What Is A Depressive Diorder?
What Is A Depressive Diorder?
What Is A Depressive Diorder?
experience depressive disorder at some time during their lives. Depressive disorders are serious and distressing illnesses with real risks to the persons life and well-being. Professional assessment and treatment is necessary. In severe instances, hospitalisation may be required initially. Fortunately, treatment of depression is usually very effective.
and happy in their family and social relationships. It can also be triggered by a distressing event that the person is unable to deal with. When symptoms of major depressive disorder are fewer and milder, but last longer (for more than two years), the illness is called dysthymic disorder.
However, for about 10 percent of mothers this feeling of sadness develops into a serious disorder called post-natal depression. Mothers with this illness find it increasingly difficult to cope with the demands of everyday life. They can experience anxiety, fear, despondency, sadness and extreme tiredness. Some mothers have panic attacks or become tense and irritable. There may be a change in appetite and sleep patterns. A severe, but rare, form of postnatal depression is called puerperal psychosis. The woman is unable to cope with her everyday life and can be disturbed in her thinking and behaviour. It is essential for mother and child that post-natal depression is treated, and very effective treatments are available.
Post-natal depression
The so-called baby blues affect about half of all new mothers. They feel mildly depressed, anxious, tense or unwell, and may have trouble sleeping even though they are tired most of the time. This type of depression may last only hours or a few days, then disappear.
Stress
Stress is associated with the development of depressive disorders, particularly personal tragedies or disasters. Depressive disorders are more common at certain stages of life that involve major life transitions, such as childbirth, menopause and bereavement. Consequently, it is more common in young adults, women, older adults, and people with physical health problems.
Temperament
People with certain temperaments are more prone to depressive symptoms. Depression commonly occurs in people who are highly anxious, sensitive, emotional, and react strongly to and are easily upset by events in their lives. People who are perfectionists and selfcritical, and who set high standards for themselves and others, are vulnerable to depression. Those who are very dependent on other people are also susceptible to depression if they are let down. In contrast, people who are optimistic and who practice thinking positive thoughts tend to be protected from depression.
Genetic factors
It is well established that the tendency to develop depression runs in families. This is similar to a predisposition to other illnesses, such as diabetes and heart disease.
Biochemical factors
Depressive disorders are thought to be due, in part, to a chemical imbalance in the brain. Anti-depressant medication treats this imbalance.
Anti-depressant medications relieve depressed feelings, restore normal sleep patterns and appetite, and reduce anxiety. Unlike tranquillisers, anti-depressant medications are not addictive. They slowly return the balance of neurotransmitters in the brain, taking one to four weeks to achieve their positive effects. Specific medications help to manage mood swings, such as for bipolar mood disorder. Lifestyle changes, such as physical exercise and reducing harmful alcohol and other drug use, assist people to recover from depression. For some very severe forms of depression, electroconvulsive therapy (ECT), or shock treatment as it is sometimes misnamed, is a safe and effective treatment. It can be life saving for people at high risk of suicide or who, because of the severity of their illness have stopped eating or drinking, would die as a result. The family and friends of people with a depressive disorder can often feel confused and distressed. Support and education, as well as better community understanding, are an important part of treatment.