Newbury Park, Thousand Oaks, Westlake Village, Camarillo + ALL CA Residents!
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What’s the point of living? I don't care anymore. Isolation. Feeling like no one loves you and sees you for you. No one REALLY cares, I have nowhere to go that is my safe emotional space. Trying to muster the energy to complete basic hygiene let alone activities I used to enjoy. Mind wandering to other times of failure. My family would be better off without me. Scary visceral imagery of hurting yourself for a split second. These are just a tiny sliver of some of the dark & painful thoughts floating through the minds of so many.
Depression is the number one cause of disability according to the WHO (World Health Organization) and it affects approximately 350 million humans worldwide.
25% of people will experience major depression at least once in their lifetime here in the United States.
With women having a 70% greater likelihood than men.
Depression therapy reevaluates faulty thoughts and belief systems. Once one becomes aware of the origin of negative self talk they are able to expel it much quicker.
Major Depressive Disorder:
- most common
-Requires five symptoms of depression
1. Feel down for most of the day; or lose interest in almost all activities for two weeks.
2. Sleeping a lot more or a lot less;
3. Eating a lot more or a lot less;
4. Feeling exhausted and having a hard time focusing or making decisions;
5. Feeling excessively guilty or completely worthless.
Depression is a strong risk factor for suicidal thinking and attempting suicide.
SUICIDE HOTLINE: 1-800-784-2433, A nationwide 24 hours/ 7 days a week service. To find a local number, see: http://suicidehotlines.com
Types of depression:
Persistent Depressive Disorder: more chronic form of depression; person must feel depressed most of the for at least two years; also have two other symptoms. Can be milder than major depressive disorder. Negative effects can be as great as major depressive disorder.
Premenstrual Dysphoric Disorder (PMDD): not the same as PMS; symptoms like volatile mood swings, irritability, anxiety, feeling overwhelmed, breast tenderness, feeling bloated. Must have this during most menstrual cycles.
Physical Manifestations of Depression:
- a whole-body illness
- Changes in appetite
- Increased appetite and may gain weight
- Trouble sleeping – terrible insomnia while others sleep 12 hours a day and want more
- Physical agitation – constant fidgeting driven by internal sensation of unrest. Some may talk slower.
- Slower healing – heal slower when we are depressed; chronic wounds heal more slowly; depressed patients recover more slowly from coronary heart surgery
- Greater risk for dying from physical disease. Coronary disease – depression doubles the risk for dying.
Specifiers for depressive disorders:
- single episode vs. recurrent episode. Some have only a single episode where others recover and have a recurrence.
- Mild, moderate, severe. Manageable to completely debilitating.
- Mild: a person barely meets criteria for depression and is able to manage with the condition 1/10 instances of major depressive disorder
- Moderate 2/5 instances
- Severe: most depression symptoms are present, and person is miserable. 50%
- Anxious distress: anxiety is a high energy state; depression: lower energy state. More likely to be anxious if we are depressed and visa versa.
- DSM 5: Major depression significantly correlated with all anxiety diagnoses: Anxious distress – has at least two symptoms of anxiety or dread with melancholic features: unusually restless, fearing something awful might happen.
- With melancholic features: during severe depression may have melancholic features – a worst mood in the morning; waking up at least two hours early; consistent loss of appetite.
- With Atypical features: having a positive response when good things happen, good appetite, may gain weight; excessive sleep.
- Peripartum onset: before baby is born, around delivery rather than only after delivery. Includes severe anxiety.
- Seasonal Pattern: worst mood in fall and winter. Younger people in higher latitudes.