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| Depression Information |
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Major Depression and Manic Depression Any Difference?
Countless number of patients and their family members have asked me about manic?depression and major depression. "Is there any difference?" "Are they one and the same?" "Is the treatment the same?" And so on. Each time I encounter a chorus of questions like these, I am enthused to provide answers. You know why? Because the difference between these two disorders is enormous. The difference does not lie on clinical presentation alone. The treatment of these two disorders is significantly distinct. Let me begin by describing major depression (officially called major depressive disorder). Major depression is a primary psychiatric disorder characterized by the presence of either a depressed mood or lack of interest to do usual activities occurring on a daily basis for at least two weeks. Just like other disorders, this illness has associated features such as impairment in energy, appetite, sleep, concentration, and desire to have sex. In addition, patients afflicted with this disorder also suffer from feelings of hopelessness and worthlessness. Tearfulness or crying episodes and irritability are not uncommon. If left untreated, patients get worse. They become socially withdrawn and can't go to work. Moreover, about 15% of depressed patients become suicidal and occasionally, homicidal. Other patients develop psychosis-hearing voices (hallucinations) or having false beliefs (delusions) that people are out to get them. What about manic-depression or bipolar disorder? Manic-depression is a type of primary psychiatric disorder characterized by the presence of major depression (as described above) and episodes of mania that last for at least a week. When mania is present, patients show signs opposite of clinical depression. During the episode, patients show significant euphoria or extreme irritability. In addition, patients become talkative and loud. Moreover, this type of patients doesn't need a lot of sleep. At night, they are very busy making phone calls, cleaning the house, and starting new projects. Despite apparent lack of sleep, they are still very energetic in the morning - ready to establish new business endeavors. Because they believe that they have special powers, they involve in unreasonable business deals and unrealistic personal projects. They also become hypersexual - wanting to have sex several times a day. One?night stands can happen resulting in marital conflict. Like depressed patients, manic patients develop delusions (false beliefs). I know a manic patient who thinks that he is the "Chosen One." Another patient claims that the President of USA and the Prime Minister of Canada ask for her advice. So the big difference between the two is the presence of mania. This manic episode has treatment implications. In fact the treatment of these disorders is completely different. While major depression needs antidepressant, manic-depression requires a mood stabilizer such as lithium and valproic acid. Recently, new antipsychotics, for example risperidone, olanzapine, and quetiapine, have been shown to be effective for acute mania. In general, giving an antidepressant to manic?depressed patients can make their condition worse because this medication can precipitate a switch to manic episode. Although there are some exceptions to the rule (extreme depression, lack of response to mood stabilizers, among others), it is preferable to avoid antidepressants among bipolar patients. When considering the use of antidepressant in a depressed bipolar patient, clinicians should combine the medication with a mood stabilizer and should use an antidepressant (e.g. bupropion) that has a low tendency to cause a switch to mania. About The Author Copyright 2004. All rights reserved. Dr. Michael G. Rayel author (First Aid to Mental Illness?Finalist, Reader's Preference Choice Award 2002), speaker, workshop leader, and psychiatrist. Dr. Rayel pioneers the CARE Approach as first aid for mental health. To receive free newsletter, visit www.drrayel.com. His books are available at major online bookstores.
Depression - Google News |
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Alternative Medicine Recognizing Depression Depression is a serious issue. There are simply hundreds of thousands of people who deal with depression on a daily basis. Are you one of them? Do you know someone that may be? How can you recognize the signs of depression? How can you help someone who may be facing depression within their lives? When Your Fears and Depression Have the Best of You What do you do when your fears and depression are stronger than what you can handle? There are times that no matter what you do, your fears have the best of you. Here is a list of techniques and suggestions on what to do when this happens. Depression Series: Why Don't I Respond to Medications? (Part 1) Maria has been feeling depressed for at least two and a half years. About three years ago, her husband of 20 years left her for another woman. Devastated, she became despondent and tearful almost daily. Quick Steps To Reduce Your Worries Looking for a way to reduce the amount of worrying you do? Cure Against Depression and Low Self Confidence Depression strikes most of us and it can make us paralysed. It is essential that we do not let it get too much influence on our lives. Depression: Based on a True Story "Ring, ring." The crisis operator answers the phone to a woman pleading to let her daughter know that she loves her. The woman spent her day writing letters to friends and loved ones, expressing her thoughts and emotions. From the loaded gun on the table to the rope hanging from the attic, it was a well-thought out plan (Lewis, Pamela, 2003). Chronic Depression: Disease or Charcter Flaw? A major survey on depression symptoms from the National Mental Health Association (NMHA), released in july 2001, revealed a dramatic degree of progress in public understanding. Yet even amid this promising trend, the survey sheds light on the difficulties faced by millions of people striving to manage this sometimes chronic, life-long illness. Depression is the Number One Cause of Disability in the United States According to the World Health Organization, 4 of the 10 leading causes of disability in the United States and other developed countries are mental disorders, including major depression, bipolar disorder, and schizophrenia. Approximately 23% of American adults each year have a diagnosable mental disorder and as many as 5.4% of American adults have a serious mental illness. 5 Super Effective Tips To Kill Depression Being lonely is a normal part of our everyday lives. We get sad when we fail in our exams, when we're rejected by the person we love, or when someone very close to us passes away. Depression, however, could be more fatal than just plain loneliness. It could render life-long consequences that could ruin your self-esteem, health, and well-being. First Thing You Should Do to Get Out of Depression Depression, in psychiatry, is a symptom of mood disorder characterized by intense feelings of loss, sadness, hopelessness, failure, and rejection. The two major types of mood disorder are unipolar disorder, also called major depression, and bipolar disorder, whose sufferers are termed manic-depressive. Are you suffering from Depression? Millions of people sufferaround the world from a depressive illness. They think that depression is just a normal occurrence in their lives, which will go away after a short while. If you think of the fast moving and complicated world we live in today it's easy to feel a little overwhelmed and dismiss how serious depression can be. Depression Keeps 19 Million Adults From Being Productive Approximately 19 million American adult workers allow depression to limit their productivity. According to the American Medical Women's Association, this includes 5 million women, many of whom will quit or loss their jobs directly due to the depression. How You Can Learn To Treat Depression When a person undertakes a course of therapy through their doctor, and there is no improvement, they may be suffering from a treatment resistant depression. 10 Simple Coping Strategies When a Family Member Has Clinical Depression 1.Remember that it is an illness: Manic Depressive Episodes And Scientology Scientologists believe that chemical imbalances do not exist. In their view manic episodes should be treated with periods of introspection and audits; a notion which is particularly bizarre and scientifically untenable. Depression - Causes and Treatments Depression has long been considered a character flaw indicative of morally weak minded individuals. However, new research clearly shows that depression has distinct biochemical roots that affect the way nerve cells work. It is an illness which can be accurately diagnosed and treated successfully in the vast majority of cases. Through the recognition of causes and knowledge of the treatments, those suffering from depression are able to preserver and overcome their illness. Disability is NOT a Life Sentence On September 30th 1998 I was crossing the street in a crosswalk when a young man ran through a red light running me over at 40 mph. He dragged me down the street as he tried to leave the scene of the accident. How to Get Rid of Your Worries: 5 Golden Rules and a Warning Suresh was a worried person when he came to me . "Sir what if I don't get placement I feel that I will fail in the coming exam. I don't know how my family will face this!" It seemed to me he was imagining all problems and getting very much worried!! This is the case of many of us; we keep worrying about events that have only remote possibility to happen. Once a friend of mine put on footwear and later knew that a dog may have bitten it the day before. The moment he knew it he began to worry; what if my leg had an unseen wound and the dog was a mad dog? Added to this was the doubt what will happen if he takes a vaccination and there is a reaction to it? Finally he had to consult many doctors to convince that he was worrying for nothing!! In this short article I try to give five methods to avoid unnecessary worries. What About Drugs for Anxiety and Depression? As a counselor, I am often asked, "Can drugs be helpful for anxiety and depression?" The answer I give is "Yes" and "No." Major Symposium About Vagus Nerve Stimulation & Depression at the American Psychiatric Association A major symposium about vagus nerve stimulation as a treatment for chronic or recurrent depression will be presented at the American Psychiatric Association's Annual Meeting in May. This is the largest gathering of psychiatrists in the world and over 25,000 psychiatrists will be in attendance.
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