Depression, diagnosis and their dealings (from childhood to many many years)---Part-3
As depression is a serious matter there are many factors which should be considered for dealing with the management of depression. It is also a fact that the cases of depression are found around all ages and in both sexes. The diagnosis and management of depression have very critical phases, and are purely case dependent.
Diagnosis of depression
Depression may be easily diagnosed by taking simple self-tests or taking part in the depression quiz in which depressive symptoms related questions are asked. In case the sadness lasts more than two weeks, it will be the time when medical advice is needed before wasting further time and allowing the matter to worsen. The other situation like the sufferer is facing problem in attending to the daily chores in the work, school or maintaining relationships with others, these are the indications of depression and the doctor’s advice becomes imminent in this situation.
The important of accurate diagnosis
The first diagnosis should be accurate so that treatment can go to the right direction. The accurate diagnosis needs complete physical as well psychological checkups and their evaluations, so that the person’s depressive disorder can be correctly diagnosed / evaluated. Once the diagnosis is correctly done, the type of illness can be known.
The doctor can either find out or rule out the reason
Since many medications for some different diseases or even the depression related diseases may be the cause for side effects or the symptoms for depressive disorders. The doctor can either find out or rule out the reason after physically examining or personally interviewing or through some other tests.
Some screening tools, symptom tests or depressive elements’ investigations are done through questionnaires, which can correctly diagnose the type of depression. In some cases, full mental health tests are also done.
How thorough diagnostic evaluations are done?
For thoroughly diagnosing a patient, complete recording of the histories of the patient’s symptoms are needed.
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Ø The start of the symptoms
Ø How long the symptoms lasted?
Ø What was the severity of the symptoms?
Ø Any occurrence of the symptom before? In case the symptoms had occurred before, were they treated? If treated, what type of treatment was administered?
Ø Is there any drug effect?
Ø Is the patient alcoholic?
Ø Had the patient tried or talked about suicide at any point of time?
Ø Has / (had from the ancestors) anyone in the family similar depressive symptoms? If yes, what types of treatment were administered to the affected person?
The other branch of diagnostic evaluation
Other branch of diagnostic evaluation is examining the mental status. By this way a patient’s thought, speech pattern and extent of damage of memory are evaluated so that whether the case is maniac depressive illness or the case is depression can be ascertained.
Tests available as on today
As on today, for testing mental disorder, no laboratory test, x-ray or blood tests are required. SPECT, PET scans, CT scans and MRI tests are done for many other diseases that include brain tumor, stroke types of neurological disorders types of diseases. But they cannot detect the depressive disorders/problem that involves both complex and subtle changes in the psychiatric problem. Nevertheless, these techniques are very effective in the researches in mental health. In most probability, these tests will be of much help for the diagnosis of these illnesses.
Relation between antidepressants and sexual dysfunctions
Sexual dysfunction and antidepressants SSRI are very closely related with each other. The reason is sex drive is reported to be reduced by the SSRI for both sexes. SSRI either hampers achieving orgasm or causes delay in it among the womenThese negative feelings are the parts of the depressive state of mind and factually do not reveal about the real situation. It is a matter of fact that once the treatment begins, the negative thinking starts fading away. Hence, by the time the patient is under medical treatment, the following can be of much help to the patients:-
Ø Taking healthy foods is the best method. If opposite that means, if the patient does not take adequate amounts of nutrients, while on the other side excessive fats, sodium and sugars are taken from different fast foods and ice creams or many such items, the situation can further worsen the medical conditions of the sufferer(s).
Ø For some depressive patients, Vitamin D and foliate food supplements are very effective in helping the mood of the patients.
Ø Doctors advise the patients to take sufficient rest for physically promoting the improvements of moods
Ø A patient must express his / her feelings to his / her friends through some media. Social media can help a lot in these days for sharing one’s views with many. By this way many negative thoughts can be relieved of.
Ø A patient must not take any great deal of responsibility or set difficult goals to achieve.
Ø If the large task is there to achieve, they should be broken to smaller ones as per the priority and segregate them “when to be done” and “what to be done” segregations.
Ø A patient must not expect too much from self to avoid the increase in the feelings of failures
Ø It is good for a patient to be with others, instead of remaining alone.
Ø A patient needs to participate in those activities which can make him / her feel better.
Ø Activities like going to ball game, movies etc. are always good.
Ø Participation in religious or social activities is also helpful for the patients.
Ø But, never to rush for it nor to overdo it.
Ø In case your mood is not getting improved right away, not to lose heart, because feeling better is always a time taking factor.
Ø No major life decision should be made. Major decisions mean job change, marriage or getting divorced and so on. All these things should be under the careful supervision of your doctor, who knows you thoroughly. This will help your situations to be objectively supervised.
Ø It is always advisable to postpone any such important decisions, if your depression is aggravated.
Ø A patient must not “snap out” of his / her depression.
Ø It is always better to help yourself and not blame yourself if you are not achieving at par.
Ø Negative thinking of any sort must not be accepted, because it is the part of the depression. The problem is very likely to disappear once you start responding to the treatments.
Ø In case of your emergency need like harming yourself or someone, plan who can come forward for your help. You must plan like calling doctors, family, friends or local emergency services etc.
Ø You must keep yourself away from those things which can hurt you or others around you. Things like firearms, extraordinary medicines or any sharp material which can easily harm anyone..
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