Understanding Depression

Depression is a mood disorder that makes you feel constant sadness or lack of interest in life.  It can affect how a person feels, thinks and behaves. It can lead to a variety of emotional and physical problems. Those living with depression have trouble doing normal day-to-day activities, and sometimes may feel as if life isn’t worth living.

While everyone experiences feelings of sadness at some point in their life, those with clinical depression have prolonged periods of feeling helpless, hopeless, and worthless. These feelings are not always tied to a specific incident and can last for many days to weeks. Depression can occur in children, adolescents and adults. Although someone can experience depression only once in their life, most who suffer with depression experience recurring episodes.

Some of the symptoms of depression include:

  • Feelings of sadness, tearfulness, emptiness or hopelessness
  • Angry outbursts, irritability or frustration, even over small matters
  • Loss of interest or pleasure in most or all normal activities, such as sex, hobbies or sports
  • Sleep disturbances, including insomnia or sleeping too much
  • Tiredness and lack of energy, so even small tasks take extra effort
  • Reduced appetite and weight loss or increased cravings for food and weight gain
  • Anxiety, agitation or restlessness
  • Slowed thinking, speaking or body movements
  • Feelings of worthlessness or guilt, fixating on past failures or self-blame
  • Trouble thinking, concentrating, making decisions and remembering things
  • Frequent or recurrent thoughts of death, suicidal thoughts, suicide attempts or suicide
  • Unexplained physical problems, such as back pain or headaches

For many people with depression, symptoms usually are severe enough to cause noticeable problems in day-to-day activities, such as work, school, social activities or relationships with others. Some people may feel generally miserable or unhappy without really knowing why.

There is no known singular cause for depression. Instead, health professionals point to a combination of contributing factors including a person’s brain structure and chemistry. Hormone and genetics are also believed to play a role.

Help is available for those with depression. A mental health professional can conduct an evaluation and outline a course of treatment based on the patient’s individual needs. Treatment may include:

  • Medications – These can include a combination of antidepressants, mood stabilizers, antipsychotic, anti-anxiety or stimulant medications
  • Psychotherapy – Talking to a mental health professional on a regular basis about your depression and other issues can help treat the symptoms.
  • Electroconvulsive therapy – This brain stimulation therapy passes electric currents through your brain to help your neurotransmitters work better.
  • Transcranial magnetic stimulation – This treatment uses a coil to send magnetic pulses through your brain to help stimulate nerve cells that regulate mood.

Some with depression may experience thoughts of hurting themselves or others. If someone you know is depressed and you think they may hurt themselves or attempt suicide, call 911immediately.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Anorexia

Anorexia nervosa-often used interchangeably with anorexia, is an eating disorder and psychological condition characterized by having a distorted body image (believing one is much heavier than they are), and the intense fear of gaining weight or becoming obese.

The exact cause for anorexia nervosa is unknown; however, there are several environmental, biological and psychological factors believed to contribute to its development.

Individuals with anorexia nervosa aim to maintain a low body weight that is abnormal for their height and age. This is typically achieved by practicing unhealthy weight loss habits such as:

  • Exercising excessively
  • Severely restricting the amount of food consumed
  • Vomiting after eating
  • Misusing, diuretics, laxatives or diet aides

The symptoms of anorexia nervosa can be physical, emotional or behavioral, and may vary from person to person.

Physical symptoms can include:

  • Extreme weight loss
  • Severe loss of muscle mass
  • Fatigue
  • Thinning hair or hair that breaks easily
  • Fainting or dizziness
  • Infertility
  • Lanugo- soft, downy hair that covers the body

Emotional and behavioral symptoms may include:

  • An unhealthy preoccupation with food
  • Excessive concern about  being overweight
  • Adopting eating rituals such as chewing food and spitting it out
  • Lying about food intake
  • Avoiding eating in public
  • Repeated weighing or measuring of the body
  • Social withdrawal

Most individuals with anorexia nervosa hesitate to seek help because their desire to stay thin often outweighs their concerns for being healthy. However, anorexia nervosa can be life-threatening, so it is important that they receive the immediate care of physicians and mental health experts to help with overcoming this condition.

The diagnosis of anorexia nervosa generally includes physical exams, lab tests and psychological evaluations.  Treatment is often administered by a team of healthcare professionals who are experienced in dealing with eating disorders such as a primary care doctor, dietitian and psychologist.  A care plan may include medication, psychotherapy and nutrition education.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.