itself with physical symptoms such as pain and memory loss, rather than emotional symptoms. Symptoms of depression such as not using the drugs that should be used and disrupting their personal care can also be seen.

What are the Types of Depression?

-Clinical Depression (Major Depressive Disorder),

Dysthymia (Chronic Disorder),

A Typical Depression,

Mania (Bipolar) Depression,

Seasonal Depression,

Psychotic Depression,

Postpartum Depression

Although depression can manifest itself in many different types, let’s talk about the most common types. Two main categories are also collected. These are: clinical (major depressive disorder) and dysthymic depression (chronic disorder).

Depression varies according to the degree of severity. These are categorized as mild, moderate and severe depression. The correct identification of the type of depression experienced is of great importance for the correct continuation of the treatment process. Especially in severe types of depression such as clinical depression and dysthymia depression, no treatment or failure to continue the treatment can lead to serious problems. It can bring with it many disorders. These can lead to life-threatening conditions such as drug addiction and alcoholism.

-Clinical Depression (Major Depressive Disorder)

According to DSM-IV, in order to be diagnosed with clinical depression, within a two-week period; there must be signs of a deep and persistent feeling of hopelessness, helplessness, and worthlessness. You may also have other symptoms. These symptoms include: daily fatigue or loss of energy, feelings of guilt, poor concentration, insomnia or excessive sleepiness, marked decrease in interest and pleasure in activities, psychomotor agitation (restlessness) and retardation (slowing), recurrent thoughts of death and suicide, and significant weight loss or increase. One or more of the symptoms must be present.

It is two times more common in women than men. It is thought that the risk of major depression increases due to hormonal changes such as puberty, menstruation, miscarriage, and menopause.

So What Triggers Clinical Depression?

Often death, divorce, separation, physical, sexual and emotional abuse. Life changes, moving, job change, partner and workplace conflicts also trigger it. In some families, clinical depression can be passed from generation to generation. However, it can also be seen in those who do not have a family history of depression.

Dysthymia Depression (Chronic Disorder)

Dysthymia depression symptoms usually persist for at least two years. They experience the same symptoms as those seen in clinical depression: low mood, fatigue, hopelessness, difficulty concentrating, and problems with appetite and sleep. Unlike clinical depression symptoms, it is the absence of feelings of guilt and thoughts of death or suicide.

The patient with dysthymia should be very careful not to misdiagnose. Psychotherapy alone will not be sufficient as it is usually caused by abnormalities in brain biochemistry. It will be more beneficial to treat it together with antidepressants.

How Is Depression Treated?

Levels of depression severity are an important point for treatment. The most preferred methods in the treatment of moderate and severe depression are antidepressants and psychotherapies. If the severity of depression is mild, it can be said that speech therapies are effective. Other forms of therapy are also effective. These are: CBT, Interpersonal-Individual-Family Therapy-Group Therapy, Psychodynamic Therapy, EMDR, Bodily Therapy.

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