Depressive Disorder

Depression is one of the mood states of a person (see; wonder

what you are wondering =; depression). This mood, which can be considered normal to a certain extent, becomes a disease as its duration

longs and its severity increases. Depending on the duration of the depression, the degree of depression, and the presence of other additional symptoms, it can be classified as "major depressive disorder", "minor depressive disorder", "brief depressive disorder", etc. It takes names like. But what they all have in common is that their depressed

mood no longer allows them to live a healthy life.

The patient does not enjoy life as much as before, does not want to do his hobbies, and cannot do his job properly

. Meeting people, going somewhere, even doing the simplest things has become very difficult now. His sleep was disturbed, his appetite and sexual desire decreased. He feels weak and exhausted

. He neither wants to do anything nor can find the strength to do it.

He questions the mistakes he made in the past, thinks about how negative his current life is and that there is no hope of improving these problems in the future.

He is pessimistic and pessimistic about almost everything. This unhappiness and stagnation is noticeable from the outside as well.

As the depressive mood deepens, the degree of negativity of these complaints and thoughts increases, the table goes from "mild" depressive disorder to "very severe" depressive disorder. can progress. As the severity of the disease

increases, inpatient treatment may be required because self-care is significantly reduced and the risk of suicide increases.

Depressive disorders may be due to a negative life event or are obvious. It can also occur when there is no visible problem

. Research has revealed strong connections between depression and some biological factors. For example, inefficient functioning of chemical substances such as serotonin and noradrenaline in the nervous system, and some hormonal abnormalities. In other words, some individuals

are prone to depressive disorders due to their biological characteristics. For this reason, drug

treatments have significant benefits in eliminating depression.

In addition, some people experience seasonal changes. They may also get into a depressed mood. Especially as winter approaches, they become more depressed, stagnant and reluctant. These changes, which can occur to a certain degree in almost everyone, are very noticeable in some individuals (“seasonal depression”) and require treatment. Again

The so-called "motherhood blues" that many new mothers experience after birth are experienced more severely in some women ("postpartum depression") and it takes time for the health of both the mother and the baby.

It needs to be treated before it is lost.

Some individuals are more prone to developing depressive disorders due to their personality structure. Life problems that others can handle without much difficulty may be experienced as insurmountable obstacles for them

. Their personality traits are not strong enough and their defense mechanisms are immature, causing them to easily become depressed. Psychotherapy must be included in the treatment of these individuals in addition to medications.

Depressive disorder is a disease that usually progresses with recurrent attacks, so treatment

in addition to curing the attack. It is also necessary to prevent recurrence of attacks. Drug treatments and psychotherapies are treatment methods with proven effectiveness in the treatment of depressive disorder. Electroconvulsive treatment to be performed under hospital conditions in very serious and immediate results (such as serious suicide attempt, serious postpartum depression, depression with psychotic features)

( ECT (shock therapy) may be used. Antidepressant medications should be used regularly for at least 8-10 months in order to maintain well-being and reduce the risk of recurrence of the disease after the medications are stopped. Because only after this period, drugs can have an effect at the gene level. This effect at the gene level is necessary for the permanence of the treatment. If the drugs are stopped earlier, this effect will not occur

and the disease will most likely recur.

Various types of psychotherapy

(cognitive-behavioral psychotherapy) are used in the treatment of depressive disorder and preventing the recurrence of the disease. , supportive psychotherapy, psychodynamic psychotherapy)

effectiveness g� �shown. The appropriate type of psychotherapy is selected according to the severity of the condition and the characteristics of the patient

.

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