In any given 1-year period, 9.5 percent of the population, or
about 20.9 million American adults, suffer from depression. Depression
often interferes with normal functioning and causes pain and suffering
not only to those who have a disorder, but also to those who care
about them. Serious depression can destroy family life as well
as the life of the ill person. But much of this suffering is unnecessary.
Most people with a depressive illness do not seek treatment,
although the great majority, even those whose depression is extremely
severe, can be helped. Thanks to years of fruitful research, there
are now medications and psychosocial therapies such as cognitive/behavioral
"talk" or interpersonal [therapies] that ease the pain
of depression.
Unfortunately, many people do not recognize that depression is
a treatable illness. If you feel that you or someone you care
about is one of the many undiagnosed depressed people in this
country, the information presented here may help you take the
steps that may save your own or someone else's life.
WHAT IS A DEPRESSIVE DISORDER?
A depressive disorder is an illness that involves the body, mood,
and thoughts. It affects the way a person eats and sleeps, the
way one feels about oneself, and the way one thinks about things.
A depressive disorder is not the same as a passing blue mood.
It is not a sign of personal weakness or a condition that can
be willed or wished away. People with a depressive illness cannot
merely "pull themselves together" and get better. Without
treatment, symptoms can last for weeks, months, or years. Appropriate
treatment, however, can help most people who suffer from depression.
TYPES OF DEPRESSION
Depressive disorders come in different forms, just as is the
case with other illnesses such as heart disease. This [discussion]
briefly describes three of the most common types of depressive
disorders. However, within these types there are variations in
the number of symptoms, their severity, and persistence.
Major depression is manifested by a combination of symptoms (see
symptom list) that interfere with the ability to work, study,
sleep, eat, and enjoy once pleasurable activities. Such a disabling
episode of depression may occur only once but more commonly occurs
several times in a lifetime.
A less severe type of depression, dysthymia, involves long-term,
chronic symptoms that do not disable, but keep one from functioning
well or from feeling good. Many people with dysthymia also experience
major depressive episodes at some time in their lives.
Another type of depression is bipolar disorder, also called manic-depressive
illness. Not nearly as prevalent as other forms of depressive
disorders, bipolar disorder is characterized by cycling mood changes:
severe highs (mania) and lows (depression). Sometimes the mood
switches are dramatic and rapid, but most often they are gradual.
When in the depressed cycle, an individual can have any or all
of the symptoms of a depressive disorder. When in the manic cycle,
the individual may be overactive, over talkative, and have a great
deal of energy. Mania often affects thinking, judgment, and social
behavior in ways that cause serious problems and embarrassment.
For example, the individual in a manic phase may feel elated,
full of grand schemes that might range from unwise business decisions
to romantic sprees. Mania, left untreated, may worsen to a psychotic
state.
SYMPTOMS OF DEPRESSION AND MANIA
Not everyone who is depressed or manic experiences every symptom.
Some people experience a few symptoms, some many. Severity of
symptoms varies with individuals and also varies over time.
Depression
- Persistent sad, anxious, or "empty" mood
- Feelings of hopelessness, pessimism
- Feelings of guilt, worthlessness, helplessness
- Loss of interest or pleasure in hobbies and activities that
were once enjoyed, including sex
- Decreased energy, fatigue, being "slowed down"
- Difficulty concentrating, remembering, making decisions
- Insomnia, early-morning awakening, or oversleeping
- Appetite and/or weight loss or overeating and weight gain
- Thoughts of death or suicide; suicide attempts
- Restlessness, irritability
- Persistent physical symptoms that do not respond to treatment,
such as headaches, digestive disorders, and chronic pain
Mania
- Abnormal or excessive elation
- Unusual irritability
- Decreased need for sleep
- Grandiose notions
- Increased talking
- Racing thoughts
- Increased sexual desire
- Markedly increased energy
- Poor judgment
- Inappropriate social behavior
The preceding information was excerpted from a booklet published
by NIMH (National Institute for Mental Health) dealing with
Depression
Impact of Depression:
- Causes tremendous emotional pain
- Disrupts the lives of millions of people
- Adversely affects the lives of families and friends
- Causes students to loose interest in academics and social
functions
- Reduces work productivity and increases absenteeism
Depression can affect anyone. Once identified, most people diagnosed
with depression are successfully treated. If you are experiencing
the symptoms listed above you don't have to continue to suffer.
We can help.