Depression

UnderstandingDepression is a mood disorder that causes feelings of sadness and loss of interest constantly. Depression usually affects a person in thinking and behaving, and can trigger a variety of physical and emotional problems.
A person who is depressed may experience problems with daily activities. In fact, they often feel that life is no longer useful. However, a person who is depressed does not mean a weak figure. Because depression is a disease that can be cured.
If left unchecked, depression can lead to dangerous complications. For example anxiety disorders, panic disorder or social phobia. People who suffer from depression tend to be socially isolated so that the desire to commit suicide. In addition, they are also vulnerable to harm his own body. For example cutting a particular limb.
Depression can get worse if left untreated. Untreated depression can lead to emotional problems, behaviors, and health problems that can affect every aspect of your life, even leading to death.

Diagnosis
In addition to consultation to the doctor, to diagnose depression is also required psychological evaluation by psychiatrists. You will be asked to answer and fill out some of the questions included in the depression guide.

The doctor will also perform a physical exam if necessary. Depression can also be caused by certain side effects of the disease.

Therefore, doctors can also perform laboratory tests such as full blood tests or thyroid tests to determine your thyroid function
The key words of depression are a moody mood and lose interest in activities you've previously liked. To establish a diagnosis of depression, a psychiatrist needs to watch for signs, at least for two weeks.

SymptomsDepression symptoms occur for at least two weeks. Some sufferers can suffer from severe depression that disrupts their daily activities. For example in work, at school, social activities, or in interacting with others. Some other sufferers may also feel unhappy without knowing the reason.
The Diagnostic and Statistical Manual of Mental Disorders, 5th ed. (DSM-5) is a widely used guide in diagnosing mental disorders. According to the guidelines, depression can be suffered by a person if he or she has at least five of the following symptoms:

• Feeling moody / depressed most of the day, especially in the morning
• Fatigue or loss of energy almost every day
• Feelings of no use or guilt almost daily
• Disturbance of concentration, uncertainty
• Have trouble sleeping or even sleeping excessively
• Reduced interest and interest in all activities
• The thought of death or suicidal desire that arises repeatedly
• Feeling uneasy or being sluggish
• Significant weight loss or weight gain 

TreatmentUntil now there is no medicine that really cure and eliminate depression. Depression sufferers are recommended to regularly take depression medication and perform psychological counseling. This method proves to be effective for most people with depression.
If you are suffering from major depression, you may need to be admitted to the hospital or follow an outpatient therapy program until symptoms improve. Here are the types of drugs used as depression or anti-depressants:

• Selective serotonin reuptake inhibitors (SSRIs): fluoxetine, paroxetine, sertraline.
• Serotonin-norepinephrine reuptake inhibitors (SNRIs): duloxetine, venlafaxine, desvenlafaxine.
• Norepinephrine-dopamine reuptake inhibitors (NDRIs): bupropion
• Atypical antidepressants: trazodone, mirtazapine.
• Tricyclic antidepressants: imipramine, nortriptyline, amitriptyline, doxepin, trimipramine, desipramine.

Monoamine oxidase inhibitors (MAOIs): tranylcypromine, phenelzine, isocarboxazid.
In addition to taking drugs, people with depression can also follow psychotherapy. Psychotherapy is a general term for dealing with depression by talking about your condition and the problems associated with your doctor or counselor. Psychotherapy is also known as speech therapy or psychological therapy. 

Prevention
There is no definite way to prevent depression. However, you can do the following things that may be useful:

• Perform stress control measures, to increase your resilience and confidence.
• Get closer to family and friends, especially during tough times, to help you through it.
• Immediately seek treatment when the earliest signs of depression appear, to help prevent depression gain weight.
  

Consider getting long-term maintenance therapy to prevent symptoms of depression reappearing.
Tip Relieve Depression 

Depression does include a disease that has not yet been found to cure, but you who have already suffered from depression can take various actions to relieve symptoms of depression, such as the following:

• Do not stop taking depression medications before telling your doctor. Stopping treatment suddenly or forgetting to take multiple doses of medication can cause symptoms resembling withdrawal symptoms and may worsen depressive symptoms.
• If you are pregnant or breastfeeding, some antidepressants may be at risk for a fetus or breastfeeding child. Talk to your doctor when you are pregnant or breastfeeding.
• Live life simply. Maybe you should allow yourself to do less work or activity if you feel tired or weak.
• Write a diary to improve your mood.
• Read books or internet sites that can help you get better.
• Do not confine yourself or break away from social activities.
• Find some ways to relax and cope with stress.
• Do not make important decisions when feeling disappointed or moody because maybe you are not thinking clearly. 

CauseUntil now, not yet known exactly what causes depression. However, the disease can be affected by various factors, such as:

• Biological changes. People with depression experience physical changes in their brains. The changes in question can not be clearly defined.
• The instability of chemical reactions in the brain. In a study found if the chemicals contained in the brain may play a role in the occurrence of depression. Changes in brain chemicals will lead to changes in the stability of the mood in a person.
• Hormonal changes. Changes in hormonal balance in the body can lead to depression. Hormonal changes can occur during pregnancy, for several weeks or months after childbirth, due to thyroid problems, menopause, or other conditions.
• Family descent. Depression is more common in people who in their sedarah family also have this condition. Researchers are still trying to find genes that may be involved in causing depression.

In addition to the above factors, some of these factors also potentially increase the risk of developing a person's depression.

• Having low self-esteem and being too dependent on others, often self-blame, and pessimistic.
• Experiencing a traumatic or stressful event. For example sexual harassment or physical torture, death or loss of a loved one, difficult relationships with someone, or financial problems.
• Experiencing childhood trauma or depression that begins as teenagers or children.
• Have different sexual identity such as lesbian, gay, bisexual, or transgender in situations that do not support.
• Have other mental disorders, such as anxiety disorders, eating disorders, or post-traumatic stress.
• Dependence on alcohol or illegal drugs.
• Chronic illness or serious illness, including cancer, stroke, chronic pain, or heart disease.
• Are in certain medications, such as taking some medication hypertension or sleeping pills. Some experts find the relationship of depression with the consumption of certain chemical drugs. Better talk with your doctor before stopping any treatment. 

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