Inside human brain: Social Issues Depression

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��ÿÿ��ÿÿ��ÿÿ��l��Z��Z��Z��Z��8��'��ž��Z��M��¶��¶��¶��¶��¶��¶��¶��¶��¶��Ì��Î��Î��Î��Î��Î��Î��$�� #��6��ò��¶��¶��¶��¶��¶��ò��Æ��¶��¶��Æ��Æ��Æ��¶��¶��¶��Ì��Æ��¶��Ì��Æ��ê��Æ��°��°��¶��ª��@°ŸýÜâÄZ��Z��¶��°��°��0��M��°��Y��Æ��Y��°��Æ�� 8��"��Ù�� Social Issues : DepressionAdolescent Depression Depression (also known as melancholia) is the state of sadness, decreasedinitiative, and introversion. It's known as being blue, or just being down. Depression can be causedby anything that's disturbing to the individual, or can be caused by massive amounts of stress.Anything that gives you a feeling of guilt can lead to depression. Adolescence is a time where thereare great amounts of stress due to mental, physical, and chemical changes in the body. This is thetime where many people feel down or depressed. It sometimes goes unnoticed because it's felt thatthese are just things kids have to go through, but speaking from personal experience not everythingis written in plain black and white. Adolescent depression is a big problem, and if nothing's doneabout it, it can lead to an emotional breakdown. Sometimes resulting in attempted suicides.Adolescence is what scientists label a problem period. This is the time where children, becomeyoung adults. They are being prepared for adulthood. To prepare for this the body must go througha certain amount of changes. These changes are both physical and mental: "Adolescence" comesfrom the Latin verb adolescere, which means "to grow," or "to grow to maturity." Maturing involvesnot only physical but also mental growth. On the physical side, it means the attainment of maturestature...mentally a mature individual is one who has reached their maximum intelligence level.During this time, weird things begin to happen to the mind and body that are scary but exciting at thesame time. But this time also brings huge amounts of pressure and stress. Some of which the childmay not be able to handle, causing them to feel "weighed down" by life. The teen doesn't have tobe troubled to feel depressed, all it takes is something negative that makes them feel insecure andyou have the beginnings of adolescent depression. During this period the youth is worried abouttheir new role in life. They are unsure of their abilities and this confuses them, adding stress to analready stressful period:A person is an adult when he can take his place and play his role in adult affairs, physically, socially,and economically. A person is regarded as an adolescent until he operates as an adult.During this period of the youths life, it causes them to be confused, uncertain, and anxious. This is atransition period for the youth, and it may be too much for one to handle causing emotionalunstability:Like all transitions, adolescence is marked by shiftings backward and forward from old to newbehavior, from old to new attitudes. Instability and inconsistency are indications of immaturity.This shows that the youth is unsure of themselves and they're second-guessing their abilities, andthey are trying to adjust themselves to the new status that they must now assume in their new socialgroup. There are easy to read signs of transition (the beginning stages of depression). Because hefeels unsure of himself and insecure of his status, the adolescent tends to be aggressive,self-conscious, and withdrawn. This causes them to shelter themselves and become more reserved.They won't talk much, and they'll begin to feel less social, unwanted, and misunderstood. This isfrom my personal experience. The teen years is when the depression usually goes unnoticedbecause people feel this is just a phase and eventually they'll grow out of it. Sometimes you do, andsometimes you don't. It's like a time bomb ticking away that could go off at any minute. moods arelinked to physical functions. But when they last for several days and weeks, these are when thesirens are going off. These are warning signs that there are severe disturbances of personality orundesirable conduct. Although these are symptoms that all teens go through, they differ dependingon sex. As adolescents boys and girls worry about different problems, but they all lead to the samething. Girls are more concerned with school problems, relating to their parents, family adjustments,social adjustments, personal attractiveness, and etiquette. Boys worry about money and problemsrelating to their future. Being a teen is stressful enough but when you add all of these pressures, itleads to mental and physical breakdown. Within themselves the adolescent years are already aproblem. This is a confusing time for youngsters because they have many changes and adjustmentsto make. Society also helps add to the turmoil of the adolescent years. Society has a lot to do withthe failure of some adolescents in life. When you have something to prove it makes you tentative.Here are some of the main reasons for failure:Overemotional repression, oversuppresion of unsatisfied desires, the undue multiplicity of wishes,failure to be properly introduced, when young, to the world of reality, which is followedsubsequently by the uncontrollable desire to flee from reality...Too often, adolescents are judged by adult standards, thus putting massive amounts of pressure onthem. This is the time when adolescents usually get very unhappy. That's because of the demandsplaced on them by society. This is all on top of the demand placed on the youth by their socialgroup. This could be too much for a still developing mind to cope with. Peer group membership isthe essential feature of this phase of development. Other causes of pressure leading to depressioncan come from home as well. I know when I became depressed at the beginning of the year itstarted at home. Parents put lots of pressure on their kids. Yes, they want their kids to do well, butby drilling that you must succeed in life into their heads, it makes the kid anxious, and nervous. Andwhen the child does fail at something, they think it's the end of the world and that they've failedthemselves and their parents. Another thing that puts a lot of pressure on kids is school. School hasalways played a big role in adolescent depression. This is where a lot of depression actually begins.When a student feels like they are not understanding something, instead of going to get help they'lljust forget about it. They'll pretend nothing's wrong and that they don't really need school tosucceed in life. They won't ask for help because they're afraid of what will be thought of them.Adolescents always worry about what others think, this is what gets them down. Treatingdepression can be very difficult, because before you can treat someone for depression, they have toacknowledge the fact they have a problem. This is the hardest part of trying to treat depression.Before anything can be done, the person has to want help. After the person acknowledge that theyhave a problem, counseling is the first stage of recovering. Talking to a counselor about all of theirproblems will help relieve some of the pressure they feel. Counseling can help adolescents adjust totheir new roles in society. But this is not always the best way to go. Counselors are just there totalk, if the person is really depressed, other treatments are going to be needed. Counselors are therefor talking. For reassurance, to let the youth know that they can get through any of their problems.Depending on the type of problem, treatments are different. Kinds of ProblemsEveryday Problems Friendships Family School, etc. Experience Education (Guidance)Special Problems Educational Vocational Premarital Personal, etc. Guidance (Counseling)Adjustment Problems Emotional Sexual Social Religious Moral Counseling (Psychotherapy)Mental health and personality problems Neuroses Homosexuality Alcoholism Drug AddictionPsychosis Psychopathy, etc.Psychotherapy (Medical Treatment) Medical problems Injury Disease, etc. Medical TreatmentA person must first be diagnosed with having a problem before any type of psychotherapy ormedical treatment. They must be diagnosed by a professional MD. For the other types of problems,the youth may come to an adult telling you what's wrong with them. All treatments should be doneby professionals, but if the youth just wants to talk, it's okay for you to listen to their problems, butdo not under any circumstances try and perform your own personal counseling session. These areserious problems and they need to be treated that way.Dysthymia Dysthymia is a mild or moderate form depression. Is has been observed as form ofdepression since 1980 . Dysthymic disorder is characterized by an overwhelming yet chronic stateof depression, exhibited by a depressed mood for most of the days, for more days than not, for atleast 2 years. (In children and adolescents, mood can be irritable and duration must be at least 1year.) The person who suffers from this disorder must not have gone for more than 2 monthswithout experiencing two or more of the following symptoms: · poor appetite or overeating ·insomnia or hypersomnia · low energy or fatigue · low self-esteem · poor concentration or difficultymaking decisions · feelings of hopelessness No Major Depressive Episode has been present duringthe first two years (or one year in children and adolescents) and there has never been a ManicEpisode, a Mixed Episode, or a Hypomanic Episode, and criteria have never been met forCyclothymic Disorder. The symptoms are not due to the direct physiological effects of the use orabuse of a substance (alcohol, drugs, and medications) or a general medical condition. Thesymptoms must also cause significant distress or impairment in social, occupational, educational orother important areas of functioning. During the 2-year period (1 year for children or adolescents) ofthe disturbance, the person has never been without the symptoms for more than 2 months at a time .Dysthymic disorder can begin in childhood and in adulthood. Like most for the depression,Dysthymia is more common in women then in men. Most people who suffer from this disordercannot remember when they first became depressed. Up to 3 percent when people suffer fromDysthymic disorder. 5-15 percent of people in a local doctor's office has the disorder . If someoneis the criteria for Dysthymia they should go discuss the matter with a physician. The physician willthen determine whether the symptoms are because of depression the outside factors such as thyroiddisorders. Also a full diagnostic interview is held. When possible collaborative information fromfamily and friends is utilized. Information on the causes of Dysthymia remains largely incomplete.There are several series on the matter. It has been observed that Dysthymia runs in families. Thiswould suggest that Dysthymia may be hereditary but the family environment may also play a role.There's also a theory that Dysthymia may be the result of a change in the brain involving thechemical Serotonin, which would hinder the ability of the affected person to maintain social orinterpersonal relationships . Since the calls the Dysthymia is not known there seems to be no exactway to prevent it. According to Dr. Martin Keller, executive psychiatrists-in-chief at Brownaffiliated hospitals in Providence RI, the best way to deal with Dysthymia early detection. Sincemost people who suffer from Dysthymic disorder at some point in their lives experience chronicmajor depression the diagnosis of Dysthymia can be used to help prevent these cases . Treatmentfor Dysthymic disorder is also very broad topic. According to Dr. Phillip Long medication is usuallynot an issue for someone who suffers from this disorder. Most patients show no additionalimprovement with the addition of an antidepressant medication, Long-term treatment of this disorderwith medication should be avoided; medication should be prescribed only for acute symptom relief.Additionally, prescription of medication may interfere with the effectiveness of certainpsychotherapeutic approaches. Consideration of this effect should be taken into account whenarriving at a treatment recommendation . When appropriate to treat a concurrent major depressiveepisode, Tricyclic antidepressants are effective and inexpensive. Phillip W. Long, M.D. suggeststhat, "a patient should not be considered a failure until the equivalent of 200 mg to 300 mg ofImipramine has been evaluated for at least 6 weeks." Selective Serotonin reuptake inhibitors mayalso be appropriate for prescription. Phillip W. Long, M.D. also states, "A number of drugs are notof value for long-term treatment. Those drugs include the amphetamines, the barbiturates, and thebenzodiazepines. Those drugs are often prescribed for patients with chronic symptoms of insomnia,fatigue, or tension. However, clinical experience and systematic research indicate that they are littlebetter than a placebo and are at times worse." As with many chronic disorders psychotherapy is therecommended treatment of choice. Is important for the initial physician to conduct a completediagnostic evaluation to assess the patient's ability to function, suicidal tendencies, etc. a cycletherapeutic approach seems to work best because the therapist can provide us to produce changeoriented personalized environment for treatment. Therapy should be generally conducted withrespect to the client's pace and level of functioning. Attempts to focus on change too early in therapycould lead to early termination of therapy. This likely occurs because the patient feels the therapistdidn't respect or care enough about him or her to move at their rate. Psychotherapy approaches forthis disorder vary widely. Short-term approaches are preferred, however, because they emphasizerealistic, attainable goals in the individual's life, which can usually bring them back to their normallevel of functioning. This level, however, may be markedly less than what is expected in the averageperson. A person who suffers from Dysthymic disorder has generally learned to live with a fairamount of chronic unhappiness in their lives. Realistic goals should be established early on and thefocus of therapy, instead of focusing on the person's mood state. Group therapy has been shown tobe an effective modality for individuals suffering from this disorder. A group can be more supportiveto an individual than any one therapist can and help point out inconsistencies in the patient's thinkingand behavior. It should be considered, if not initially, then later on in treatment as the client regainshis or her own self-confidence and can interact in a social context. Issues of self-esteem oftenaccompany individuals who have Dysthymic disorder, so care must be employed not to place theperson into a group situation (where failure may be imminent) too soon. Family therapy may also behelpful for some individuals. Couples therapy can bring the individual's spouse or significant otherinto the therapeutic relationship to create a therapeutic (and more powerful) triad. Goals will varyaccording to type of therapy. Cognitive therapy emphasizes changes in one's faulty or distorted wayof thinking and perceiving the world. Interpersonal therapy focuses on an individual's relationshipswith others and how to improve and strengthen existing relationships while finding new ones.Solution-focused therapy looks at specific problems plaguing an individual's life in the present andexamines how to best go about changing the person's behavior to solve these difficulties. Socialskills training focuses on teaching the client new skills on how to become more effective in social andwork relationships. Usually, psychoanalytic and other insight-oriented approaches will be lesseffective because of their focus on the past and emphasis on lengthy therapy. While incorporation oftherapy into a person's chronic condition might be quite financially lucrative for the therapist, it is notthe most change-effective and timely approach to help the individual overcome his or her difficulties.Because the clinician must move at the client's pace, progress with any type of therapy can be slow.Therapists should resist the temptation to try and "speed up" the process or force the client in adirection he or she is not yet ready to try. Closely related to this issue of the pace of therapy is beingaware of the clinician's frustration with lack of progress or boredom within the therapy session. Itcan be an emotionally draining experience for some therapists. Additionally, Phillip W. Long, M.D.adds, "The patient's unrealistic and idealistic expectations of himself or herself may, for example, betransmitted to the therapist and give rise to overlying optimistic expectations of progress in therapy.If the patient shows no subjective improvement over time, the therapist may inadvertently respondsomewhat in the way significant individuals in the patient's life have responded. Interpretation of suchpersonal experiences by the therapist can, in the proper context, be therapeutic." Seasonal AffectiveDisorder"I just feel a little bit under the weather, that's all…" is a phrase some may use to explain a slightfeeling of depression that they feel. However, the weather and the change of seasons may cause aharsher form of depression, known as seasonal affective disorder. Seasonal affective disorder is thefeeling some get, every year at the same time of year, that makes them feel depressed for extendedperiods of time. This period of time is usually between the months of September and the followingMay, and so this form of depression is also commonly known as the winter blues or winterdepression. However, during the rest of the year, the patient feels perfectly normal and mentallyhealthy. Hence the disease is named the seasonal affective disorder, because though the majority ofthe cases occur during the September to May period, there are the few occurrences of thedepression during the spring or summer. The existence of the term seasonal affective disorder hashad a short life span. The term "seasonal affective disorder" was coined in 1982 by NormanRosenthal after he had researched what they perceived as regular patterns of depression inRosenthal and one of his colleagues, Herb Kern. In the mid 1970's, Kern, a research technician atthe National Institute of Mental Health, noticed some regular changes that occurred every year. Henoticed that every winter, he would become unhappy, slow, and lazy, while in the summer andspring and fall, he would behave normally, more quickly and more productively. Rosenthal theorizedthat these changes were due to the change in the amount of sunlight one received throughout theyear, and theorized that daily doses of bright light would be able to cure the condition during thewinter. The research team settled for two doses of three hours each of bright sunlight-like lightexposure everyday. After just three days of treatment, Kern felt better, more lively, and hiscolleagues also noticed that he was more energetic and generally more friendly. These studies led tothe conclusion that although the symptoms pertaining to seasonal affective disorder could betriggered by anything, such as stress, most cases of seasonal affective disorder were caused by lackof bright light due to a lack of time spend outdoors during elongated periods of time. Stress,however, is still a major factor. If a painful or stressful time in a person's life is associated closelywith a specific season or time, the person is susceptible to seasonal affective disorder during that setamount of time. Further studies were conducted, and the results conducted showed early on whatseasonal affective disorder was about. During certain seasons, most likely winter, some people willtry to stay inside more, and not go out as much as they would normally. This kind of behavior islikely to cause slothfulness in a person, as well as certain extents of depression, weight change, andlack of energy. This is somewhat natural, but when the change of season affects a person to thepoint of what is referred to as clinical seasonal affective disorder, one may not be able to leave thehouse and may feel a greater sense of depression. If one notices a set pattern during several years inwhich there is a repetition of feelings of depression during a certain season, one can easily seek help,and this is a treatable disorder, with almost a 90 percent treatment effective rate. There has been,since the creation of the clinical term "seasonal affective disorder", many revelations made byvarious scientists and their research groups. One is that a vast percentage of the world suffers fromany range of degrees of the types of seasonal affective disorder from clinical seasonal affectivedisorder to a degree in which one just feels a little sad during the winter. In his original study, Dr.Rosenthal suggested that almost one of twenty five adults in America suffered from a change inseason, especially the transition between fall and winter, the time in which the most light hours werelost. He also conjectured that another 14 percent, roughly one in eight adults, had a milder form ofthe disorder, known as winter blues or winter depression, which is the label for cases strictly inwinter and less severe than the clinical versions of the disorder. Another 30 percent of thepopulation was shown to suffer from Sub-syndromal seasonal affective disorder, a condition orstate in between the states of full-blown seasonal affective disorder and the more common winterblues. Another factor that may be favorable for getting seasonal affective disorder may be one that aperson cannot immediately control. That factor is his/her location. According to various studiesconducted in the twenty-year history of seasonal affective disorder, it has been found that peopleliving in certain zones are more susceptible to the adverse effects of seasonal affective disorder. Forexample, 10 percent of Alaska residents have been reported to have clinical-level seasonal affectivedisorder, while the rest of the population only suffers from milder levels. Also, in Britain, almost onein three adults between the ages of 20 and 40 are shown to have some level of the disorder. On thecontrary, those who lived in Florida only showed a total of one percent suffering from any stage ofseasonal affective disorder. Thus it is generalized that the closer one is to the equator, since thereare periods of sunshine, the lesser chance of one getting the disorder, while on the other hand, thecloser one finds oneself to the polar caps, the chance of getting seasonal affective disorder growsexponentially. Whatever the cause, seasonal affective disorder usually causes one or severalproblems in a patient. These symptoms have tolls on both the mind and body. For the mind, thedisease may cause such symptoms as: depression, guilt, low self-esteem, loss of confidence,hopelessness, apathy, loss of feelings, irritability, avoidance of human contact, despair, suicidalfeelings, anxiety, inability to tolerate stress, paranoid thoughts, poor memory, poor concentration,difficulty "thinking straight", difficulty concentrating or making decisions, panic attacks, abusivebehavior, weeping, seasonal alcohol and drug abuse, and seasonal bulimia. For the body, symptomsmay include: fatigue, lethargy, debility, too much sleep or trouble staying awake/waking up,insomnia.

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Inside human brain

Sunday, October 14, 2012

Social Issues Depression

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