Psychology and Psychiatry

Severe depression

Severe depression, being a problem of the 21st century, overcomes many people. What to do when a major depression begins is a concern for many patients. It is necessary to think, as well as understand yourself and review your life. Severe depression is marked by a mental disorder and includes the depressive triad: a decrease in mood; changes in thinking - pessimistic view, anhedonia; motor lethargy.

Severe depression is expressed by the loss of interest in life, to the usual activities, as well as reduced self-esteem. In some cases, a person experiencing a depressive state resorts to the abuse of alcohol or available psychotropic substances.

Very severe depression manifests itself as a pathological affect and is perceived by people as laziness or bad temper, pessimism, egoism. However, it must be borne in mind that very severe depression is often a psychosomatic illness that needs treatment by specialists. The sooner the diagnosis is established and the timely treatment is started, the more likely the quick success of the recovery is. Severe depression is effectively treatable, despite widespread among the population.

Severe depression symptoms

Symptoms of the disease are diverse: physiological, emotional, mental, behavioral.

Emotional symptoms include despair, longing, suffering; depressed, depressed mood; feeling of inner tension, anxiety, expectation of trouble, irritability, guilt, dissatisfaction with oneself, self-incrimination, loss of confidence and self-esteem, anxiety about loved ones, loss of ability to worry.

Physiological symptoms are noted in changes in appetite, decrease in energy and intimate needs, in violation of sleep, as well as bowel function, such as weakness, constipation, fatigue from physical and intellectual stress; pains in the heart, in the stomach, in the muscles.

The behavioral symptoms of a very severe depression are marked by passivity, a refusal of purposeful activity, a loss of interest in people, a desire to retire, and a refusal of entertainment, but by drinking a lot of alcohol, as well as psychotropic substances.

Mental symptoms are marked by difficulty in concentrating and concentrating, making decisions, sluggishness in thinking, the prevalence of negative, as well as gloomy thoughts. The patient always has a pessimistic view, and there are thoughts about the meaninglessness of his being and existence. Sometimes suicide attempts are made because of their helplessness, uselessness, and also insignificance.

Signs of severe depression

There is an opinion among people that depression is not a sign of weakness - it is a sign that people have tried to be strong for too long. If a person recovered quickly and did not stay in a depressed mood for a long time, lose interest in activities that were previously enjoyable, become a pessimist, constantly experience anxiety, futility, guilt, fear, then one would agree.

Signs of very severe depression include inability to make decisions, low self-esteem, increased or decreased appetite, sleep disorders (insomnia, sleep).

Severe depression is diagnosed after having all the symptoms and signs for more than two weeks. Children's severe depression and its symptoms: nightmares, loss of appetite, problems at school, the emergence of alienation, aggressiveness.

Severe depression treatment

It is very important to eliminate negative thinking and stop experiencing negative moments in your life. From now on, start to see only the good in the future. Change the tone of family communication to a more benevolent one, forget for criticism, condemnation and conflict.

Not every patient needs to be hospitalized urgently, perhaps treatment is also outpatient. In the treatment of severe depression use the following main areas: pharmacotherapy, psychotherapy, social therapy. An important condition in the effectiveness of treatment is the trust and cooperation with the doctor. You must comply with all prescriptions of the treatment regimen, as well as regularly visit the doctor, giving a detailed report on your condition.

The closest environment, relatives should support the sick, but not to dive with him in a depressive state.

Avoid criticism towards the patient, involve him in useful activities at home. With a strong course of the disease, spontaneous recovery occurs very rarely.

Pharmacotherapy includes taking antidepressants, a stimulating effect (Clomipramine, Imipramine, Paroxetine, Cipramil, Fluoxetine). Anxious severe depression is treated with sedatives. If there is a marked anxious depression with suicidal prerequisites, then Amitriptyline is used in the treatment. If a slight anxiety with depression, then drugs Ludiomil and Azefen.

If the patient is poorly tolerated by antidepressants or high blood pressure, then Coaxil is prescribed. By its nature, the drug occupies an intermediate position between stimulating and sedative antidepressants, affecting mood disorders.

All antidepressants are composed of a complex chemical composition, acting in different ways. The drugs can reduce the feeling of fear, prevent the loss of serotonin. Preparations are prescribed only by a doctor, self-admission is strictly prohibited, even despite severe depression. The effect of many antidepressants begins to appear two weeks after the start of treatment. The dosage for the patient is determined individually, in most cases, medication should be taken for up to six months, and in rare cases up to several years (in order to avoid relapse).

How to get rid of severe depression?

An effective method for treating severe depression can be the combination of two antidepressants or the addition of another substance (anticonvulsants, thyroid hormones, estrogens, folic acid, etc.). Behavioral psychotherapy recommends that patients perform only pleasant activities and completely eliminate painful and unpleasant ones.

Cognitive psychotherapy works in conjunction with behavioral techniques to eliminate cognitive distortions of a depressive nature, as well as pessimistic thoughts that impede useful activity.

In the treatment of severe depression shows physical activity, music therapy, art therapy, hypnotherapy, meditation, magnetic therapy, aromatherapy, light therapy, electroconvulsive therapy, sleep deprivation.

Viktor Frankl was the first to attribute the absence of the meaning of life to the causes of the disease. And those reasons that the sick take for true - divorce, loss of work, lack of money are catalysts that accelerate the development of depressive disorder. Failure to understand the meaning of life, as well as its absence, leads a person to mental illness. Always do what makes you happy, and do not confuse pleasure (bulimia, immense sex, alcohol) with the meaning of life. The true meaning of life lies in happiness. And you can get it by developing your soul, staying only on a positive, letting friendship, love, gratitude, respect into life.

Severe depression, what to do? Force yourself to move, walk a lot, run, because movement is life.

Choose a relaxing sport. This can be table tennis, jogging, cycling. Exercise will trigger the production of endorphins, which will improve your mood. Be sure to take control of personal emotions, control yourself, controlling your energy. Resort to a violent smile, laugh. Mechanically staying in a smile, the human body also releases endorphins, which are responsible for happiness. The brain does not understand: you are sincere at the moment of a smile or not, and continues to produce the hormones of happiness.

A very important moment in the treatment is a balanced diet enriched with various vitamins. A depressed person is able to absorb a lot of food in a short period. It helps, but only for a while, and then deterioration occurs. Knowing what properties have products, you can achieve the desired result. For example, paprika, spinach, lettuce, cabbage - improve mood. Milk, beer contains a morphine-like substance. Bananas are rich in serotonin, giving a person a feeling of joy, ease. The presence of endorphins, which excite a person, is noted in chocolate. And all the sweets that have glucose in the composition, can make a person more cheerful.