Major Depression

In the presence of at least 5 of the following symptoms lasting at least 15 days, at least 1 depressed mood or 2 loss of interest and pleasure should be present.

one. Depressed mood is present for most of every day and either the person knows this situation himself (For example: The person feels sad, empty. Or he is hopeless) or the situation is observed by others. (ex: looks tearful)

Note: It can be an easily irritable condition in children and adolescents.

2 . Marked decrease in interest or pleasure in nearly all activities nearly every day or most of the day. (One can either say it himself or be obtained through observation.)

3. It is the state of losing or gaining weight when not dieting (more than 5% change in weight in 1 month) or a decrease-increase in the desire to eat. (excluding the weight that children gain during their developmental process)

4.Insomnia or oversleeping nearly every day.

5.Agitation (impulsively acting out due to signs of depression) or slowing down nearly every day (observable by others, not merely subjective, inability to calm down or feeling slowed).

6 . Fatigue or lack of inner strength almost every day (low energy).

7.Feelings of worthlessness or inappropriate guilt (which can be delusional) nearly every day (not just self-reproaching guilt for being sick).

8.Difficulty thinking or concentrating or indecisiveness nearly every day (observed by private expression or by others).

9.Recurrent thoughts of death (not just fear of death), recurrent thoughts of self-killing (suicide) without devising a specific action, or contemplating a specific action to kill oneself.”

(American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), from the Diagnostic Criteria Book, trans, Köroğlu E, Hekimler Publication Association, Ankara, 2014)

Depression according to analytical therapy;

Freud in his article titled mourning and melancholy; drew attention to the similarity of the symptoms in depression with the symptoms during mourning. The grieving person has a real object of love that they have lost. In depression, there may or may not be a real loss of love object. In this case, Freud says that an unconscious imaginary object is lost.”( Mental Health Disorders, Prof. Dr. Orhan Öztürk p.284)

According to cognitive therapy, depression (depression):

According to the Cognitive Behavioral model developed by AT Beck et al., depression; It is a mood disorder that develops after cognitive impairment. People who are prone to depression have negative concepts (basic beliefs) towards themselves, the future and the outside world, which have been established starting from the first stages of life.”( Mental Health Disorders, Prof. Dr. Orhan Öztürk p.287) Concepts called basic beliefs in cognitive behavioral therapy are used in schema therapy. The schema is named. Every schema is a manifestation of an unmet childhood need.

If you are experiencing symptoms of major depression;

* If life is quite dark for you due to major depression and you think that life has no meaning, beware! It is Major depression itself that makes you say these words. In this case, you should immediately consult a mental health practitioner and begin treatment for major depression.

* Major depression can make you feel as if you are wearing sunglasses all the time. Everything can feel too dark and suffocating. Just as we can remove sunglasses from our eyes, it is possible to get rid of major depression.

So what can be done?

1. As we said, if there is a risk of suicide, psychiatric treatment should be started immediately.

2. If the person is not at risk of suicide, it is possible to be treated with psychotherapy methods.

3. In some cases, both psychotherapy and medication may be used. This should be decided by your physician and therapist. In the treatment of major depression; CBT, Schema Therapy, Psychoanalytic and Dynamic Therapies can be used.

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