Staying Sober Can Drive You to Drink-anxiety of Alcoholic Relapse Can be a Killer

April 28, 2009 by How To Treat Depression  
Filed under Anxiety & Bipolar



Google the word Alcoholism and you will get 25,400,000 search results. Addiction of Alcohol and Symptoms of Anxiety Depression can reduce the toughest person to a babbling wreck. Anxiety of Alcoholic relapse is a real factor in your quest to remain sober. Stop anybody in the street and ask them what they associate with the word Alcoholism and the answers will more than likely include the replies, hitting rock bottom,detox, down and out, addiction, messed up life, homelessness, crime blah blah blah. Pay a little more attention and do your research and you can find out that when you drive at night one out of seven drivers on the road are legally drunk. The Medical Research Council states that alcohol abuse costs the South African economy around R9 billion a year and half of all murders are the result of drunkenness. The stats are never-ending and cover all aspects of South African society from child abuse to pedestrian deaths, home violence and the tragic cases of childbirth defects. Almost all events that you consider bad news probably have to a certain degree alcohol involved somewhere or other.

However on the inevitable other side of the coin, studies have found that the use of alcohol has significant advantages in the general treatment of stress, heart disease and related illnesses. Add to this the economic benefits of a massive industry contributing to the nations wealth and job creation and we almost have a stalemate.

Into this balancing act comes the plight of the individual. Somebody once said, and the name escapes me now, that there are stats, more stats and then there is damn lies. But there is no doubt in my mind that this is a problem that has to be looked at very carefully. The general consensus is that approximately 1 in 17 people over the age of 15 years are predisposed to the potentially fatal illness of Alcoholism. Another frightening stat holds the premise that only 1 in 37 diagnosed Alcoholics ever make a full recovery over the long-term. Food for thought indeed.

A few years ago I went through the ordeal and horrors of acute alcoholism. I was one of the fortunate ones. I survived though the grace of God, the love and compassion of my loved ones and friends and the skill and care of the medical profession. I went on to write a feature article for Mens Health which turned out to be my heartfelt account of my spiral into a dark world of despair, desperation and depression.The article itself contained nothing new for students of this silent killer disease. Started drinking. drunk more, made excuses, raged at the world in general, got drunker, screwed up everything dear to me, approached death, ruined my body and my mind and finally thankfully collapsed and went to hospital and dried out . The reaction to my “Unhappy Hour” article was overwhelming. I was soon to realize that this was an epidemic spinning out of control. I was definitely not alone.

I went on to regain my self-esteem and rebuild my life. A close call that many people do not make it out of and then have the luxury sitting and looking back as I have.So now there I sat congratulating myself on beating the odds. Now what?

Well to be brutally honest “now what” involved a new phase of my life that would require me to bite the bullet all over again, except this time this was not going to be solved with a 10 day detox and sleep therapy, in some overpriced private hospital. My Doctors words started to resonate in my brain. ” It’s simple Alan, do not drink again and you’ll be fine. Drink, you’ll die”

That was it in plain English. The only problem was that I was having a problem coming to terms with that concept. Let me get this straight. I was 45 years old and let’s say I lived until 80. 80 minus 45 gives you 35 years. A long, long time in anybodies world. That’s a hell of a lot of braais, weddings, celebrations, bad days, shit bosses, traffic jams, disappointments, closing deals and watching the Boks beat the All Blacks and Chuck Norris 50- nil. Maybe the medical guys had made a mistake. Maybe I was not an alcoholic. Maybe, maybe, maybe. Time was to prove them right. I had not beaten the odds. Eighteen months later on one particular bleak July day in a not so sunny Margate I sunk a bottle of my favourite hard tack and ended up in the emergency room waiting for a stomach pump. For some obscure reason only known to the big guy upstairs I made it out of the hole again. As my relationship, business and health were back on the line once again, I finally made the decision. My version of mothers milk had to part company and this time for good.

I had now became a member of a club that nobody in their right mind wants to join. Serving a life sentence with no parole. The medical advice now became quite specific. Not a drop of alcohol to pass my lips. The 6% or so of us who have this defective gene are advised to not take the chance of alcohol entering our system in any form whatsoever. This unnamed and undetectable gene sends us types dilly and as a result we cannot have a few dops after work or at the weekend just in case we go berserk and drink ourselves into an early grave.

Once I had heard my sentence I now had to work out how to serve it. I’ve read that real prisoners talk about “hard and soft time”. It was at this time that I had an “Oprah” moment. I got it. Regret is too mild a description. I had screwed up big time and now was going to have to pay for it. Big time. Hospitalization had ridden me of my withdrawal symptoms but now I had to deal with the mind games.

The public at large are no doubt familiar with Alcoholics Anonymous and the sterling work that they do to help those unfortunates stricken with this potentially fatal disease. Day by day is their anthem. Most of us initially fight against this prognosis dished up to us and truly believe that we will beat the odds. We start to think that maybe they had got it wrong. Maybe I can have a break and start again. Here came those dam maybes again. So, for many, starts the so-called falling off the wagon and then having to pick yourself up again. But the awful reality is that ” they” were more than likely right and you have to make a plan. Somewhere,sometime I came across a quote from one of those old guys in the good old days. I think it was the American poet Robert Frost. As he sat in the countryside he came up with something that, for me summons up this whole fight with alcoholism -

“Two roads diverged in the woods. I took the one less traveled, and it made all the difference.”

The difference here is to stay sober even if it kills you.

After leaving the hospital my body gradually began to heal. It desperately needed to. For all those out there who want to hear a few good reasons to not reach the chronic stage of alcoholism and what I like to call the ” last legs” phase, here are a few. They are not pretty but they are a reality. They will happen eventually. If you are strong, lucky or just have an angel looking after you you might one day survive to talk about it. If not, have a nice trip.

This phase lasts a few days, weeks or months, depending on your constitution. It is a slide into hell rendering you powerless to prevent an existence on the edge of a gaping black hole. I kid you not. The blood vessels in my eyes started to implode. My legs were uncontrollable and went on a mission of their own. I had no visible veins left. To this day I can only guess what the green gunge spewing out of me was. Medically my liver and kidneys had almost called it a day . There seemed to be no difference between my sleep and my waking hours. I drifted between paranoia, hallucinations and voices in my ear. The phrase “dead man walking” definitely springs to mind.

Within a month or so from leaving the hospital my body started to get it’s act together. Every day I got stronger and began to look human again. I rediscovered the glory of food. During the last 20 days prior to my treatment I had eaten nothing at all. It was impossible to keep anything down. I went back to work and generally lived a normal life. Initially I was pre-occupied with just getting my life back in working order but in time that dreaded word for alcoholics, craving, reared it’s ugly head. They creep into your life at the most innocuous times and can be the ruination of many good intentions. Coupled with this new threat was a new idea slowly forming that basically questioned the fairness of this whole ” new normal” for me. Why me? Was there something wrong with me? Unfortunately these questions have the same meaning as asking how long is a piece of string? Your Anxiety of the future and your Addiction of the Mind and Body can be real threats to your sobriety. The stories of Alcoholic Recovery are statistically possible. Keep a close watch on the cravings and those deadly symptoms of anxiety depression and you can make it.

If you sat down with 10 Doctors and Psychologists you might get 10 different answers to why some of us are alcoholics and others can get vrot drunk from time to time and continue living a normal life. The bad news is that medical science is divided on the answers. There could be a defective gene, it might be hereditary, neurotransmitters in the brain have got their wires crossed or it could be due to an addictive personality. What is a known fact is that there is no simple test to determine your risk of developing full blown alcoholism. The medical guys have a nice expression which basically says that you have crossed the line. You will not even know that you are approaching that line and you cross it oblivious to the fact that you are about to turn your life upside down. Realistically it is a subjective call that finally condemns you to carrying the label, “alcoholic” around with you for the rest of your life. That call is mostly based on your alcohol intake and your general functionality in your day to day activities. Not a full-proof system and one that has no appeal to the alkie contesting their life sentence. But in the hands of an experienced practitioner you can be sure that they have, for all intensive purposes called it right.

It is probably this uncertainty that leads many of us to question our label and in most cases to chance your arm with a few dops. Bad idea guys. You will create history if you do manage to beat the odds. A blind acceptance of your fate is probably a good start to a long lasting “cure”. Falling off the wagon is another phrase that we are all familiar with. It happens. In fact the majority of labeled alkies will fall off at some point. The trick is to pick yourself up. I have had the privilege and pleasure over the last few years to consul others and the “fallen hero” syndrome is never far away from your thoughts.Today I can help you but tomorrow is another day.

There is a wide range of support groups out there who are only too willing to come to your aid. The well known AlcoholicsAnonymous exist solely to help those battling with this killer disease. And a huge bonus is the fact that they are free. Staffed by men and woman who have beaten this monster, this is a good start to cleaning your act up. Like many support groups dedicated to this illness their counselors have been there, done that and got the T-shirt. Listen to them and they will pull you out of the black hole that you find yourself in.

After almost coming to terms with your label we come to the crux of this whole sad scenario. How in the hell am I going to not drink ever again? Four words. IT IS NOT EASY. We live in a world surrounded by alcohol. Just look around you. Unlike illegal drugs there is a bottle store on every corner. Hell nowadays when you pop in to buy your bread and milk net on die hoek you are confronted by rows and rows of bottles of my favourite poison. Newspapers, T.V. radio and magazines bombard you the whole time. Smoking has become a no-no but alcohol has crept into our nations psyche. I mean our national sports teams are financed by the giants of the liquor industry. Oh look there’s Graeme Smith, he’s definitely the king of the “castle”. In their effort to sell the product they go to great lengths to glamorize life with a dop by your side. Our basic socialization teaches us from a very early age that no event is complete without the requisite alcohol intake. When did you last go to a wedding, promotion party, simple family braai or just plain get-together after work and you all drunk mineral water. You could probably count them on one hand.

And these are the happy events. What about the fight with the wife, the retrenchment, the death of a loved one, losing that big deal or just feeling pissed off with life. Alcohol used and not abused is a feature of our fast and modern times. To sit and consider that it is no longer part of your life requires a 360 degree turnaround in your way of thinking. It is no help to try and demonize alcohol. Sure it is probably responsible in one way or other for much of the carnage on our roads, our ridiculous crime levels and the ever increasing women and child abuse in the new South Africa. But there is another side of the coin. Who can deny that a couple of cold ones after a bad day at the office rests the brain. That warm comfortable feeling at the family braai so that even Uncle Flip’s nonsense starts to make logical. That awkward corporate do when suddenly Mr. Jones from Regional office does not seem such a prick after all. In all these instances it does not matter that the whole lot of you cannot sentence two strings together. You are relaxed, feeling good and life is not so bad after all.

Besides the physical presence of alcohol around you all the time “club members” have to have eyes in the back of their heads. There are many side-shows that can trip you up. Days after coming out of hospital my better half Mary out of the goodness of her heart decided to buy me an extremely expensive vitamin boosted drink. The object was to get my wasted body back on track. A couple of days later I started to feel as though I needed a drink badly. On investigation with my pharmacist I was informed that it contained elements of ethanol. Enough to make my recently sodden brain recognize that this was an old friend calling again. A close call. As a recovering and sober alcoholic there are many instances when you are tested. Alcohol is a sneaky bastard and pops up in the most unusual places, usually unannounced. Christmas Day and as the restaurant clientele get stuck into their much awaited Xmas pudding , you have to take a rain-cheque. Sorry too much brandy in that one. Mouthwash, sports vitamin drinks, low alcohol beer, even some deodorants can get those brain cells craving all over again. It is very much a case of treading softly and making sure that you avoid even the smallest amount of alcohol. Modern psychology has more or less worked out that the brain is like a camera and records many of your memories. It is like a computer with 100,000GB of memory. The memory of your drunken stupors are recorded and are easily activated. So watch it.

Every sober alcoholic has to find his own individual way to deal with his life sentence. I took the middle road of evasive action. I buy wine for my better half. I will feel comfortable in small groups of friends and family who are drinking at a social event. I draw the line at large gatherings. Later in the evening I feel alienated and isolated. As the brews flow I do start to feel uneasy. It is just my way. It is for the individual to work out what works best. For me in a world swimming in alcohol I made the decision to have it around in small doses. A s they say in the classics- whatever floats your boat. Nobody starts out with the intention of becoming an alkie and that magical line creeps up on us unannounced. Beware though once you are labeled your life takes a definite downturn. It is really best to try and head off that day. You all know if a problem is developing. Deep down you now need alcohol rather than want it. The body and mind now require just to give you a shot at getting through the day. What started out as a fun way to relieve tension and stress or just to have a good time is now a preoccupation. Without it you become one sick camper. Body sweats, nausea, shaking, mental confusion and generally one screwed-up constitution are the byproducts of even a few hours abstinence. Take it from someone who has been there, do not go there. Stop it before you wake up one day and suddenly your daily dop is your master. Stop it before your every waking moment revolves around the next drink. It happens so fast and the next minute you become a member of that “club” that nobody wants to join. Have fun with your drink but do not let it become your everything. Take advice from family, friends and work colleagues. They will be noticing your slide way before you will admit to a problem.

Then again the whole question of how to get treatment is fraught with difficulties. A good starting base would be your family G.P. Try and choose somebody who regularly deals with this type of problem. It really does help to actually like the individual. Another base to touch is a Psychologist. I went through numerous Psychologists until I finally found one that I felt comfortable with. Alcoholics by the very secretive nature of their illness are very convincing liars and spend most of their time in self-denial. Modern research has concluded that alcoholism and acute depression co-exist in most cases. The burning question to sort out is” are you drinking because you are depressed or are you depressed because you are drinking”. A tricky one but the type of issue a compassionate and experienced G.P. and Psychologist can get to grips with. I will never forget coming out of a session with a Psychiatrist, climbing into the car and proclaiming to Mary that the guy was a nutcase who needed help more than I did. Sad but true. In my confusion I had started to lose the plot.

The range of treatments depend on how long you have been on the slide and your mental and physical state. From simple counseling, anti-depressants to sleep therapy and if the depression is severe and life threatening, the last resort treatment of Shock Therapy. But ultimately the day will arrive when you are on your own and it is time to bite the bullet. Total, absolute and never-ending abstinence is the only route to go. Statistically the odds of you beating the odds are for all intensive purposes, one big fat zero.

Some days are worse than others. The usual and normal day to day activities of everyday life present you with many occasions when a couple of cold ones seems like the answer. Your slide into acute alcoholism followed by your treatment phase will eventually become a distant memory. The days,weeks, months and years of trying to stay sober will be your new reality. Once again I would like to quote another old guy who probably knew what he was talking about. During the dark days of World War Two when his island was been threatened by the ever-growing menace of Nazism, Winston Churchill, who by all accounts liked the odd dram, declared,

“If you are going through hell, keep going”

Better advice was never given. Anxiety of relapsing and your Addiction of Alcoholic substances can increase your potential vulnerability. Add in the symptoms of anxiety depression and you have a lethal combination. Turn your greatest weakness into your greatest strength. As I wrote in my article a couple of years ago, you are definitely not alone.

 

 



Thanks to Alan Butterworth for contributing this article to our Depression blog:

Middle aged Estate Agent from Margate South Africa. Suffered through Alcoholism and Depression and now like to write about them.Full story at http://alcoholism-alifesentence.blogspot.com
Feel free to Email me at alanbutterworth@telkomsa.net



Best Treatment For Depression

A Look at Anxiety Depression

April 28, 2009 by How To Treat Depression  
Filed under Anxiety & Bipolar

A lot of people who are exerting too much of their brain power usually exhaust not only their physical strength when engaging in various multi-tasking activities, they also tend to over extend their brains up to the point when it plainly needs some good old time for relaxation. A lot of busy people who seem to cannot fathom the idea of relaxing and taking time of from work, as well as their worries, tend to actually start having nervous breakdowns, anxiety depression and all sorts of mental illnesses that can cause a person’s sanity to go haywire, fortunately, if you’re one of those poor unfortunate ones who are unable to distress and is constantly worried and fussing over things, there are actually available cures and various treatments for treating anxiety depression.

Anxiety depression is actually characterized by all sorts of irregularities and erratic behavior from the person who is suffering from it, this is usuallu due to certain stress triggers that may tend to easily cause a person undue jitters and stress. Also, a lot of people who tend to get easily nervous over stressful activities are actually prone to having anxiety depression, its just a matter of being strong-willed when it comes to facing difficult and stress-prone activities. It may be pretty hard to overcome at first, but trying to be calm and cool in times of extreme pressure is what’ll actually save your mental health from going totally downward spiral.

When it comes to effectively curing one’s self from a mental illness, one must keep in mind that you have to be actually honest with yourself and assess what kind of depression or mental illness you actually have, go to reputable psychiatrist to get yourself diagnosed correctly as well as be able to get the right depression treatment for yourself. Here are the various types of depression:

Manic or Bipolar depression - characterized by sudden and extreme changes in one’s mood wherein one minute he or she is in an elevated state of euphoria while the next minute (day or week) he or she is feeling to be in a personal hell.

Postpartum depression - characterized by a prolonged sadness and a feeling of emptiness by a new mother wherein physical stress during child birth, an uncertain sense of responsibility towards the new born baby can be just some of the possible factors why some new mother go through this.

Dysthimia - characterized by a slight similarity with depression, although this time, it’s been proven to be a lot less severe, but of course with any case, should be treated immediately.

Cyclothemia - characterized by a slight similarity with Manic or Bipolar depression wherein the individual suffering from this mental illness may occasionally suffer from severe changes in one’s moods.

Seasonal Affective Disorder - characterized by falling in a rut only during specific seasons (i.e. Winter, Spring, Summer or Fall) studies however, prove that more people actually fall in to a rut more during the Winter and Fall seasons and lastly, Mood swings, wherein a person’s mood may shift from happy to sad to angry in just a short time. 

But the type of depression that has actually been proven to be quite common among people is anxiety depression, which is actually characterized by the state of being overly anxious about things. Anxiety, a supposedly normal behavior that’ll actually help a person adjust more to a certain stressful activity like first date jitters or a grueling exam the following day. Anxiety actually helps you get psyched up towards facing certain “difficult situations”; anxiety therefore is actually a good thing. Anxiety depression however, is simply the opposite, not to be easily dismissed as a “case of the nerves”; Anxiety depression is in actuality an illness that can be caused from the biological makeup of an individual, or in other words, a hereditary illness.

Also, there are actually various types of Anxiety depression, each having its own unique characteristics. Take for example Generalized Anxiety Disorder or GAD, this kind of Anxiety depression is a lot more complicated than the average Anxiety depression, in spite of possibly being a day-to-day habit for those who suffer this kind of Anxiety depression, Generalized Anxiety Disorder actually makes the individual quite more paranoid than usual, anxiety attacks are more frequent, even absurd at times. They can even be anxious even when there’s no apparent reason that calls for them to behave in such a way. People suffering from Generalized Anxiety Disorder actually shows a lot of symptoms, from lack of sleep, to being unable to relax, getting tired easily, cannot concentrate on what they’re doing and even suffering from depression. This kind of Anxiety depression is still curable; just a little work will actually do the trick.

Consult a reputable cognitive behavior therapist who’ll help give the individual the therapy that he or she needs to help him or her loosen up, also prescribed medicines are sort of a must to help these individuals battle anxiety attacks, help them calm down and relax.



Thanks to John Samson for contributing this article to our Depression blog:

Read about depression statistics and what is depression at the Depression Facts Online website.



Treatment Resistant Depression

Depression - Types, Causes and Symptoms

April 28, 2009 by How To Treat Depression  
Filed under About Depression

Major Depressive Disorder - commonly referred as depression - is an illness that involves the body, mood, and thoughts. It is not to be confused with a passing blue mood - depression can have severe repercussions in the person’s way of life. It affects a person’s appetite, sleep, and work. It affects relationships and how a person feels about himself. Depression is not a sign of weakness, or a condition that can be willed or wished away. One cannot merely change things in a snap - sans treatment, symptoms can last for days, weeks, months, or even years.

Types of Depression

Depressive Disorder comes in different forms. Three of the most common types of depressive disorders are major depression, dysthymia, and bipolar disorder - it is instructive to note that within these types are variations in the number of symptoms, persistence, and how severe they are.

Major Depression is evidenced by a combination of symptoms that interfere with one’s ability to live a normal, productive life. A disabling episode of major depression may occur only once, but it more commonly occurs several times in a person’s lifetime.

Dysthymia is a less severe type, but nonetheless keeps one from functioning well. It involves chronic, long-term symptoms that do not disable and leaves one feeling miserable. People suffering dysthymia also experience major depressive episodes some time in their lives.

Bipolar disorder, also called manic-depressive disorder, is not nearly as prevalent as the other forms of depression. It is characterized by cyclical mood changes - severe highs (mania) and severe lows (depression). Mood variations are sometimes rapid and dramatic, but most often are gradual. An individual in the depressed cycle can have any or all of the symptoms of a depressive disorder, and when in the manic cycle, the individual may be overactive and have a great deal of energy. Mania often affects judgment, social behavior, and thinking - which lead to embarrassment and serious problems. Left untreated, mania may worsen into a psychotic state.

Symptoms of Depression

- Appetite and/or weight loss or overeating and weight gain

- Constant feelings of emptiness, irritability, sadness, or tension

- Decreased ability to concentrate or make decisions

- Decreased energy

- Difficulty in remembering

- Fatigue

- Feelings of guilt, helplessness, hopelessness, pessimism, and worthlessness

- Insomnia, early-morning awakening

- Loss of interest or pleasure in activities and hobbies that were enjoyed before, including sex

- Oversleeping

- Persistent physical symptoms that do not respond to treatment, like chronic pain, digestive disorders, headaches

- Restlessness

- Thoughts of death or suicide, sometimes with suicide attempts

Causes of Depression

Depression has no singular cause - it is often a result of a combination of factors. Whatever the cause, depression is not a mere state of mind - it is correlated to physical changes in the brain, and connected to an imbalance of a particular chemical that transports signals in your brain and nerves. These are the neurotransmitters.

Factors Involved in Depression

Family: Genetics play a crucial role in depression. It can run in the family for generations, suggesting that a biological vulnerability can be inherited - often the case in bipolar disorder. Major depression seem to occur generation after generation in some families, but it can also occur in people who have no family history of the illness. Inherited or not, major depressive disorders are often associated with variations in brain function and brain structure.

Pessimistic personality: People with low self-esteem, those who consistently view themselves and the world with negative thoughts, or those who are readily overwhelmed by stress are at a higher risk of becoming depressed. These traits may actually be caused by dysthymia.

Physical conditions: Researches through the years have shown that physical changes in the body can be accompanied by mental changes as well. Serious medical conditions like cancer, heart disease, and HIV can contribute to depression, in part because of the physical stress and weakness they bring. Depression can worsen medical conditions, weakening the immune system and making pain more unbearable. The patient loses desire to care for himself, which leads to more complication. In some cases, depression is a side effect of medications used to treat medical conditions.

Stress and Trauma: Major changes in life - breakup from a relationship, death of a loved one, financial problems - can bring depression. Even positive changes like graduating from school getting married, or starting a new job can cause depression.



Thanks to Ted Goodman for contributing this article to our Depression blog:

Ted Goodman is a freelance writer and editor working for Romow Internet Web Directory. Find quality health resources and health articles on the site.



How to Make Money Online

Anxiety/depression?

April 27, 2009 by How To Treat Depression  
Filed under Anxiety & Bipolar

Can you answer JaggedLittlePill’s question about Depression?:

I’m only 15.. currently taking Metronidazole. I spoke to my doctor 2 days ago about some dizziness/nausea side effects.. which were normal. But now 4 days into the pill i’m feeling pretty bad anxiety/depression symptoms. Are these also side effects of the pill? If you’ve taken it.. have you experienced this? Any answers appreciated! Thanks!

Have you claimed your Genesis site?

How To Monitor Your Depression

April 27, 2009 by How To Treat Depression  
Filed under About Depression

Depression is a common problem. It is a disease that affects millions of people all around the world and many people brush it off until the symptoms become so severe that it can be life threatening problem. Waiting too long can have devastating effects. Depression that is the number one cause of suicide, and yet it is something that is treatable if we would only recognized the problem.

Suicide has a stigma attached to it. People often don’t want to admit they have this problem because they’re afraid others will not understand. The causes of depression are often minimized. They seem common, and they are afraid other people will think they are weak for not being able to deal with everyday issues.

Two are the most common age groups that only suffers severe depression are teenagers, and the elderly. However rising group to population in their mid thirties and forties are experiencing severe depression due to stress. There also types of depression brought on by a situation such as postpartum.

It is important to monitor your depression and know what the level of depression you are experiencing is and to know when to report depression to your Physician. The three levels of depression are:

1) major depressive disorders,

2) Dysthymic disorder,

3) manic depression.

In major depressive disorders that depressed person experiences depression for the most part of the day for a week or more. They experience a definite lack of satisfaction in every area and activity. Some of the symptoms of major depressive disorders are excessive weight loss, excessive sleeping or the inability to sleep, fatigue loss of energy, a feeling of unworthiness, and thoughts of suicide. If you or anyone you know experiences any combination of these symptoms it is important to seek the help of a Physician.

With the Dysthymic disorder the patient experiences severe depression and for two years or more along with two or more of the following symptoms: difficulty eating or overeating, difficulty sleeping or excessive sleeping, severe fatigue, loss of self esteem, the difficulty than concentrating or making decisions, the general feeling of hopelessness.

Manic depression also known as bipolar disorder has many symptoms that some people don’t even recognize as depression it is categorize by sharp periods of up an equally sharp periods of deep depression. The cycle between the two periods can be very rapid and sometimes only one will be present without the other. These moods can last for up to a week or longer and are accompanied by two or more of the following symptoms: overinflated sense of self importance, excessive sleeping, rapid talking with the need to keep talking, racing ideas at a rapid succession of thoughts, increasing types of activities that are heavily goal oriented such as school and work. This type of depression can be so severe is to warrant hospitalization to prevent self inflicted harm and can include some psychotic problems such as hallucinations.

Other types of depression include postpartum, anxiety caused by stress and tension, endogenous depression which is a feeling of general dissatisfaction and depression coming from inside, situational or reactionary depression which is depression traded by a certain situation, melancholic depression to name just a few.

None of these forms of depression will go away by themselves. It’s a common feeling to just ride out the storm, that it will go away. Depression does not go away by itself. While you can experience some periods of relief where it seems like everything is okay if there is no more depression these are temporary relief periods not a cure for what caused them.

If you or somebody you love is experiencing any symptoms of depression please seek medical advice. You do not have to live like that. There is much that can be done to alleviate the symptoms that allow you to live a happier more productive life.



Thanks to Ronen David for contributing this article to our Depression blog:

Ronen David is the chairman of “Malam” (an Israeli organization supporting and representing those dealing with mental disabilities). He is the author of the “How to Cope With Psychosis & Schizophrenia Self Help Handbook”.
Visit his web site and learn Preventing Depression



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