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.
- 1 in 20 people will suffer from some form of depression this year
- 1 in 4 women will be affected by a depressive disorder sometime in her lifetime
- 1 in 10 men will be affected by a depressive disorder sometime in his lifetime
- Depression can affect any age group--including children
- There are indicators that 1 in 8 adolecents is depressed, and that figure may be very low
- Only 1/3 of those suffering from major depression will receive proper treatment
- 2/3 of all depression sufferers are misdiagnosed
- Depression has an associated cost of $43.7 billion dollars a year in lost
productivity and medical expenses.
- An estimated 290 million working days are lost each year to depression
- U.S. sales of anti-depressants amount to over $3 billion per year
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- 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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- Prolonged sadness or unexplained crying spells
- Significant changes in appetite (eating more or less) or sleeping
patterns (insomnia or hyposomnia--sleeping too much)
- Irritability, anger, worry, agitation, anxiety
- Pessimism or indifference
- Feelings of guilt or worthlessness
- Inability to concentrate or make decisions
- Inability to take enjoy interests or hobbies
- Unexplained aches and pains, fatigue
- Recurring thoughts of death or suicide
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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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.
- Depressed mood most of the day, nearly every day.
- Markedly diminished interest or pleasure in almost all
activities most of the day, nearly every day.
- Significant weight loss/gain.
- Insomnia/hypersomnia.
- Psychomotor agitation/retardation.
- Fatigue (loss of energy).
- Feelings of worthlessness (guilt).
- Impaired concentration (indecisiveness).
- Recurrent thoughts of death or suicide.
Source: American Psychiatric Association, 1987.
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Treatment of depression consists of three phases:
- Acute treatment (6 to 12 weeks) aims at remission of symptoms. A partial response (not a complete remission) is associated with a poorer prognosis.
- Continuation treatment (4 to 9 months) aims at prevention of relapse. During this phase, medication should be continued at the full dosage. Continuation phase psychotherapy may be helpful for selected individuals.
- Maintenance treatment aims at prevention of recurrence in patients with prior episodes. Only maintenance medication prevents a new episode (recurrence). Maintenance psychotherapy may delay the next episode
The objective of treatment is for the patient to reach a sustained asymptomatic state
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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:
- Take the medication as directed and keep taking it as long as directed
- Don't stop taking medication or change dosage without asking your doctor
- Rembember to check with your doctor or pharmacist (or both) about mixing
the medication with other medications or alcohol
- Discuss with your doctor the side-effects and possible remedies of each
medication
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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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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