Have you ever felt like just doing nothing?? Like just simply sitting in the corner of your room and all you are just doing is nothing. Sometimes you want to talk, sometimes you want to scream at the top of your voice but all you end up doing is nothing. This act of doing nothing is medically termed as “DEPRESSION”.
According to the definition of depression “It is a mental health disorder characterized by persistently depressed mood or loss of interest in activities, causing significant impairment in daily life.” It is a sense of feeling worthless, lonely, sad, dejected and looking towards more negative aspects of life than the positive ones.
India is facing a serious mental health crisis, with an estimated 56 million people suffering from depression and 38 million from anxiety disorders, according to the report by the WHO [World Health Organization]. But the most dejected and depressing part of this illness is our attitude towards the person suffering from it. Even though this problem is treatable, our way of handling it is making it worse.
Even in the 21st century, admitting that one is suffering from depression is a stigma in our society. That’s why the roots of depression can be traced in every tier of the society be it a common man or a celebrity. Everyone is fighting their own battles some we know some we don’t.
There can be various reasons for this it can be either biological, seasonal, hormonal, situational, social etc. All we just have to do is to observe the signs and try to nip it in the bud before it becomes life threatening. According to the symptoms and reasons depression is divided into various types. Let us have a look at them and try to help people who are suffering from it around us.
This type of depression is also known as “Major Depression”. In this type of depression there is always a feeling of sadness and lack of enthusiasm. Feeling like this for once in a while is fine but when one starts feeling like this daily and this starts affecting your health ,life and work than it is a matter of concern and needs a medical supervision as soon as possible. It is a severe form of depression with symptoms like: insomnia or excessive sleep, fatigue, lack of interest, concentration, anxiety, feeling of uselessness and most important thoughts of suicide etc. If these symptoms are prolonged for more than one or two weeks one should see a doctor. Usually it is considered as non-curable but with the correct treatment the symptoms can be alleviated. The best treatment considered for this is combination of medication and therapy.
Persistent depression disorder
This type of depression is also known as” Dysthymia”. This type of depression lasts for long duration that’s why named so. It is chronic type of depression. In this type of depression one is never in happy mood even in the joyous or festive occasions. It is different from the major depression by the fact that change in mood is severe in the earlier one and the symptoms must be present for first one for two weeks or more whereas for the latter one symptoms must be present for at least two years. The life of people with this kind of depression is monotonous like robotic ones. Some time some people have double depression where there is a bout of major depression and a prolong dysthymia as well. This can be best treated by either psychotherapy or medication and in some cases combinations of both.
This type of depression is also known as “Maniac Depression”. It is a condition of mind where mood fluctuation can be observed now and then. One moment one is super energetic full of zeal and the next moment suicidal thoughts get stronger. Its root cause is not completely genetic but heredity has a stake of 60-80 % in this. Presently no full treatment of this depression but the symptoms can be diluted with medication like mood stabilizers and psychotherapy.
This type of depression is also known as”Perinatal Depression”. This is caused in women during pregnancy or after child birth. Today many women experience “Baby Blues” immediately after the birth of child which results in crying bouts, anxiety, sadness in women. All this is caused due to the hormonal change after the birth in mother. The symptoms include: detachment from loved ones, Anger, panic attacks etc. This can be treated with anti-depressant pills and full support from the family.
This type of depression is also known as “Reactive Depression/Adjustment Disorder”. This depression is caused as the named suggest due to some undesirable traumatic incident in life through which one is unable to coup up. It is usually short term. Situational incident which can lead to depression can be anything like: divorce, sudden demises of loved ones, loss of job etc. This can be treated by psychotherapy.
Seasonal affective disorder
Often abbreviated as [SAD]. This type of depression as the name suggests occurs or hit every time at same time of the year. It is something related to change in season. In this depression one gets symptoms in the start of the season and ends with the end of the season. It mostly involves mood swings, anxiety, weight gain etc. It usually occurs due to change of the body clock. This can be cured either through medication, psychotherapy or light therapy or their combinations.
This is as the name suggests temporary type of depression which can be cured with a positive event. It is considered as the”specifier” of major depression. Its main characteristic is its ability to change of mood when a positive event occurs. Its treatment includes antidepressant or SSRI (selective serotonin reuptake inhibitor) or MAOI (monoamine oxidase inhibitor).
This is the type of depression in which after the bout of major depression there are psychotic symptoms like: hallucinations, delusions, paranoia etc. People who are suffering from such type of depression loose contact and touch with the real world. This can be treated with antidepressant and antipsychotic drugs.
Premenstrual dysphoric disorder
This type of depression is a severe form of Premenstrual Syndrome [PMS]. This is caused in women due to change hormones during menstrual cycle. It is a hormones-based disorder. It is different from PMS in the fact that its symptoms are not severe as that of [PMDD]. The symptoms of PMDD occur every month before menstruation and disappear completely till next phase. This can be treated by antidepressant or medications which can decrease the intensity of the symptoms.
Disruptive mood dysregulation disorder
This is a type of depressive disorder. This type of depression is mostly seen in children where they are unable to coordinate with their mood, emotions according to their age. This results in the outburst of emotions. The treatment includes medication and the combination of therapy and parent management techniques.
As it is well said that living in depression is like “living in a body that fights to survive with a mind that tries to die”. The best solution to all these depression is to “SPEAK UP”. Even if there is no one to listen to you ask for help from as many people as you can as “Sometimes asking for help is the bravest move you can make. So that you don’t have to go it all alone”. Try to move out of this situation as soon as possible before it becomes too late.
What we can do as a responsible citizens of the country is to watch for the standard symptoms’ of depression in the people living nearby us and once detected helping them not only to fight with it but also bring them out as fighters rather than survivors. There can be people who don’t show the symptoms as Depression isn’t always dark room and crying endlessly. Sometimes it’s getting up, going to work and smiling and laughing all day and then coming home to sit quietly doing little to nothing until it’s time to go to bed .We must find those people and stand with them in their state of adversity.
Instead of going into a state of complete denial on the existence of such illness the need of the hour is to eradicate it from our society to make it healthy and prosperous as Robert Urich says “A HEALTHY OUTSIDE STARTS FROM THE INSIDE”.