"Depression is a serious medical condition that affects thoughts, feelings, and the ability to function in everyday life."

"Psychotherapy can generally be considered ineffective if a trial of three months has not produced a measurable and noticeable improvement."

 

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Medications of any kind prescribed, over the counter, or borrowed should never be mixed without consulting a doctor.

A good diagnostic evaluation will include a complete history of symptoms, when they started, how long they have lasted, how severe they are, whether the patient had them before and, if so, whether the symptoms were treated and what treatment was given.


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Depression in Older Men


Men must cope with several kinds of stress as they age. If they have been the primary wage earners for their families and have identified heavily with their jobs, they may feel stress upon retirementloss of an important role, loss of self esteemthat can lead to depression. Similarly, the loss of friends and family and the onset of other health problems can trigger depression.

Depression is not a normal part of aging. Depression is an illness that can be effectively treated, thereby decreasing unnecessary suffering, improving the chances for recovery from other illnesses, and prolonging productive life. However, health care professionals may miss depressive symptoms in older patients. Older adults may be reluctant to discuss feelings of sadness or grief, or loss of interest in pleasurable activities. They may complain primarily of physical symptoms. It may be difficult to discern a co occurring depressive disorder in patients who present with other illnesses, such as heart disease, stroke, or cancer, which may cause depressive symptoms or may be treated with medications that have side effects that cause depression. If a depressive illness is diagnosed, treatment with appropriate medication and/or brief psychotherapy can help older adults manage both diseases, thus enhancing survival and quality of life.

Identifying and treating depression in older adults is critical. There is a common misperception that suicide rates are highest among the young, but it is older white males who suffer the highest rate. Over 70 percent of older suicide victims visit their primary care physician within the month of their death; many have a depressive illness that goes undetected during these visits. This fact has led to research efforts to determine how to best improve physicians abilities to detect and treat depression in older adults.

Approximately 80 percent of older adults with depression improve when they receive treatment with antidepressant medication, psychotherapy, or a combination of both. In addition, research has shown that a combination of psychotherapy and antidepressant medication is highly effective for reducing recurrences of depression among older adults. Psychotherapy alone has been shown to prolong periods of good health free from depression, and is particularly useful for older patients who cannot or will not take medication. Improved recognition and treatment of depression in later life will make those years more enjoyable and fulfilling for the depressed elderly person, and his family and caregivers.

"Research has revealed that people with alcoholism are almost twice as likely as those without alcoholism to also suffer from major depression."

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"In times of crisis, the emergency room doctor at a hospital may be able to provide temporary help for an emotional problem, and will be able to tell you where and how to get further help."

   
 

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"Antidepressants may cause mild and, usually, temporary side effects (sometimes referred to as adverse effects) in some people."

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"The prognosis for treatment of depression in children is good."

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"Over the past 20 years, biomedical research, including genetics and neuroimaging, has helped to shed light on depression and other mental disordersincreasing our understanding of the brain, how its biochemistry can go awry, and how to alleviate the suffering caused by mental illness."

Florida College Of Natural Health

"The first step to getting appropriate treatment for depression is a physical examination by a physician."

 
"Modern brain imaging technologies reveal that, in depression, neural circuits responsible for the regulation of moods, thinking, sleep, appetite, and behavior fail to function properly, and critical neurotransmitterschemicals that brain cells use to communicate are out of balance."
 
"Do not accuse the depressed person of faking illness or of laziness, or expect him or her "to snap out of it."
 
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