Depression; It is one of the most important psychological diseases that we have heard more often in recent years and that sometimes affects us and sometimes our relatives.

Although depression is associated with the feeling of sadness, it is different from sadness. Sadness is one of the emotions we feel. Depression is a disease with emotional, behavioral and thought dimensions. Depression has 3 different dimensions:

  1. Emotion size: A depressed person is generally pessimistic. There is a feeling of hopelessness about the future. Feelings such as unhappiness, helplessness, worthlessness, anger, guilt (more directed towards oneself) are other emotions that accompany the depressed person.

  2. Behavior dimension: There is general inactivity in the person. Behaviors such as a constant desire to sleep or not being able to sleep, refusal to eat or overeating, substance use or increased use, reluctance to talk, fatigue and weakness are observed.

  3. Cognitive dimension: The person’s thoughts are confused and scattered. Has trouble focusing and concentrating. The person has thoughts that see himself as worthless and life meaningless. of the person; ‘Life is meaningless, not worth living, everything is so bad, nobody loves me, I’m useless, etc.’ Negative and generalizing thoughts are common.

What Causes Depression?

Depression leads to many negative consequences. It causes the person to withdraw himself from social life and work life, to be worn out psychologically, physically and socially, and to experience a loss of energy.

Who (World Health Organization): Depression will be a global crisis by 2030!

world Health Organization (WHO) periodically publishes statistical analyzes on the changing frequency of diseases all over the world. It also explains what kind of health problems are expected in the coming years by looking at the development frequency of new diseases. According to the most recent report, the most common diseases to be seen are cardiovascular diseases and depression is in the second place.

The World Health Organization states that approximately one out of every 10 people worldwide has a mental disorder, 900 thousand people commit suicide every year, 3 out of every 4 people with serious mental health problems do not receive any treatment and He announced that by 2030, depression will be a global crisis.

According to the report, while there is one specialist for every 100,000 people in low- and middle-income countries, there is one specialist for every 2,000 people in rich countries. While $2 per person is spent on mental health in poor countries, $50 is spent in high-income countries.

Depression Leads to Job Loss

Depression affects the individual’s productivity in the workplace as well as affecting himself and his relatives. As a result of the reluctance, inactivity, pessimism, lack of motivation, loss of energy and decrease in work efficiency caused by depression, serious job losses are expected in the public and private sectors in the coming years. Depression, a serious illness, is currently ranked 5th in the list of job losses.

The physical, psychological, sociological and economic damage that will occur with the addition of depression to common diseases reveals the need to take preventive measures.

Is Depression a Weakness of Faith?

Some people claim that depression stems from a lack of faith. I think it would be beneficial to answer this claim with the following statement of Mevlana. According to Mevlana; the heart is the shore of the ocean of manifestation. Continuous waves come from that sea to the heart. They are of different shapes and sizes, like light waves. These waves have an effect on the person depending on where they come from. Some of these waves Simple’ It comes from its name and the effect it creates on the heart is relief. The person feels relief with the effect of this wave. Another wave is God’s ‘Kbz’It comes from its name and causes distress, constriction and depression in the heart.

The purpose of these waves to manifest differently is to prevent a person from living in a monotonous way. For example, the person always Simple’ If he encounters the manifestation of his name and the blessings, can he realize the beauty of it? In order to feel the state of refreshment, he must experience distress from time to time. Because everything is known only by its opposite.

In the light of all these explanations, it is natural that there are changes in the mood of the person, the long duration of the distress can be explained by the person’s lack of appropriate intervention, not by the weakness of faith.

What to Do About Depression?

Once depression occurs, it is treated in two ways.

  1. Drug Treatment: Antidepressant drugs are given to the depressed patient in drug treatment, and the patient is asked to use these drugs for at least 6 months. With the early discontinuation of the drug, the probability of relapse of depression increases. It helps to heal depression faster than drug therapy, but sometimes it is not enough to be used alone. Because the drug interferes with the hormones of the person and tries to balance the emotional state, but the intervention in behavior and thought is insufficient.

  2. Psychotherapy: With psychotherapy, it is aimed to eliminate the negative and dysfunctional automatic thoughts that reveal and maintain the depressive mood of the person. The therapist helps the person who is freed from the influence of dysfunctional thoughts to gain functional and positive thinking skills. It also ensures that the skills learned to change behaviors and thoughts are supported by homework. Homework and physical activities are essential in therapy.

Is it medicine? Psychotherapy?

One of the most frequently asked questions is which one is more effective in treatment. There are differences in this regard from country to country and even from expert to expert in the same country. For example, in the United States, medication and psychotherapy are used together in the treatment of depression. In the UK, however, there is a different practice. There is no drug therapy for the initial treatment of mild to moderate depression in the UK. Psychotherapy treatment is applied. When the progression of depression cannot be prevented by psychotherapy, medication and psychotherapy are applied together. In our country, the approach to this issue is left to the initiative of the experts and the preference of the patient.

The general opinion is that drug treatment is necessary in order to prevent suicide and other harms that may occur in severe depression. However, it has been stated that psychotherapy gives similar results to drug treatment in mild and moderate depression, it is advantageous due to the absence of side effects, and the possibility of recurrence of the disease is less common than drug treatment. According to a study conducted in Europe, the rate of relapse of depression is as high as 80% in patients who are treated only with medication, while it is seen between 20-30% in patients who receive therapy. This result revealed that the treatment of depression should be supported with therapy, even if it is provided with medication.

To summarize, with cognitive behavioral therapy, the person’s dysfunctional thoughts and behaviors are interfered with, and the ability to acquire healthy thoughts and behaviors is gained, thus reducing the likelihood of recurrence of the disease. In the treatment of chronic depression, it is recommended to apply medication and psychotherapy together.

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