Doctor insights on:
Real Life Examples Major Depression
Am I better off hiding the real extent of my psychiatric problems from psychiatrists? I've had major depression for much of my life, including a few hospitalizations. After a suicide attempt five years ago, my then-psychiatrist asked me to seek psychiatri
Full disclosure of your history is key to successful treatment. Be completely honest with your doctor about your past, your issues with previous doctors, and what you think went wrong. Hopefully the doctor will be able to sort through all the issues and come up with an appropriate treatment plan; if not then ask for a direct referral to someone who can help you.
All the best. ...Read more
Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more
I do suffer from major depression. I've been having sleep paralysis. It comes randomly for example early this morning. What could be wrong?
Lower motivation: Symptoms of major depression often include sadness, withdrawal, difficulty concentrating, appetite/weight changes, fatigue, low energy, hopelessness, guilt feelings, and sleep difficulty. Depression can also distort the way events are perceived, resulting in negative self-perceptions and loss of interest in previously enjoyed activities. ...Read more
Dr Cox, I have major depression and have really hard time with change and my life just blew up in front of me! How do I move past it?
Find a therapist: And work with them to figure out how to pick up the pieces and redesign your life. You don't have to face these challenges alone. Psychotherapy can help. If you need antidepressant medication for a while consider it as well, till you begin to adjust to your " new normal." ...Read more
I'm 42. I lived in dallas, tx until I was 40 when we moved to oahu. My major depression has kicked into overdrive. Please help! I'm scared of life.?
Treatment can help: It is not uncommon for depression to get worse when major life changes occur (like moving from tx to hawaii).Consider calling mental health of america hawai'i m-f, 9am-4pm to describe your situation so they can help you find help (808-521-1546) hawai'i has a 24/7 help line that is staffed by caring & knowledgeable folks (808-832-3100).If you are in a really dark & dangerous place please call 911. ...Read more
If someone has had major depression entire life and it is not responsive to medication, could ending his marriage help or would this make it worse?
Other treatments: Don't give up; get a second opinion about your treatment & diagnosis. Treatment resistant depression often simply means that the right therapies gave not been tried yet. Talk therapy, other medications, a new fda cleared noninvasive treatment called tms (transcranial magnetic stimulation), as well as ECT and other brain stimulation options are available. ...Read more
What is the best way to get through major depression caused by a divorce and total change of life?
Support: Through the support of family & friends. Prayer can be very beneficial for some. Find meaningful activities to fill in for voids that are present. See a professional mental health provider if you become too overwhelmed. ...Read more
My family has history of bipolar& major depression. I was diagnosed w/ major depression too. What can I do to ensure a healthy mental life for my kid?
No guarantees: Family history is an major risk factor for depression and bd both. Fortunately, it is not an absolute, but your children are apt to be an increased risk of one or both. Keeping yourself healthy is a key factor in being there for them, and seeking help promptly if your children begin to display problems also is crucial. At present, we have nothing that's a guaranteed preventative strategy/. ...Read more
Can adult seizures (grand mal), chronic migraines (have often & last 4 days), major depression and diabetes be considered life threatening conditions?
Seizures can be: If they interfere with a person's breathing Grand mal seizures can cause fatal crashes if someone gets one while driving. They can also cause injury when the person loses consciousness and falls. Major depression increases the chance of suicide. Diabetes is a risk factor for conditions that may be life-threatening. Chronic migraine may cause a stroke but they're generally not life-threatening. ...Read more
Without water, can epilepsy (grand mal), major depression, chronic migraines & diabetes be life threatening conditions? If so, I need to obtain certification so the city will not terminate my water service.
Yes: These conditions can be life-threatening if you don't have any access to water. See your primary care physician for specific and evaluation to write you a letter for the utility company ...Read more
Major depression: Lifetime prevalence of major depressive disorder is approximately 16.5%. Females are 70% more likely than males to experience major depression. The average age of onset is 32 years old. There is a genetic contribution, the specific genes have not been identified. It is thought that life stressors interact with this vulnerability to result in major depressive episodes. ...Read more
See Below: Difficulty concentrating, keeping focus, low or lack of motivation, irritability, depending on severity, some people might start skipping showers, or taking care of their basic needs, which inadvertently will affect your work and out-of work relationships. Some people get more angry, having "shorter fuse". If you feel you're being affected, get evaluated and start treatment (meds and psychth). ...Read more
Therapy: Can be effective, but the time required would be much greater than therapy plus medications. Why not get the best treatment available? ...Read more
A milder form of MDD: Minor depression is a mood disorder that does not meet full criteria for major depressive disorder but in which at least 2 depressive symptoms are present for 2 weeks or more. It is usually quite responsive to psychotherapy interventions. In the diagnostic & statistical manual of mental disorders iv, minor depressive disorder was cited as an example of depressive disorder not otherwise specific. ...Read more
Depression is: Treatable. I know that you are on Effexor (venlafaxine) - but don't know what other treatment you have received. Talking therapy (such as cognitive behavioral therapy or insight oriented psychotherapy) is extremely important for lasting change. Don't isolate. Spend time w people. Having a support system is very important. Get out. Don’t allow yourself to stagnate at home. Work to get at least 8 hours of sleep >. ...Read more
"Naturally" but not: "natural" treatments mean anything from the letting of blood 500 years ago to diet/exercise and st. John's wart today. Clinical depression had different degrees of severity as well. Natural remedies can be as dangerous as helpful. St. John's wart was eventually found to be far less effective then the media touted and has significant drug-drug effects in the liver that increase. Caution! ...Read more
Yes: Depression causes the loss of brain cells in the limbus system which includes the hippocampi. Treatment, whether medicinal or psychotherapy, triggers the brain to release brain- derived neurotrophic factor, essentially nerve growth factor in the brain which helps return memory to where it was before you got sick. It helps brain cells grow back! ...Read more
No cookbook: First episodes may remit faster but meds are often recommended for 6 months before stopping. Second, third episodes that occur on or off meds usually require longer treatment periods. Therapy with meds may be the best option regardless. Recognizing the core symptoms when reducing or stopping a treatment modality often of setts the severity of subsequent episodes if treatment is restarted sooner. ...Read more
See below: I"m sorry you're going through this. Find a psychologist or a mental health provider to help you figure out issues that might be causing your feelings. If you're having thoughts of self-harm that are overwhelming, go to the nearest emergency room or dial 911. National suicide prevention hotline 1-800-273-talk. In the er an eval will be done and your options discussed. Good luck! ...Read more
Not quite yet: There is evidence that inflammation in the body -- evidenced by high c-reactive protein and other cytokines -- may be linked to depression. It's also possible that depression itself may increase inflammation. Inflammation is part of the body's healing response, and it's important to keep it where it needs to be & not overtake the entire organism. Http://www. Ncbi. Nlm. Nih. Gov/pubmed/21927805. ...Read more
Go to a psychologist: Or psychiatrist. They went to school for years to assess and treat just these kinds of problems. These three conditions have some overlapping symptoms, so a trained professional is a must. Don't rely on "Dr. Google." ...Read more
Bipolar Disorder: With Anxiety. Start with a comprehensive psychiatric evaluation. Insure that medical causes for symptoms are ruled out. Talking therapy (Cognitive Behavioral Therapy or insight oriented psychotherapy) is allows for lasting change. Avoid alcohol, caffeine and illicit drugs. Take medications as directed. Eat healthfully. Sleep consistently. Be physically active. ...Read more
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