Depression: More Than Just the "Purple Meanies"


The Purple Meanies:
A state of sadness that can be related to an external event. These tiny little gremlins will inhabit a large portion of your thought space for a short period of time and then, gradually, exit without a major fuss.

The Purple Meanies are normal occurances for everyone. Each of us will experience them in response to a stress factor or combination of stress factors: death, divorce, job, a birth, a wedding, a promotion, a financial obligation, friendship, or any number of other events which create stress. The purple meanies subside after a while, but may have a great impact on short-term productivity and concentration.

Depression is not just the purple meanies taking up space. It is the purple meanies taking up residence and refusing to leave. The purple meanies multiply by adding additional stress factors, including some that are completely invisible to the outside observer. They multiply and multiply until the victim is lost in the blackness.


Statistically, over 1 in 20 persons will have a depressive disorder over the next year. Translated, that means approximately 5% of people, right now, are suffering from some degree of depression that may require treatment. Each of them feels alone, isolated and helpless in the grips of the blues that just won't go away. That is the reason for this page. If one person sees it and finds a resource or a piece of information that helps him or her to deal with this disorder, then I will not have wasted my time or Geocities' space. Falling into depression is not a conscious choice and no conscious choice will make depression go away. A person who suffers from true depression cannot say "I'm going to perk up today." The disorder is far more complicated and debilitating.


This site is intended for educational purposes only and is not meant to replace, supplant or contradict professional assistance.


Site Index

Facts About Depression

Common Types of Depression

Symptoms of Depression

Diagnosis of a Major Depression

Treatment Phases

Anti-Depressant Medications

Am I Alone?

Self-Help

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Facts about Depression


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Most Commons Types of Depression


Major Depression:
This is a most serious type of depression. Many people with a major depression cannot continue to function normally. The treatments for this include medication, psychotherapy, and, in extreme cases, electroconvulsive therapy. Diagnostic criteria include the presence of at least five major symptoms with one symptom being either:

  • Depressed mood or
  • Loss of interest or pleasure

            See Symptoms of Depression

Dysthymia

This is a mild, chronic depression which may last for tow years or longer. Most people with this disorder continue to function at work or shcool but often with the feeling that they are "just going through the motions". The victim may or may not realize that he/she is depressed. Anti-depressant medications or psychotherapy can help. Symptoms include:

  • Depressed mood for most of the day, more days than not, for at least two years (one year for children and adolescents)
  • Presence, while depressed of at least two of the following:
    • Significant appetite changes (eating more or less)
    • Insomnia or hypersomnia
    • Low energy or fatigue
    • Low self-esteem
    • Poor concentration
    • Difficulty making decisions
    • Feelings of hopelessness
  • During the two year (or one-year) period, never an absence of symptoms for more than two months
  • No evidence of an unequivocable, clear major depressive disorder
  • Symptoms not superimposed on a chronic psychotic disorder such as Schizophrenia or Delusional Disorder
  • Cannot be linked to an organic factor such as illness or medication

Adjustment Disorder with Depressed Mood

This type of depression results when a person has had a negative experience such as loss of a job, bereavement, financial setback, etc. Diagnostic criteria include:

  • A reaction to an identifiable psycho-social stressor or stressors that occurs withing three months of the onset of the stressors
  • The maladaptive nature of the reaction is indicated by impairment in occupational (or school) functioning or in usual social activities or symptoms that are in excess of the normal and expectable reaction to the stressor(s)
  • The disturbance is not merely one instance of a pattern of overreaction to stress or an exacerbation of an identifiable mental disorder
  • The maladaptive reaction has persisted for no longer than six months
  • The disturbance does not meet the criterial for any specific mental disorder and does not represent Uncomplicated Bereavement.
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Symptoms of Depression


If you are experiencing one or more of these symptoms, you may need to seek the advice of a medical professional. Depression is highly treatable and your suffering can be alleviated.

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Diagnosis of Major Depression


For major depressive disorder, at least five of the following symptoms are present during the same time period, and at least one of the first two symptoms must be present. In addition, symptoms must be present most of the day, nearly daily, for at least 2 weeks.

Source: American Psychiatric Association, 1987.

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Treatment Phases for Depression


Treatment of depression consists of three phases:

The objective of treatment is for the patient to reach a sustained asymptomatic state

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Anti-Depressant Medications


There are many classes of atidepressants. Tricyclic antidepressants and monomine oxidase inhibitors (MAOI's) have been in use for over thirty years. Newer classes included selective serotonin reuptake inhibitors (SSRI's) and other unique categories.

Tricyclinc Antidepressants include:
  • Imipramine (Trofranil)
  • Amitriptyline (Elavil)
  • Desipramine (Norpramin)
  • Nortriptyline (Aventyl and Pamelor)

MAO Inhibitors include:
  • Tranylcypromine (Parnate)
  • Phenelzine (Nardil)
  • Isocarboxazid (Marplan)

SSRI's include:
  • Fluoxetine (Prozac)
  • Sertraline (Zoloft)
  • Paroxetine (Paxil)
  • Fluvoxamine (Luvox)

Unique Classes include:
  • Bupropion (Wellbutrin)
  • Trazodone (Desyrel)
  • Venlafaxine (Effexor)

When taking antidepressant medication, remember to:

Side effects of antidepressant medications can include dry mouth, constipation, bladder problmes, sexual dysfunction, blurred vision, dizziness and drowsiness. Most side effects can be treated or will pass when the body grows accustomed to the medication.

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Am I Alone?


Statistics alone indicate that over 20 million people are depressed right now. This would mean that, more than likely, one of your co-workers, friends, relatives, or acquaintances is depressed and is probably asking the same question. Depression is not uncommon and can affect anyone. Many famous and successful people suffered from depression, including:

Hans Christian Anderson, James Barrie (the author of Peter Pan), Mark Twain, Tennessee Williams, William Faulkner, F. Scott Fitzgerald, Irving Berlin, Stephen Foster, Cole Porter, Emily Dickinson, John Keats, Edgar Allen Poe, Vincent Van Gogh, Winston Churchill, Charles Dickens, Charlie Parker, Edna St. Vincent Millay, Georgia O'Keefe, and Noel Coward.

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What Can I Do to Help Myself?