"Patients with minor depression who seek treatment from family doctors are often treated with prescription antidepressants, if their mood disorder is diagnosed at all."

"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."

 

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The prognosis for treatment of depression in children is good.

Engage the depressed person in conversation and listen carefully and do not disparage feelings expressed, but point out realities and offer hope, and lastly do not ignore remarks about suicide, Report them to the depressed person's therapist.


Sleep Disorder Institute


How Family and Friends Can Help


The most important thing anyone can do for a man who may have depression is to help him get to a doctor for a diagnostic evaluation and treatment. First, try to talk to him about depressionhelp him understand that depression is a common illness among men and is nothing to be ashamed about. Perhaps share this booklet with him. Then encourage him to see a doctor to determine the cause of his symptoms and obtain appropriate treatment.

Occasionally, you may need to make an appointment for the depressed person and accompany him to the doctor. Once he is in treatment, you may continue to help by encouraging him to stay with treatment until symptoms begin to lift (several weeks) or to seek different treatment if no improvement occurs. This may also mean monitoring whether he is taking prescribed medication and/or attending therapy sessions. Encourage him to be honest with the doctor about his use of alcohol and prescription or recreational drugs, and to follow the doctors orders about the use of these substances while on antidepressant medication.

The second most important thing is to offer emotional support to the depressed person. This involves understanding, patience, affection, and encouragement. Engage him in conversation and listen carefully. Do not disparage the feelings he may express, but point out realities and offer hope. Do not ignore remarks about suicide. Report them to the depressed persons doctor. In an emergency, call 911. Invite him for walks, outings, to the movies, and other activities. Be gently insistent if your invitation is refused. Encourage participation in some activities that once gave pleasure, such as hobbies, sports, religious or cultural activities, but do not push him to undertake too much too soon. The depressed person needs diversion and company, but too many demands can increase feelings of failure.

Do not accuse the depressed person of laziness or of faking illness, or expect him to snap out of it. Eventually, with treatment, most people do get better. Keep that in mind, and keep reassuring him that, with time and help, he will feel better.

"Depressive disorders make one feel exhausted, worthless, helpless, and hopeless and it is important to realize that these negative views are part of the depression and typically do not accurately reflect the actual circumstances."

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"CBT, designed to be a time-limited therapy, focuses on changing these distortions."

   
 

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"Although changing from one SSRI to another has generally not been shown to be beneficial, one study showed that citalopram (Celexa) did not seem to cause sexual impairment in patients who had experienced such events with another SSRI."

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"CBT, designed to be a time-limited therapy, focuses on changing these distortions."

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"Genetics research indicates that risk for depression results from the influence of multiple genes acting together with environmental or other nongenetic factors."

 
"A typical course of ECT entails six to 12 treatments, administered at a rate of three times per week, on either an inpatient or outpatient basis."
 
"Some medications must be stopped gradually to give the body time to adjust."
 
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