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are you depressed ?? no friends ,,all alone ,,,,,

are you depressed ?? no friends ,,all alone ,,,,,

DAVID JOHNSON · Tuesday, November 13th 2012 at 12:07AM · 321 views
Depression can change or distort the way you see yourself, your life, and those around you.

People who have depression usually see everything with a more negative attitude. They cannot imagine that any problem or situation can be solved in a positive way.

Symptoms of depression can include:

Agitation, restlessness, and irritability

Becoming withdrawn or isolated

Difficulty concentrating

Dramatic change in appetite, often with weight gain or loss

Fatigue and lack of energy

Feelings of hopelessness and helplessness

Feelings of worthlessness, self-hate, and guilt

Loss of interest or pleasure in activities that were once enjoyed

Thoughts of death or suicide

Trouble sleeping or too much sleeping

Depression can appear as anger and discouragement, rather than feelings of sadness.

If depression is very severe, there may also be psychotic symptoms, such as hallucinations and delusions.

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DAVID JOHNSON Tuesday, November 13th 2012 at 12:08AM

Treatment

In general, treatments for depression include:

Medications called antidepressants

Talk therapy, called psychotherapy

If you have mild depression, you may only need one of these treatments. People with more severe depression usually need a combination of both treatments. It takes time to feel better, but there are usually day-to-day improvements.

If you are suicidal or extremely depressed and cannot function you may need to be treated in a psychiatric hospital.

MEDICATIONS FOR DEPRESSION

Drugs used to treat depression are called antidepressants. Common types of antidepressants include:

Selective serotonin re-uptake inhibitors (SSRIs), including fluoxetine (Prozac), sertraline (Zoloft), paroxetine (Paxil), fluvoxamine (Luvox), citalopram (Celexa), and escitalopram (Lexapro).

Serotonin norepinephrine reuptake inhibitors (SNRIs), including desvenlafaxine (Pristiq), venlafaxine (Effexor), and duloxetine (Cymbalta).

Other medicines used to treat depression include:

Tricyclic antidepressants

Bupropion (Wellbutrin)

Monoamine oxidase inhibitors

If you have delusions or hallucinations, your doctor may prescribe additional medications.

WARNING: Children, adolescents, and young adults should be watched more closely for suicidal behavior, especially during the first few months after starting medications.

If you do not feel better with antidepressants and talk therapy, you may have treatment-resistant depression. Your doctor will often prescribe higher (but still safe) doses of an antidepressant, or a combination of medications. Lithium (or other mood stabilizers) and thyroid hormone supplements also may be added to help the antidepressants work better.

St. John's wort is an herb sold without a prescription. It may help some people with mild depression. However, it can change the way other medicines work in your body, including antidepressants and birth control pills. Talk to your doctor before trying this herb.

CHANGES IN MEDICATIONS

Sometimes, medications that you take for another health problem can cause or worsen depression. Talk to your doctor about all the medicines you take. Your doctor may recommend changing your dose or switching to another drug. Never stop taking your medications without first talking to your doctor.

Women being treated for depression who are pregnant or thinking about becoming pregnant should not stop taking antidepressants without first talking to their doctor.

TALK THERAPY

Talk therapy is counseling to talk about your feelings and thoughts, and help you learn how to deal with them.

Types of talk therapy include:

Cognitive behavioral therapy teaches you how to fight off negative thoughts. You will learn how to become more aware of your symptoms and how to spot things that make your depression worse. You'll also be taught problem-solving skills.

Psychotherapy can help you understand the issues that may be behind your thoughts and feelings.

Joining a support group of people who are sharing problems like yours can also help. Ask your therapist or doctor for a recommendation.

OTHER TREATMENTS FOR DEPRESSION

Electroconvulsive therapy (ECT) is the single most effective treatment for severe depression and it is generally safe. ECT may improve mood in people with severe depression or suicidal thoughts who don't get better with other treatments. It may also help treat depression in those who have psychotic symptoms.

Transcranial magnetic stimulation (TMS) uses pulses of energy to stimulate nerve cells in the brain that are believe to affect mood. There is some research to suggest that it can help relieve depression.

Light therapy may relieve depression symptoms in the winter time. However, it is usually not considered a first-line treatment.

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