Depression?

Question

Im a highschooler, the social life and workload is killing me on the inside, what's a good way to fight depression?

Answer 1

First, I'd advise seeing a doctor. But I ithink its safe to add cut back on your social life. Make sure you are getting enough sleep. Eat a balanced diet--with about 6 servings of fruits and vegetables a day.

Answer 2

This might be helpful
http://sensitive-psychoworld.blogspot.com/

Answer 3

omg me too

Answer 4

Depression is a common condition, 15% of the population will suffer from clinical depression at some point in their lives.

Everybody has periods where they feel low, or down. These are normal emotions, and appropriate after bad news, bereavement and so forth. However, depression – the illness, is persistent, and help is required to recover. The difference with depression is when the unhappiness is without cause, or lasts much longer and is out of proportion to circumstances, or seems beyond the sufferers personal control to manage.

Depression affects people differently. Some are mildly affected – often known as dysthymia, and manage to function despite their condition. Others may be severely depressed and find it very difficult to carry out even the most basic tasks., such as washing and dressing.

There are also different types of depression, such as the episodes of depression, followed by elation in manic depression (bipolar affective disorder, SAD (seasonal affective disorder) and PND (post natal depression).

Spike Milligan and Winston Churchill were two famous manic depressives. Depression is not selective of class, status or upbringing.

SYMPTOMS

Symptoms are many, varied and not all sufferers will exhibit the same problems. They may include:

Continual low mood
Feeling of inadequacy
Feeling “tearful” and “emotional”
Irritability
Anger / aggression
Anxiety
Lack of motivation
Lack of social interest
Poor personal care
Irrational / guilty thoughts
Feeling of hopelessness
Suicidal thoughts
Tired all the time
Loss of appetite / weight
Comfort eating
Inability to sleep
Disturbed sleep
Loss of concentration
Sleeping too much / not waking refreshed
Loss of libido
Avoiding people / social situations
Lack of energy
Feeling physically ill
Extreme lethargy
Bleak and pessimistic view of the future

N.B. Anxiety and depression are closely linked. Anxiety can cause depression, and depression can cause anxiety.



SO WHY DO I FEEL LIKE THIS?

Depression is a complex illness, and can occur for several reasons.

In a person suffering from depression, levels of neuro-transmitters are lowered. One of these is serotonin (5-hydroxytryptamine or 5HT).

It can be triggered as a result of a number of causes:

Social Circumstances
Unemployment, divorce or break down of relationship, bereavement, redundancy, sudden/dramatic change to personal circumstances

Physical Conditions

Glandular fever, influenza, anaemia, diseases such as multiple sclerosis, severe arthritis, and treatments such as chemotherapy and radiotherapy

Hormonal Changes
Pregnancy, resulting in PND – about 10% of all women experience significant PND. Depression presents more commonly in women (this may also be because men are more reluctant to visit their doctor)

Psychological Conditions
Sufferers of anxiety may also find they develop depression. Unresolved psychological issues also contribute. About 60% of people suffering chronically with anxiety and panic will also develop associated depression.

Drug and Alcohol Abuse

WHAT TREATMENTS ARE AVAILABLE?

Each sufferer is an individual, and treatments vary. Many people combine treatments for optimum effect, i.e. medication and counselling. The preferred choice at present is SSRI’s along with CBT. The medication is to lift the mood enough to be able to take on board and learn skills needed to overcome the condition long term.

The first step is to visit your GP. They can confirm your diagnosis and ensure your depression does not have a physical cause. You must be prepared to be honest with yourself and your GP. If you have some unresolved issues, medication alone will not provide a cure, and your GP can recommend you for some form of therapy.

Therapy
This may include Cognitive Behavioural Therapy or counselling. All health authorities have a Community Mental Health Team, who will be able to select and provide appropriate treatment upon your referral by your GP. If you really feel you need it, do not be afraid to request a referral.
Medication
There are several different types of anti-depressants. You are likely to be offered one of the following types:

SSRI – (selective serotonin re-uptake inhibitors), the most known household brand name being Prozac (fluoxetine) but now include a whole stable of closely related medicines
Tricyclic antidepressants
MAOI (monoamine oxidase inhibitors)
Moclobemide
Different people respond better to different drugs, and different categories of depression respond better to different drugs to, so there may be a degree of trial and error before you find the right one for you. There is no universal wonder drug, and what worked for your friend may not be beneficial to you.

Before you go to your GP, you may like to make a list of lifestyle considerations to discuss the most suitable medication. For example, if you lead a busy life, or drive for a living, a drug which makes you drowsy may not suit, where if you have problems sleeping at night it may be beneficial.

There are several sites on the internet which explain in detail each type of medication, and their possible side effects.

Anti-depressants are not addictive. However, you may suffer withdrawal symptoms if you stop taking them suddenly. Any withdrawal should be gradual and under medical supervision.

Alternative Medicine
St Johns Wort is a herbal remedy, which has a similar effect to SSRI’s and is commonly used in the treatment of depression. Do research this carefully before starting yourself on this. It can be very effective but can also have some severe interactions with medication you may be taking for other medical conditions so if you are on any other prescribed medication at all please do not take this without taking specialist advice.



SIDE EFFECTS AND CONTRA-INDICATIONS

ALL medicines have the potential to cause side effects, some of which may be unpleasant. Most side effects only occur during the first few weeks of starting to take the medication, and then disappear. If you are taking the medication and have panic or anxiety – it is not uncommon for this to get worse for a few weeks before the benefit is felt. It can be helpful in these circumstances to drop your dose and gradually increase it.

However, many people take these medicines without experiencing any side-effects.

You should also ensure you tell your doctor about any medicines you use regularly. Some medications can react with each other, for example, St Johns Wort can effect the efficiency of the contraceptive pill, and decongestants shouldn’t be used with MAOI and tricyclic anti-depressants. With the MAOI family, there are also some important food restrictions too. Your GP may need to review they way you self medicate certain conditions.



SELF HELP

Sufferers can also do a lot to help themselves, by taking positive action to help improve their lives.

Diet
Ensure you eat a healthy nutritionally balanced diet, including plenty of water, fresh fruit and vegetables, and wholegrains and pulses.

Exercise
Exercise as regularly as possible, be it a brisk walk to the shops or round the park, a swim or joining the gym.

Reduce / Cut Down on Stimulants
Review alcohol, caffeine, nicotine and any “recreational” drugs taken. Stop or limit your intake. Swap tea / coffee for water, green, black or herbal teas. Set yourself limits and stick to them. You may choose to allow yourself two glasses of wine at a family celebration. Stick to your limit, and consider swapping wine for wine spritzer to make your drinks last longer

Relax
Sign up for yoga, Tai’chi or pilates. Buy a relaxation CD. Go for a massage. Indulge in a bubble bath.

Change the Pace
Do you need to do everything you do in your life? Do you need to do it when you do it? If not, slow the pace of your life down a little. Consider taking a short holiday.

Remove Stressors
Whilst it is never a good idea to make major lifestyle changes whilst suffering from depression, review your life with a view to reducing stress. If you have relationship problems, discuss them with your partner, visit Relate. If you have problems at work, discuss them with human resources or your manager.

Some stressors can be minor, but putting them off can cause unnecessary aggravation. These may be little things, like a car interior that needs cleaning, or a wardrobe that needs tidying. Find the time to deal with any issues that “bug” you, however small.

Keep Your Mind Occupied
Read a book, watch a film, phone a friend. Try not to simply “sit and dwell”. Take up a new hobby.

Keep a Mood Diary
Note how you feel each day, what stressors are present, what activities you’ve done, what you’ve eaten and drunk. Monitor for any patterns

Don’t Bottle It Up
Don’t keep your feelings to yourself. Explain to your close family and friends what you are experiencing. If necessary, educate them about your illness and treatment. Avoid people who tell you to pull yourself together, or to just get on with it! You have an illness, and cannot help the way you feel.

Rediscovery
Write down all the things that usually give you pleasure. These can be hobbies or experiences – reading, embroidery, playing squash, ice skating, trying out new recipes. Make time to read a book, sew a sampler, book a squash court

Create a Self Help Folder
Keep any information you find useful filed together, and use it for reference. This can include articles, journals, magazine cuttings, or even quotes or pictures that make you smile.

AND ABOVE ALL – STAY POSITIVE

Remember that depression is a treatable illness from which sufferers make a full recovery. Do not set any false time scales for recovery. Everybody is different. SSRIs can take 2 – 3 weeks before any benefit is felt. Medication may need to be continued from 6 months up to 2 years. Do not expect an immediate recovery once you have started treatment.

Some sufferers find that they may experience another period of depression at some point in their lives. This is quite common, and should not cause concern. It is very likely that you will notice the signs much sooner should it occur again, and can take appropriate action.



FURTHER INFORMATION

For more detailed information about depression, it’s causes and treatment, contact:

www.nhsdirect.nhs.uk

www.rcpsych.ac.uk

www.medinfo.co.uk

www.sane.org.uk

www.depressionalliance.org

www.samaritans.org.uk

www.mind.org.uk

Answer 5

Here are some tips for decreasing depression. Hope this helps!

"GET OUT OF BED:

One of the most important things you can do is get up at about the same time every morning (even week-ends). Preferably, that means about 7 a.m. or earlier. You might not feel like it but Get Up. Such regularity helps your body function more normally so you're more likely to feel normal.

LIGHTS:

Light helps your body function better. So turn on a lot of lights as soon as you arise. Open curtains to get more sunlight. Better yet, go outdoors into the sunshine as soon as you can. Remove any eyewear so light will enter more readily (glass cuts out some of the sun's rays). But don't stare at the sun, of course.

MOVE:

Be active right away -- oxygenate! That means getting up and walking around your dwelling for five or 10 minutes, or perhaps riding an exercycle. Mild exercise gets the blood flowing and transports more oxygen throughout your body (especially to your brain), helping you feel mentally alert and alive.

MUSIC:

Select and play some energetic, happy music as you dress and have your breakfast. The audiovisual department of most libraries has albums and tapes you can check out.


BREAKFAST:

Begin your breakfast with protein (i.e., meat, eggs, peanut butter, nuts, cheese). When you get up, your body chemistry is ready to convert food, especially protein,into longlasting energy. To balance your most important meal of the day, add an orange or other fresh fruit and whole grain cereal or whole grain bread.

TALK WITH SOMEONE:

One of the quickest ways to beat the blues is to interact with others. You might not feel like doing that - you'd rather avoid people when blue. So make lt easier on yourself. Talk with someone you enjoy about a subject you enjoy so there is definite give and take.

And, force yourself to say "hello" to the persons next to you in class, those where you live, anyone around.

LIMIT CAFFEINE:

The long-term (four hours or so) effects of caffeine are depression. Try to limit coffee to no more than one cup in the morning. Coffee can make you more alert for an hour or so, but later you get an opposite reaction. Caffeine tends to increase the release of insulin in the blood, and insulin lowers the blood sugar level. When you have low blood sugar levels, you begin to feel less sure of yourself, and have low energy levels, which can lead to the blues or depression.

LIMIT SUGAR:

Sugar might give you an initial rush of energy, but within an hour or so the blood sugar level can become low, and when it's low you may feel low, too.

The caffeine/sugar cycle. It's easy to get caught in the caffeine and sugar cycle -- having coffee, caffeinated soft drinks, or something with sugar every two hours or so to "stay up." For example, cola contains about 10 teaspoons of sugar plus caffeine equal to about half a cup of coffee. In addition to bringing on the blues, this cycle can result in dependence, poor nutrition. and obesity -- reasons to get down on yourself even more and feel blue.

MAINTAIN FIBER:

Fiber helps food go through your digestive system at a proper rate, giving a more constant energy supply. Highly processed foods merely provide a quick surge of energy which can be followed by depression. You can maintain fiber in your diet by eating an orange or grapefruit rather than just drinking the juice. Eat fresh vegetables, fresh fruits, and whole grain breads and cereals.

STRESS B COMPLEX:

Some persons report receiving help by taking a concentrated vitamin B complex. You'll find these called something like "Stress B" or "B 50." This is controversial.
Some nutritionists say, "Yes, this really should be considered," and others say, "No, this is not a good Idea." You can try some and decide whether or not it helps you. If it does help, then perhaps you should consult a nutritionist to see if there are other ways you can augment your diet.

ROUTINES:

Changing your routines is another way to help shake the blues. Choose a different combination of clothes to wear, walk rather than drive, take a different route, eat at a different place. Do something different to help break the routine.

It's hard. Getting up in the morning, turning on the lights, eating a nutritious breakfast, keeping busy--keeping such a schedule is not always easy.

You might need help for the first few days, someone to help you form good habits, get you out of bed. turn on the lights, make sure you have a good breakfast, someone to help you be more active. One good way is to make a contract with a friend or friends who want to see you change. It might seem embarrassing, but
those friends want to see you healthy and happy rather than depressed and difficult to be around. Note: If you feel that you need the help of someone for more than three or four days, you probably should make an appointment with a counselor or psychotherapist. You don't want to wear out your friends!

DEVELOP SUPPORTS:

Good old-fashioned support works wonders. Most of us have not developed "support systems." We need to think about that idea ahead of time, if we have the tendency to feel blue, so that the supports can be available when needed. Plan ahead by filling out the last section of this publication and keep it handy. In addition to developing your own resources, you might know of some community support groups for persons with the blues. Call the local mental health center to see if there are some groups you might be a part of. Some places to call for leads at K-State will be listed at the end of this brochure.

What do I do when I feel myself coming down with the blues?

Recognize the change in yourself when you are "coming down" with an emotional slump. Don't deny it or feel guilty. Rather, take charge of yourself right away.

Perhaps taking a day off and doing some favorite things will restore you. Get more exercise: walk, garden, cycle, swim. You might not feel like it, but exercise is one of the best depression breakers and preventers.

PRETEND:

Put a smile on your face and pretend that you are happy. Stand straight rather than falling into that slouching, depressed posture. Sound hokey? Well, it isn't. Research demonstrates that forming a facial expression actually changes how you feel inside. And pretending to feel an emotion results in actually feeling it. Frowners feel sadder. And the depressing effects last for hours. So smile: at yourself and others, even trees or dogs or cats. Sure, it's tough to smile when you're feeling blue. The extra effort you muster to do it will help you break the blues.

Wear bright, happy clothes and pretend you are happy. You will then find yourself happy. Maybe, even wear a goofy shirt or blouse or cap so you can see others smile with you. Dressing cheerfully and pretending can beat the blues.

SEEK OUT HUMOR:

See a funny movie, read a humorous book, or listen to a comedy tape/CD. When you see a really funny cartoon, make a copy and save it. Consciously decide to use and employ these things when you find yourself coming down with the blues. Singing can help -- make yourself do it.

EXERCISE:

It's worth stating again: Exercise is a great way to break depression. Walk, go to the Rec Center and ride an exercycle, swim, or climb stairs if it's too cold or hot outside.

Do not give in to those inner blues that say, "I don't feel like it."
Doing almost anything constructive will be beneficial."