Major depression is far more persistent than simple sadness. The key difference between sad feelings and a true major depression is that sad feelings eventually pass. Depression interferes with sleep, appetite, sexual interest, self-image, and attitude. It is possible to have a major depression and not feel particularly sorrowful, sad, or hurting. Instead eating problems, sleeping problems, remembering, concentrating, or making decisions may occur. Without
, ten to fifteen percent of people suffering from severe Major Depressive Disorder commit suicide. With
Depression Treatment
Both biological (genetics) and psychological factors (stress) play a major role in depression. Stress often triggers depression, but later the illness may be related to biological factors.
Treatment of depression must therefore address stress, genetics and temperament with the disorder.
Treatments for depression include; Antidepressant medication, Electroconvulsive therapy, Lithium (for prevention), Anticonvulsant medication (for prevention), Interpersonal psychotherapy, Anti-anxiety medication, Cognitive therapy, Antipsychotic medication, Stimulant medication, Psychoanalytic psychotherapy, Family therapy, Group therapy and Self-help groups. The type of treatment depends on the severity of the depression.
For Non-severe Major Depression, time-consuming or expensive psychotherapy or antidepressant drug therapy is not needed. People with mild depression usually spontaneously recover. If the average episode of major depression lasts 4 months, then for these mild cases, all that is required is seeing a therapist frequently for brief, supportive visits until the depression is cured. A patient with mild to moderate depression may be safely treated in the office, if the therapist evaluates the patient frequently. The patient's support system should be strengthened and involved in treatment whenever possible.
When a person becomes unable to function at work or socially, because of severe major depression, antidepressant drug therapy must be given. For severe depression, antidepressant drug therapy is highly effective. Antidepressant drug therapy must be given for at least 6-12 months, or even longer, as severe depression has a high relapse rate. A severely depressed patient is also required to have frequent counseling as they are high suicide risks. These patients require a caring professional, who will emotionally support them and their family until they have recovered. This supportive psychotherapy probably would be very focused on resolving the immediate social problems burdening the patient.
A patient suffering from severe depression may have to be hospitalized if they are:
* A suicide or homicide risk
* Unable to take care of themselves (food/shelter/clothing)
* They need medical diagnostic procedures.