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A lot of patients say that life really sucks when they're feeling
depressed. I'm sure most of them do have outside problems that cause
stress, such as money, marriage, and job related problems. But, outside
influences are not responsible for the entire problem. Studies show that
people rarely get depressed when their brain is making enough of those
chemicals called neurotransmitters, such as dopamine, serotonin, and
norepinephrine. These substances are produced by the brain in very small
amounts and help you store and process information.
When these processes are normal, you feel good and have few if any
signs of depression. When there aren't enough neurotransmitters to go
around, guess what? You become depressed.
It's true that having a lot of "outside problems" can weigh a person
down, but these neurotransmitters are really at the base of depression
and it's many symptoms. Counseling and medications can help the brain
start making "feel good" chemicals again, even when stress is on going.
However, the first step in treatment of depression is the same in as in
any disease: you must realize that something is wrong and seek help.
There are many scales used to help individuals assess or grade
depression. Most allow you to assign numbers to your responses to
determine if your symptoms are suggestive of mild, moderate or severe
depression.
In general, these rating scales are probably more useful in
evaluating how you are doing after starting treatment for depression. A
lot of doctors feel that if you have any symptoms of depression and can
tell that these symptoms are having a negative impact on your way of
life, you should be evaluated and possibly treated for depression.
The following list of depression signs and symptoms is provided to
allow you to evaluate your well being and not to determine the severity
of a disease. Let me caution you that a lot of people initially deny
they have symptoms of depression and if you are to benefit from this
little self-test, you must be honest in your answers. After all, if you
can't be honest with yourself, then whom are you kidding?
Here are the major symptoms and signs of depression:
- Feeling blue, sad or down more than usual
- Crying for no reason or over little things
- Feeling just as tired when you get up as when you went to bed
- Having problems getting to sleep, awakening early, going back to
sleep
- Sleeping too much and frequently tired during the day
- A change in appetite, either weight gain or weight loss without
really trying
- Can't concentrate or focus well; your mind seems foggy now
- Can't seem to complete things because you lose interest or get
bored easily
- Everything seems to be on your shoulders and it makes you
irritable Can't make decisions easily and avoid taking
responsibility Don't enjoy being around other people, socializing or
doing things like you used to Don't have fun or do your hobbies
anymore
- Don't like yourself or what you have become Often feel useless,
un-needed, or in others way Often think about death or dying whether
it's about others or yourself
If you answered yes to more than 5 of these symptoms or signs, then
you probably have some level of depression. If you have either of the
last three symptoms of worthlessness or thoughts of death, then most
doctors would agree you are moderately or severely depressed and should
see a doctor very soon.
Depression and the communication problems that go with depression are
probably the third or fourth most common causes of divorce. Just being
depressed saps your energy and keeps you from performing at your peak
level. Millionaires with "rags to riches stories" often tell of how they
had to defeat their depression before they could get a grip on their
economic problems. When they were successful at beating depression, most
went on to be very successful in life.
From the experience of treating thousands of depressed persons, I
know it's hard for anyone to be successful in life and constantly try to
fight off depression. If you have the symptoms, please visit your doctor
soon and consider treatment. Have a happy life!
Dr. Frank |