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Understanding Depression & Mania or Mood Affective Disorders

-- Sarah Ahsan

co-authored by Mr. Siegfried Letzel (Homeopath), Mr.S.V.Swamy (Holistic Healer) and Miss Sarah Ahsan (Psychologist)
 
 

At times nothing seems to interest a person anymore; even formerly enjoyable activities are not interesting at all. In such cases, sometimes, simple things can elevate ones mood, things we take for granted, such as:


1) Simply taking a shower or hot bath. One can use ones favorite scented bath gel or soap. Research shows water to be therapeutic in action.
2) Wearing something that makes us feel smart and confidant, a favorite dress.
3) Applying some perfume that we like. Or simply rubbing a drop of jasmine oil on our wrists and smelling it from time to time. The Smell and Taste Treatment and Research Foundation in Chicago has discovered powerful connections between smell and emotions. Think of how a particular smell can trigger off memories. According to Alan R.Hirsch, M.D., the foundation director, the odor of jasmine may actually improve a depressed person's level of energy.
4) Changing the way we think .When we analyze the train of thoughts that run through our minds, there is always a pattern there. In the case of depressed people, it's usually negative. Thoughts such as I can't do it ¦..it's not in my fate ¦ I'll probably fail ¦..what's the use?......there's no point ¦..Etc
5) Most depressed peoples motto could be put like this - I CAN'T -, most people, when they overcome their depression, find their thoughts changing to - I CAN - .A fighter's motto is - I WILL -.
6) Going out for a walk simply or a drive may also help.Exercise and fresh air are proven to be therapeutic.

If nothing helps, or the person simply cannot rouse himself out of his lethargy or sad feelings, it requires professional intervention. If you are experiencing or know someone else who is experiencing some of the following symptoms, please either get or advise that person to get professional help. It could change one's life completely.

There are different types of depression or mood or affective disorders as they are technically called,each with its own cluster of identifying symptoms.

a) Major Depressive Disorder b) Bipolar I and Bipolar II c) Comorbidity d) Cyclothymia
e) Dysthymia f) SAD ( seasonal affective disorder )

The clinical symptoms of depression are:

1) A constant state of sadness, depressed mood. Total lack of interest in formerly pleasurable activities .( Anhedonia )
2) Disturbance in appetite, such as lack of hunger or excessive hunger.
3) Sleep disturbance, inability to sleep or excessive sleep.Insomnia or Hypersomnia.
4) A state of inactivity or, in some cases, continuous excessive activity or agitated state. In other words, an inability to relax.( Psychomotor agitation )
5) Continuous feeling of exhaustion, sharply reduced levels of energy, even without doing anything.( Psychomotor retardation )
6) Feelings of worthlessness and guilt.Excessively low self-esteem.
7) Difficulty in thinking, often having problems in concentrating and remembering.
8) Recurrent thoughts of death or suicide.

To be diagnosed as suffering from clinical depression,a person has to have at least 5 of the 8 symptoms of depression present for a minimum of 2 weeks continuously.A complete and thorough evaluation has to be made to clinically define the category the symptoms fall into and in such cases, only professional help will effectively help the problem.

The distinguishing features between the types of Mood Affective Disorders are the types of symptoms that form the syndrome ( cluster of symptoms ), their duration, intensity and frequency of occurance.

Major Depressive Episode is characterized by all of the above symptoms and its distinguishing feature is the suicidal ideation.

Comorbidity lacks the suicidal ideation and instead has excessive anxiety ( anxiety disorder ) co-occuring with depression.

Bipolar I and II have manic and depressive phases both that differentiate them from Major Depressive Disorder and Comorbidity.

The clinical symptoms of mania are :

1)Elated and/or irritable mood.
2)Inflated ego ( delusions of grandiosity )
3)Insomnia.They usually sleep only 2-3 hours a night and yet have twice as much energy as those around them.
4)Rapid flow of ideas.They jump from topic to topic very quickly.
5) Extroverts and very talkative.Manics tend to talk very loudly,rapidly and constantly.
6)Very easily distracted and find it hard to concentrate on anything for very long.While doing or discussing something,they will notice something else in their enviroment and turn their attention abruptly to that instead.
7) Hyperactive.They are very restless and move around constantly.The expansive mood is usually accompanied by restlessness and increased goal-directed activity--physical,social,occupational and often sexual.
8) Reckless behaviour.Their euphoria and grandiose self-images often lead them into impulsive and ill-advised actions such as buying sprees,reckless driving,careless business investments and sexual indiscretions.

Bipolar I is characterised by Mania along with mild depression sometimes.

Bipolar II is characterised by MDD present along with hypomania ( a mild form of mania ).

To be diagnosed as having a manic episode,a minimum of 3 features must persist continuously for one week.

Bipolar disorders are diagnosed if the individual has had a minimum of 4 episodes in 1 year.

Cyclothymia is a mild form of Bipolar disorder,characterized by cycles of mild depression and hypomania.

Dysthymia is a mild but persistent form of depression.Diagnosed in adults if the symptoms persist for 2 years,in children if the symptoms persist for 1 year.

SAD is a form of severe depression that increases in winter and lifts during the rest of the year.The disorder appears to be a result of the brevity and gloom of winter days.Psychologists have found that several hours of daily exposure to bright light is sometimes sufficient to improve the mood of those with SAD.

Endogenous vs. Reactive Depression:

Heated debate continues over whether depression is Endogenous ( organic ) or Reactive ( in reaction to a precipitating event ).Those that are linked to events such as death of a loved one or loss of a job can be termed reactive and those that stem apparently only from organic brain dysfunctions can be termed endogenous.Yet the distinction is not easily made as many endogenous patients have a lesser family history of depressives than reactive patients.Research is still ongoing regarding this specific point and the topic remains extremely controversial.

People avoid admitting to suffering from a mental disorder due to the bias prevalent in society even from those who claim to be unprejudiced .This negative attitude often makes people hesitate to ask for or admit they need help although suffering from depression is not a crime !
Some of the most famous and popular people in history suffered from various types of Mood Affective Disorders.Michaelangelo was one. Others were Vincent van Gogh.Winston Churchill.Edgar Allen Poe, Lord Byron, H.G.Wells, Sir Walter Scott, Napoleon Bonaparte, Nostradamus, Abraham Lincoln, Marilyn Monroe, James Dean, Elvis Presley, his daughter, Marie etc naming them all would take up too much space.

The point is, it is not a crime to suffer from a mood disorder nor is one abnormal to do so. If you have a fever continuously, the common sense thing would be to see a doctor after all ones own efforts to recover failed. In case of clinical depression, the smart thing to do would be to either see a psychiatrist or a psychologist to either obtain prescribed medication or learn effective ways of coping .A psychiatrist prescribes mood altering drugs, to chemically alleviate the depressed feelings. A psychologist teaches you how to avoid depression or ways to effectively cope with and manage the depression (preferably) without any medication. Only in cases that cannot be handled without medical intervention, does a psychologist refer a client to a psychiatrist.

However, conventional psychiatric medication has several side effects such as tremors,drowsiness,difficulty in concentration,dryness of mouth/skin,increasing drug-dependence etc.

For e.g. lithium which is used in treatment of bipolar disorders has several side effects such as oedema,diarrhoea,hypothyroidism,hair loss,memory loss and weight gain.

Effexor Venlafaxine / XR both cause problems in sleeping , headaches, dizziness, constipation, nightmares, withdrawal symptoms, high blood pressure, sexual dysfunction, weightloss, increased light sensitivity, sweating and nausea. In many cases, Effexor had to be augmented by Depakote to stabilize the patient.
T he links below give further details.

http://bipolar.about.com/cs/experience/a/sfe_lithspecsfx.htm

http://depression.about.com/cs/venlafaxine/l/blsidefxvenlafa.htm

Psychotherapy while being definitely more gentle,effective and without any unpleasant side-effects usually (except on your pocket,perhaps ! ) when done by a trained professional, in the long-term,can be a very draining and time-consuming process. The therapeutic process can take months or even years,at times. Combining therapy with homeopathic treatment will considerably shorten the duration of the theruepatic treatment.

Many people are unaware of the fact that there are alternatives to conventional medicine, which are far more effective and without any side-effects when taken under a trained professional's supervision. Such as Homeopathic remedies. These work as catalysts or triggers to the immune system without themselves being directly involved in any healing process. What could be gentler on the body than the body healing itself? The body's immune system works best at the speed that is natural and gentlest on the body without any pushing or shoving externally in the form of conventional medicines ( which are really quite harsh on the body ).

Homeopathic and other alternative remedies are more effective than conventional medication for many psychological illnesses including depression as they target the weakness in the immune system causing the problem and not the weakness itself.

Homeopathic/Alternative therapy treatment is usually far cheaper than conventional methods and takes very little time in comparison. Combined with therapy, they can work like miracles for people who feel sentenced for life. To get the best out of Homeopathic remedies, however, please consult a trained professional for chronic or severe cases.

The cause of depression is not a barrier to homeopathic treatment, be it environmental or genetic. It's high time we woke up to the truth and realize that depression is an illness like any other and that, now, we have a choice in seeking treatment. The main barrier to homeopathic treatment lies in finding a properly qualified classical homeopath who would take a complete case (usually requiring about 2 hours) and then prescribing a similimum (the remedy that matches the symptoms perfectly). The other problem is that deeper emotions, fears and phobias, self-image issues etc., surface and it may need several months or even years of constitutional treatment before the patient is cured. If the patient is unable to persist with therapy for whatever reason, the results will be less than perfect.

 
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