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Depression

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What Causes Depression?

Depression usually isn't caused by one event or thing; it's typically the result of one or more factors, and its causes vary from person to person. Depression can be caused by lowered levels of neurotransmitters (chemicals that carry signals through the nervous system) in the brain, which limits a person's ability to feel good. Depression can run in families, so a person who has a close relative with depression may be more likely to experience it.

Significant life events such as the death of a loved one, a divorce, a move to a new area, and even a breakup with a girlfriend or boyfriend can bring on symptoms of depression. Stress also can be a factor, and because the teen years can be a time of emotional and social turmoil, things that are difficult for anyone to handle can be devastating to a teen.

Also, chronic illness can contribute to depression, as can the side effects of certain medicines or infec



Is this Depression - or is it something else?

Our mood naturally varies over time and from day to day and everyone gets down sometimes. We may say that we are 'down', 'fed up', or 'feeling under the weather'; we may get disheartened about something that happens or when things don't go the way we would have liked. Although people often say 'I'm depressed' to mean these things, this would not usually be what is called clinical depression and is simply part of the normal ups and downs of life. Some people naturally experience frequent mood changes, while others have a relatively stable equilibrium.

Similarly, if we suffer a major loss, we readily understand that it is normal to grieve. Although some of the emotions we feel when we are bereaved appear similar to depression, grieving is a natural and ultimately healing process. Sometimes, though, past losses which were not fully mourned at the time may later resurface and present as depression much later.

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What Can I Do About Depression?

There are actually a lot of things you can do about depression. The most important thing is that you do something positive and constructive.

You might start by getting yourself some paper and a pen and make headings for all the factors previously described: Environmental, Interpersonal, Physical/Medical, etc.

Make a list of any problems, concerns, or negative feelings you have that relate to each of the areas. (It also helps to identify which of the areas are sources of strength, support, positive feelings.)

As you break the depression down into smaller, more manageable contributing parts, some solutions will seem clear to you. Again, we're not operating on an "Either-Or" assumption---that you either have depression or you don't; we're assuming a continuum of depressive feelings or symptoms.

So any changes you can make for the better, though they may not "fix" the depression or make it go away immediately, are definitely worth doing.

Depression can leave you feeling helpless and out of control of your life, your thoughts, feelings, and behaviors. You want to regain and experience more power and control; you want to get to the point where you feel like you can do something to improve your situation and life.

So for instance, you may realize that relationship problems are a key contributor to your depression, and decide that assertiveness or communications training would really help remedy that situation.

Or you might notice that for you the symptoms are largely physical and choose to get a medical check-up to rule out other possible problems.

Go over each area and do your own self-assessment, then write down what you think it would take to help the situation. No two lists will be exactly alike, but several general strategies often are beneficial to people struggling with feelings of depression.

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