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Sadness is normal and common, and everyone had their share of a sad moment . Sadness is not a issue , it is usually a temporary  moment which can be overcome after a short period of time. Depression is different from sadness, not like  the latter, depression is experienced  for longer periods of time with no apparent reason . 

Depression is a mental problem which affects the mood of a person. Depression can affect thoughts, feelings, behaviour, and health. MRI or magnetic resonance imaging has shown that a brain of a person with depression has areas of the brains which does not function normally such as the areas dealing with thinking, sleep, mood, appetite, behaviour.

Depression can be experienced by anyone , it chooses no age or gender, however, studies have shown that alcohol and drug dependents have higher risks of experiencing depression . Depression does mean a person is weak or is a failure , it just means that they need treatment or may be just going thru a very difficult period. 

Illness may accompany depression . Treatment of such illness may eventually treat depression .

It has been identified that depression may be caused by genes, biochemical environment, personal experience or psychological factors. Genes may be the cause of depression, such as the cliche, “it runs in the family”,a chance of experiencing depression is high if someone in the family had already an episode of depression. This is not conclusive, since depression is influenced by multiple genes acting together with environmental and other factors. It may also be caused by the imbalance of brain chemicals. Personal experience can cause depression, especially if a person experiences a very unfavorable event that can actually trigger depression. Depression may also be caused by psychological factors.

Understanding the symptoms can lead to early detection and treatment of the condition thus preventing relapse or recurrence :

1. in thoughts: experience difficulty in concentrating and decision making; forgets things all the time; has poor self esteem, pessimistic; has self destructive thoughts
2. in feelings: feels sad for no reason at all; lacks motivation; does not enjoy what was usually enjoyed; feel slowed down and tired all the time; experiences problems in controlling temper; feels hopeless and helpless
3. in behaviour: withdraws from society; loss or gain in appetite; excessive complaining; lack or loss of sexual drive; neglects personal appearance and hygiene; chooses not to perform regular activities
4. in physical well-being: has chronic fatigue despite spending most time sleeping; change in sleeping pattern; complains of aches, pains, cramps; can not sit still

There are different kinds of depression which depends on the severity.

1. Mild chronic depression . Symptoms are not as sever as major depression, and this type is not disabling.
2. Major Depression. Most common type, this can be disabling.
3. Manic Depressive. Patients experience moments of both extreme highs and lows.
4. Psychotic Depression. Patients experience hallucinations, delusions, or withdrawal from reality.
5. Seasonal Affective Disorder or SAD. This is common to people in countries far from the equator. Symptoms go away during spring or summer. Usual treatment is light therapy.

Treatments  for depression vary on the severity of the condition, but nonetheless, patients should share their condition to get the appropriate treatment. It is very important that people suffering from depression talk to someone who can best help. Patients may choose to talk to a psychologist, counsellor, parents or any family member, health care provider, professionals at mental health facilities, teachers or churchmen. It does not matter whoever the patients choose to discuss their concerns, what is important is to get immediate treatment.

Prompt treatment is preventing the possible recurrence of such condition. Treatments may be via counselling or medication intake.

Counseling means talking  to a trained psychologist  who can guide the patient in changing relationships, thoughts, or behaviour that causes depression. There are different types of therapies, such as:

1. Cognitive-behaviour therapy or CBT which changes  the negative  way of thinking,
2. Interpersonal Therapy or IPT which helps interpersonal aspects of the patient.
3. Electroconvulsive therapy or ECT. Also known as ‘shock therapy’ is used for treatment-resitant depression, side effects may include memory loss, confusion and disorientation.

Medication is prescribed for severe of disabling depression cases. It is recommended to take the medicines regularly as prescribed by the doctor since the effect of the drug is not immediate and takes some time before results are felt   . Medication intake is usually coupled with therapy for better recovery.

Antidepressants stabilizes and normalizes the brain’s neurotransmitters such as serotonin, dopamine and norepinephrine. The older kind of antidepressants such as MAOIs (monoamine oxidase inhibitors) and tricyclics is now rarely prescribed since it has serious interaction with food and other drugs with can be fatal . The more popular and newest antidepressants are the SSRIs (Selective serotonin reuptake inhibitors) and SNRIs (norepinephrine reuptake inhibitors). These are more prescribed since it has less side effects compared to the older antidepressants. Known SSRI are Prozac, Paxil, and Generic Wellbutrin, and for SNRI there are Effexor and Cymbalta. Side effects of antidepressants are usually short lived . Most common side effects are headache, nausea, insomnia, jittery feeling, erectile dysfunction or delayed ejaculation, lower libido .

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