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The REAL Guide to Depression

Depression is a common mental illness which is estimated to affect up to one in five people at some point in their lifetime and have significant cost impact on health services in medication, benefits and lost working days. It can strike at any age and the feelings of hopelessness and helplessness attached to it can make it difficult for people to carry out their normal activities. It can be more or less severe and symptoms are often varied, making it often hard to diagnose. It is thought that some individuals may be more prone to depression, whether because of life experiences, their body chemistry or genetically inherited conditions.



Types of Depression

The three main categories of depression are major depression, dysthymia, and bipolar depression (sometimes referred to as manic depression).

Major depression affects 15 percent of Americans at one point during their lives, according to the U.S. Department of Health and Human Services. Its effects can be so intense that things like eating, sleeping, or just getting out of bed become almost impossible.

Major depression "tends to be a chronic, recurring illness," Laughren explains. Although an individual episode may be treatable, "the majority of people who meet criteria for major depression end up having additional episodes in their lifetime."

Unlike major depression, dysthymia doesn't strike in episodes, but is instead characterized by milder, persistent symptoms that may last for years. Although it usually doesn't interfere with everyday tasks, victims rarely feel like they are functioning at their full capacity. According to the National Alliance for the Mentally Ill, almost 10 million Americans may experience dysthymia each year.

Finally, bipolar disorder cycles between episodes of major depression and highs known as mania. Bipolar disorder is much less common than the other types, afflicting about 1 percent of the U.S. population. Symptoms of mania include irritability, an abnormally elevated mood with a decreased need for sleep, an exaggerated belief in one's own ability, excessive talking, and impulsive and often dangerous behavior.



The Symptoms of Depression

When depression begins and you feel low, your self esteem falls and you lose your motivation. Procrastination sets in and you feel worse. This is the start of a spiral downwards.

The symptoms of depression are:

- Can't make decisions
- Waking in the early morning
- Wanting to cry
- Lack of energy
- Loss of appetite
- Drinking too much
- Eating too much
- Loss of interest in sex
- Not caring about your appearance
- Becoming withdrawn
- Feeling you can't be bothered
- Suffering from poor self esteem
- Can't concentrate
- Lack of self confidence
- Feeling isolated or lonely
- Lacking purpose in your life

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How Is Depression Treated?

The most common treatment for depression includes the combination of antidepressant medicine, including selective-serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants, and psychotherapy (called "therapy" for short, or "counseling"). Electroconvulsive therapy, also called ECT, may be used when severe depression is unresponsive to other forms of therapy.


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