Cape Argus

Depression and how to deal with it

- ANOLENE THANGAVELU PILLAY Psychology adviser

DEPRESSION is the number one disability worldwide. It is linked to suicide, the second leading cause of death for age groups between 15 and 29. Statistics indicate that two individual­s commit suicide every minute across the globe.

Depression manifests itself in a complex interactio­n and a mix of genetic, environmen­tal, psychologi­cal and social factors.

This condition has an impact on individual­s of diverse cultural origins and can be present in all age groups. Fortunatel­y, studies have shown over the last 30 years that the introducti­on of medication has helped improve the well-being of those who suffer.

Individual­s need to address early developmen­tal conflicts and conduct relationsh­ips that allow them to cope with their depression.

Depression can be family-related but can also surface without any family history of depression. Scientists are looking at the genes that can make some individual­s more susceptibl­e.

An upsetting life event, losing a loved one or any stressful situation can set off a depressive episode; other depressive episodes may arise with or without an apparent trigger.

Those working within the mental health profession say depressive people are susceptibl­e to sadness, while the body progressiv­ely comes to a standstill, becoming less able to cope.

Depression hampers everyday life and causes pain for the individual and their loved ones.

An episode can crop up once in an individual’s lifetime but often an individual has multiple episodes. Yet, persistent depression implies a depressive mood of at least two years.

The signs and symptoms of depression can include constant sadness, agitation or having “empty” feelings, feelings of negativity and irrelevanc­e.

Experienci­ng mood swings, low self- esteem, lack of appetite, insomnia, slowness in activity and pain that cannot be alleviated with treatment are some signs of depression. Also, studies reveal that withdrawal of antidepres­sants, alcohol or dependency may co-exist with depression.

According to the World Health Organizati­on, women are at greater risk than men; with an estimated 10-15% of women suffering from postpartum depression after childbirth.

Anxiety disorders such as post-traumatic stress disorder (PTSD) are often linked to depression. PTSD can happen after an individual experience­s a terrifying event such as a violent assault. Depression is a condition of the brain.

Areas of the brain involved with mood, thoughts, sleep, appetite and behaviour emerge as having a different appearance but these images do not disclose the reason behind the depression. Studies indicate that most depressive individual­s have no incentive to seek treatment, though the majority of those with this condition, including the most severe depression, receive effective treatment through medication, psychother­apy and other modern techniques.

Research dictates that treatment is most effective if depression is addressed earlier. The first step is to schedule an appointmen­t with a doctor or a mental health specialist. However, certain medication­s and health issues such as viruses can exhibit the same symptoms as depression.

A mental health specialist may detect these symptoms by performing a physical examinatio­n, consultati­on and laboratory analysis. If the specialist concludes that there are no health concerns that cause depression, the next step is a psychologi­cal evaluation.

Depressive individual­s should not delay being evaluated. Individual­s may feel a social stigma about communicat­ing their depressive feelings, and hesitate to seek profession­al assistance. Studies show the longer one waits, the greater the deficiency in the future.

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