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Symptoms Of Severe Depression

First, let’s get some terminology straight. ‘Severe depression’, ‘major depression’ and ‘clinical depression’, are terms that tend to be used interchangeably to mean the same thing.

What these terms refer to is the condition described technically by psychiatrists as ‘major depressive disorder’. Therefore as we discuss the symptoms of major depressive disorder in this article, bear in mind that we are looking at what may also be called:

• Major Depression Symptoms
• Clinical Depression Symptoms, and
• Symptoms of Severe Depression.

The Symptoms of Severe Depression – The Technical Version

A person is suffering from major depressive disorder or (severe or clinical depression) if for most of the day, nearly every day for at least 2 weeks, they have had at least 5 of the following symptoms, including (1) and/or (2):

1. A low/depressed mood.
2. Significantly less interest in and pleasure from usual activities (this is called “Anhedonia”).
3. Significant change in appetite or weight.
4. Inability to sleep or sleeping more than usual.
5. Fatigue, loss of energy.
6. Feelings of guilt or worthlessness.
7. Lethargy or hyperactivity.
8. Difficulty concentrating or making decisions.
9. Recurring thoughts of suicide or death.

Now, let’s break that down a bit.

Step 1

First, it is important to note that low mood and/or loss of pleasure or interest in usual activities (Anhedonia) must be present.

In effect these are the threshold conditions. Doctors are sometimes recommended to screen for depression by asking questions to establish whether either of these two conditions are present.

Step 2

If you are suffering from low mood and Anhedonia, then the next consideration is whether 3 of the other listed symptoms are present.

If you are suffering from either low mood or Anhedonia, then 4 of the other symptoms need to be present.

Step 3

The next step relates to the duration of symptoms. The relevant symptoms must have been present every day for at least two weeks and must have been felt for most of every day.

Of course you may in fact have been suffering for much longer than two weeks or have had more than one episode where the symptoms have been present for at least two weeks. This is really the norm, of course – we don’t usually go to our doctor two weeks and one day after starting to feel depressed.

Step 4

The final step that I didn’t refer to above, but which it is crucial to consider, is that your symptoms must be a change from your normal state and have a significant impact on your day to day functioning. The symptoms must: “cause clinically significant distress or impairment in social, occupational, or other important areas of functioning.”

If you think about it, this is what is at the heart of an individual’s experience of depression. It is the inability to function normally that takes us out of the ‘feeling down’ camp into a whole new arena.

Symptoms of Severe Depression – The Real Life Version

Whilst it is useful for you to know the technical framework that doctors use to assess depression, the criteria may not necessarily reflect your own descriptions about the way you feel. We can all experience different symptoms or express them in different ways, both to ourselves and others.

Depression – what is it?:

“Diagnosis by counting is a totally absurd, and often very dangerous, proposition. When it works, we arrive at a very rough indicator of what may be wrong with us. Too often, the exercise is wholly misleading.”

For this reason, doctors assessing a patient for depression (assuming that are doing a thorough job) should ask lots of questions about the way the patient feels and look for examples of behavior that may or may not fit into the accepted criteria.

Some of the other ways that you might use to describe the way you feel, but which in substance may still fit within the technical criteria are as follows:

• Feeling flat
• Feeling very down
• Feel like I don’t care about anything
• Having to make a real effort to do anything
• Can’t really feel anything any more
• Don’t care about the things I used to
• Feel very on edge
• Feel very stressed
• Very irritable
• Can’t think straight
• Can’t make up my mind about anything
• Don’t feel like I can go on
• Feel useless
• Feel hopeless
• Don’t see any future
• Don’t see the point of anything
• Can’t get out of bed
• Don’t want to see anybody
• Don’t want to talk to anybody
• Can’t sleep
• Can’t eat
• Can’t stop eating
• Don’t have any energy
• Feel exhausted

Other Diagnoses:

If you feel that something is not quite right with your moods or the way that you feel, you need to be aware that there are various different types of depression and other behavioral or mood disorders. So, if your situation doesn’t reflect the symptoms of severe depression, then you or your doctor should consider whether any of the other possibilities might apply.

These include –

• Dysthymia (milder, prolonged depression)
• Bi-polar disorder (formerly manic depression)
• Adjustment disorder with depressed mood (a depressive reaction to a particular event or stress)
• Schizophrenia

Conclusions:

The symptoms of severe depression will usually be very clear to you if you stop to think about how you feel.

But, one of the major difficulties with depression, of course, is that it takes away our inclination to take action to put things right – we can just feel ‘too depressed’ to do anything about it.

That’s why it is essential that you discuss how you feel with somebody close to you, as they may be able to help you get the attention you need.

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Five Ways To Avoid Depression After A Break-Up

The break-up of a relationship ranks as one of the most stressful life events; it’s up there with the death of a loved one. After the initial shock, when you may feel like you were just hit by a truck, sadness and loneliness often take over. You may feel “a part of you has died,” and your whole world has fallen apart. The ability to concentrate and get motivated may be hard to come across. You may also find yourself remembering and missing things you used to do with your partner.

YOUR PAIN IS REAL.

Brain research shows that rejection experiences in a break-up can activate the same areas of the brain that physical pain or distress do. Especially in women, a break-up can cause cardiac pain and shortness of breath. The pain is both emotional and physiological, which means it can be very intense.

Recovering from a break-up is not easy and can lead to severe depression; lowered immune system response; and even health problems.

As you recover from your break-up, you need to take care of yourself. The following tips might be helpful in that process.

TIPS FOR RECOVERING FROM A BREAK-UP FASTER

• Express yourself. Share your feelings.

One of the best ways to deal with the pain of a break-up is to share your feelings with friends or family, people you trust. The simple process of identifying and talking about your feelings is very soothing. Studies show that talking about negative feelings can reduce activity in the pain-feeling portion of the brain. Talking to others not only feels good, but also releases opiates, which are natural “pain-killers,” and helps you process and manage the emotions generated by a break-up.

• Give yourself time to grieve.

Allow yourself to be sad about the loss of your relationship, rather than trying to rush into feeling well again. People who refuse to face the pain of a break-up get involved in rebound relationships before working through the painful issues of the past relationship. They tend to project their pain and desires onto their new partner, substituting their previous partner and not seeing the new person for who he/she really is.

Give yourself time to grieve; the process may be as painful as mourning the death of a loved one. Breaking up is a loss and the only way to come out of it healthy and with peace is to grieve properly.

• Consider having a conversation with your ex-partner.

You may be able to have a final discussion with your ex-partner to help you understand what caused the break-up and express any pent-up issues and feelings. However, this may not be something your ex-partner is willing to do or it may be too painful for you to do. In this case, research shows that having an imaginary conversation, where you express all your feelings and say goodbye, can help you move-on.

• Sleep.

Sleep is one of the best ways to deal with stress and avoid depression, yet it can be hindered by emotional distress. The day’s residual pain, sadness, and anger can make it difficult to sleep well. If you wake up too early, or can’t fall asleep, take notes in order to identify a recurring theme. That will help you figure out how get stress and anger under control during the day. Try keeping a regular sleep schedule, going to bed and waking up at the same time each day; you will feel more refreshed and energized than if you sleep the same number of hours at different times. Create a relaxing bed-time routine. Regular exercise and relaxation techniques, such as deep breathing and progressive muscle relaxation may also improve your sleep.

• Exercise.

Working out, running, and even brisk walking release opiates, which can help you deal with stress. Studies show that cardiovascular exercise can be as effective in dealing with mild to moderate anxiety and depression as antidepressants. So, get up and put your running shoes on!

It is natural to feel sad as you are grieving the end of your relationship. Remember to allow yourself to experience and process your own thoughts and feelings, no matter how painful they are; it will allow you to move forward. If you feel helpless, have low self-confidence, or think you are worse than you were, you may benefit from professional help to alleviate your feelings and avoid a deeper depression.

Don’t wait too long before intervening; when one door closes, you need to find the window that will allow you to go through and heal.

If you want help in dealing with relationship break-up, mail me at soulrevivng@gmail.com; for a ‘FREE’ consultation.

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Relationship Advice: Breaking Up Hurts For Real And How To Recover Faster

In studies of life’s most stressful events, being divorced or break up is the number two top life stressor, following right behind number one, being widowed. Both can plunge you into severe depression and health problems. Breakup of a significant relationship or marriage creates a panic response in the brain and such stress in the body that neuroscientists believe it can lead to a lowered immune system and illnesses. If you fall into either of these categories, you absolutely need to take care of yourself and do all the activities we discuss.

Women who hadn’t gotten over a relationship by 16 weeks after the breakup had decreased brain activity in the regions associated with emotion, motivation and attention. This is a physical change in the brain. That’s why it is so hard to concentrate on anything-so hard to get up and go. Do not let yourself go this length of time without intervention.

Researchers at UCLA have pinpointed the part of the brain that registers the pain of a break-up. Being rejected activates one of the same areas of the brain as physical pain! In the study, the more ignored the people felt, the more activity they had in the anterior cingulate, which also registers physical distress. So your pain is physiological.

Other researchers at the Johns Hopkins University School of Medicine have found that a breakup can create physical heart pain and shortness of breath. They call it Broken Heart Syndrome and, of course, it affects more women than men. Emotional stress or rage can actually precipitate a heart attack, so on this one you need to get it medically checked out.

Relationship Advice: Getting Over the Heartbreak Faster

Getting over heartbreak isn’t easy but there are definitely some clinically proven methods to beat the blues. There are five recovery methods I recommend: sharing; meditation; sleep; exercise; and, having imaginary conversations with the ex. In one study, talking about their negative feelings lessened the participant’s activity in the pain-feeling part of the brain. Among the recommendations coming out of the UCLA study is that a good remedy for heartache is to spend time sharing with close friends, because this activity causes the brain to release natural opioids, which are like the painkillers found in opium. So make a beeline for your friends, a sponsor, a minister or someone else you confide in.

A second group of recovery methods recommended by the Johns Hopkins researchers emphasizes practicing relaxation techniques, including meditation, deep breathing or journaling out your feelings.

Sleep is very important to helping immune function but with the depressive reactions that many have, sleep may be hard to come by. This is another reason to consider starting a regular relaxation or meditation program-these have been shown to help people sleep better. Also, working out at the gym may help, because it releases opioids.

One final way to beat the blues comes from a study that showed that people who had imaginary conversations and then said goodbye to their partner had more relief from grief than those who didn’t. Here is one imaginary conversation that Darlene, had with her very narcissistic ex:

“You are so classically narcissistic! You only think of yourself. You sucked me in at first with all this generosity, but once you had me, you only took, took, took. And you were the one who abandoned the relationship, even though I bent over backward for you, you jerk! Withdrawing slowly from me to the point where there was nothing left. You stonewalling jerk! Even though you were the one withdrawing, you provoked me into ending it by actually going on Match and chatting online in the same room as me! How humiliating! And now I hear you are happy. It makes me so upset! You never deserved me and I hope in your next relationships you’ll get exactly what you dealt out–a lot of bullshit in a charming voice. You wasted my time and my life these past 2 years. I fell for it, I didn’t self-protect, I was too anxious to be in a relationship and I ignored the signs. I wanted someone else to do the hard work for me. Well, I have learned that I have to do it. I will watch out for myself. I will speak up for myself!”

Airing these pent-up issues and feelings helped Darlene let go and later she moved forward into a relationship with a terrific guy she met at church. Similarly allowing yourself to be with and process your own thoughts and feelings, no matter how painful they are will also allow you to move beyond them and the guy who triggered it all.

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