depression Archives - Health Beat

Depression in Older Adults

Posted on January 24, 2024 by Jacob Lobosco

Older adults face a higher risk of experiencing depression than younger people. However, this does not mean that depression is a normal part of aging. Like many other health problems that can develop as we get older, depression is a medical condition that needs to be managed and treated under the direction of a doctor.

It may not always be clear whether what you’re experiencing is depression. It’s normal to feel sadness over things such as major life changes, difficulty coping with long-term medical conditions, or the loss of loved ones as we get older, even if that sadness lasts for a long period of time. However, this feeling of sadness is not necessarily the same thing as depression. Some signs that you may be depressed include:

Loss of interest in activities you previously enjoyed
Frequent negative feelings, such as hopelessness, guilt, or low self-esteem
Fatigue and difficulty with thinking and concentrating
Overeating or loss of appetite
Insomnia or excessive sleeping
Frequent aches and pains that do not improve with treatment
Thoughts of suicide

While most older adults do not experience depression, those who experience chronic health conditions are significantly more likely to develop it. According to the Centers for Disease Control and Prevention (CDC), approximately 5% of older adults in general are depressed, but this number rises to 13.5% in people who require home health care and 11.5% in those who are hospitalized.

Healthy lifestyle habits such as regular physical exercise, a balanced diet, sufficient sleep, and frequent socialization are all helpful for preventing depression or coping with its symptoms as we age. Additionally, most older adults who experience depression respond positively to treatment that includes psychotherapy, antidepressant medication, or both.

You can receive treatment for depression from a psychiatrist at Flushing Hospital Medical Center’s Outpatient Psychiatric Clinic. To schedule an appointment, please call (718) 670-5562.

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.

When Does Depression Become An Emergency?

Posted on April 24, 2023 by Xavia Malcolm

People often associate going to the emergency room (ER) with treating physical emergencies; however, it is important to know that the ER is also equipped to treat mental health emergencies.

One of the most common mental health conditions treated in the ER is severe depression which requires immediate care.

Severe cases of depression should be taken as seriously as any other physical, life-threatening health condition, especially when an individual is expressing the desire to harm themself or others, or is experiencing thoughts of suicide.

Depression should also be treated as an emergency when:

A person who has been diagnosed with clinical depression has an acute change in their mood that persists for weeks
A person is unable to care or has stopped caring for themself
There are new symptoms presenting such as psychosis, hallucinations, mania, or delusions

If you or anyone you know is experiencing a mental health emergency, call 911 right away. If there are concerns about suicide, you can also contact the National Suicide Prevention Lifeline at 1-800-273-8255 or call, text, or chat 988.

What is Seasonal Affective Disorder?

Posted on January 11, 2023 by Jacob Lobosco

Seasonal affective disorder (SAD) is a form of depression that often begins during the fall, continuing through the winter before subsiding during the spring and summer seasons. Some cases of SAD, however, can follow an opposite schedule, occurring during the spring and summer and ending during the fall and winter.

Millions of people may potentially experience SAD without realizing they have this condition. People who experience SAD can present many symptoms typically associated with other forms of depression such as moodiness, fatigue, difficulty concentrating, and suicidal thoughts. SAD that occurs during the spring and summer is particularly associated with irritability and anxiety. Symptoms of both forms usually begin during young adulthood.

Several factors may contribute to your risk of developing SAD, including low serotonin levels, disrupted melatonin levels, changes in sunlight exposure, and family history. Additionally, people who experience bipolar disorder or major depression are at an increased risk of developing this disorder. SAD is also much more common in women than men, and is more frequently experienced by people living in northern regions that receive less sunlight during the winter.

SAD is often treated through a variety of approaches. Many people may experience improvement in symptoms from regular exercise and adjusted sleeping schedules that ensure adequate sleep and increased exposure to sunlight. Light boxes also often improve symptoms within days or week with few side effects.

People who experience severe symptoms associated with SAD or who also have a condition such as bipolar or major depressive disorder may require treatment through psychotherapy and medication. These can help you develop strong coping mechanisms, build healthy habits, and manage physiological factors that may contribute to your symptoms.

You can receive mental health care for SAD at Flushing Hospital Medical Center’s Outpatient Psychiatric Clinic. To schedule an appointment, please call (718) 670-5562. If you begin to contemplate suicide or self-harm, please dial 988 immediately to reach the 988 Suicide and Crisis Lifeline.

How to Cope with Holiday Depression

Posted on December 14, 2022 by Jacob Lobosco

While the holiday season is a typically cheerful time of year, many people may feel the opposite, particularly those who suffer from mental health conditions such as chronic depression. However, even people without existing mental health problems may feel the “holiday blues” for two common reasons: loneliness and stress.

A variety of factors may cause many people to isolate themselves from friends and family during the holiday season. This can take a toll on someone mentally, particularly if they are repeatedly subjected to social media posts, movies, and other imagery depicting other people enjoying their own holiday gatherings.

Even people preparing for gatherings with large numbers of loved ones, however, may find themselves experiencing symptoms of depression, particularly if they’re responsible for hosting their group. Whether you’re striving to meet the high expectations of your family, friends, or yourself, cleaning, preparing food, and picking out the right gifts can create a significant amount of stress. If this stress builds up too much, it may cause you to start feeling depressed as you take on a negative view of yourself or look for an escape.

Regardless of the causes of your holiday depression, there are steps you can take to manage your symptoms and enjoy the season to the best of your ability. These include:

Getting out of the house: This may be your first holiday season without some or all of your family and friends. However, this does not mean you have to spend it alone at home. Whether it involves contacting family members or friends you haven’t spoken to in a long time or treating yourself to a restaurant dinner, make a plan that involves being in the company of other people during the holidays.

Accepting your best instead of “perfect:” If you’re preparing to join or host a gathering of loved ones for the holidays and are responsible for any part of the celebration, don’t judge yourself or your efforts according to the expectations of others or a “perfect” image of your results. Instead, treat both yourself and others with kindness and patience; you are making the best effort you can as an act of love to the people around you, and that is good enough.

Check in on friends and family members: You are most likely not the only person experiencing symptoms of depression during this time of year. Certain friends and family members, even those who appear happy and content, may be feeling the same way you do. Remind them you care by contacting them to find out how they are doing and wish them well for the holidays.

If your depression symptoms worsen during the holiday season, you can talk to a mental health professional at Flushing Hospital Medical Center’s Outpatient Psychiatric Clinic by calling (718) 670-5562.

If you are experiencing severe mental health symptoms such as thoughts or actions of self-harm or are contemplating suicide, please call the Substance Abuse and Mental Health Services Administration’s confidential, 24/7 National Help Line at 1-800-662-4357 immediately.

Understanding Depression

Posted on November 4, 2020 by Michael Hinck

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.