Mental health articles
OF mental health care and mentally ill
depression
Atypical depression natural treatment
The NICE Guidelines on depression recommend self-help first (Step 1), with counselling as the next intervention (Step 2), with possibly some anti-depressant medication as well (Step 3) in slightly more severe cases These first three steps cover most people with depression. The usual treatment for depression (once it has been identified) is therefore often a […]
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Symptoms of depression in women and men
The symptoms of depression in women and men tend to fall into four main groupings: emotions or feelings; physical symptoms; thought patterns; and behavioural symptoms. Emotions: feeling like crying a lot; feeling alone (even in company); feeling sad, depressed upset, hopeless, despairing, or just numb; feeling anxious, irritable, or unreasonably angry; feeling lethargic; having no interest […]
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Sources of depression
There are very many different ways in which someone can become depressed, and there are several different views on depression that are presented later. Often a series of overwhelming life events coming soon, one after the other, will result in a depressive reaction; or it can come (most frequently) from a build-up of general life […]
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Treatment of Depression during Pregnancy
Depressive disorders are common in women of childbearing age, and postpartum depression is a serious complication of childbearing. The possibility of pregnancy should be considered in any pre-menopausal woman for whom antidepressant treatment is contemplated. As many pregnancies are unplanned and unintended, contraceptive advice should be given at the outset of treatment and reviewed often, […]
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Electroconvulsive therapy in treating depression
The greater the number of typical features of depression, the greater likelihood of a good response to electroconvulsive therapy Electroconvulsive therapy is particularly effective in treating depression with psychotic features Patients who do not respond to antidepressant drugs may respond to electroconvulsive therapy It is essential to continue drug treatment with antidepressants after a successful […]
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Psychotic depression treatment
Patients with psychotic depression are the most severely depressed, and they respond poorly to antidepressants alone. Two treatments are effective: combined use of antidepressant and antipsychotic drugs, and electroconvulsive therapy. Combining some of the newer antidepressants, particularly the SSRIs, with antipsychotics should be done with caution as inhibition of the liver cytochrome enzymes can raise […]
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Bipolar mood disorder (manic depression)
Bipolar mood disorder affects 1–3 per cent of the population, and the first presentation of this illness for women is not uncommon when the first childis born. Although only 1–2 in1000 women will develop this condition postnatally,it causes major disruption when it does appear. An illness episode ofthis type following childbirth is known as ‘puerperal […]
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The key features and symptoms of depression
A person with depression will experience some of the following key features and symptoms of depression: Physical • tiredness and a feeling of fatigue and weakness • vague aches and pains all over the body Feeling • feeling sad and miserable • a loss of interest in life, social interactions, work, etc. • guilty feelings […]
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Treatment for depression:how to treat depression
Much depressive illness of all types is successfully treated in primary care. The main reasons for referring depressed patients to secondary mental health services are that the condition is severe, failing to respond to treatment, complicated by other factors (such as personality disorder) or presents particular risks. The presence of agitation has been shown to […]
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Forms of depression
Most depressions have triggering life events, especially in a fi rst episode. Many patients present initially with physical symptoms (somatisation), and some may show multiple symptoms of depression in the apparent absence of low mood (‘masked’ depression). Less severe depression has been awarded many labels, including neurotic depression, minor depression and reactive depression (not depression […]
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