What is mental health

What is mental health

How many times have you dreamed about going back to your "pre-depressive" emotional state? Return not at the cost of daily intake of a handful of pills, constant drowsiness, the feeling of a metal helmet, worn on the head, killed at the root of sexual desire, but really, so that without the help of medicines you can laugh when watching comedies, do not poison the life of others with your downcast, perform elementary work for an hour, not for a week. But if you think that's mental health, you're wrong.

Of course, against the background of your current state and what was before the depression, it seems a pipe dream and something completely unattainable, but remember, before the illness, you did not have to experience unmotivated anxiety, emotionally react to some little things and then regret your behavior, be afraid of public speaking and avoid noisy parties? Depression is a very unpleasant disease, but it gives you a chance to reconsider your life, beliefs and values, to uproot the emotional anchors that have settled somewhere very deep in the subconscious, to remove the blocks and restrictions imposed by someone, to get rid of bodily and mental clamps, to regain the ability to feel as you felt in childhood, when the colors were brighter, and the food tastier, and each new day brought a lot of new positive impressions.

Don’t stop at what doctors call “remission,” don’t agree to spend the rest of your life on a “maintenance dose” of antidepressants, it’s not real life, you have the right to demand more.

So what is mental health?

I would like to remind you once again that I do not pretend to be scientific and admit that my vision of some aspects of the problem may differ from the currently accepted medical paradigm. But I have a moral right to my point of view, after all, all these volumes of medical research, mountains of pills, and dozens of hours spent in the therapist's chair didn't give me the result I was able to come to on my own.

Antidepressants and psychotherapy were able to bring me to a relatively stable state, that is, I could go to work, with some very small degree of efficiency to perform their duties, to maintain some minimum necessary social relations with friends and colleagues. At the maximum for me therapeutic dosage of drugs I had panic attacks, which was already a great relief, increased mood, passed insomnia. But at what cost!

I wanted to sleep all day, about any productive work and the speech couldn’t be, I added 10 kilograms in weight, ceased to go in for sports, didn’t test any sexual attraction. For a long time I was sure that I was doomed to such existence until the end of my days, and internally already reconciled with it.

After I started meditative practices, which I will write about in detail below, my optimism increased, I was able to reduce the dose of antidepressants twice the maximum level, at some point I even completely refused to take them. But, unfortunately, this state lasted only a couple of months, the first stress at work drove me back into a deep depression.

But even at the peak of my emotional recovery, I realized that it was difficult to call it recovery. My mood was extremely volatile, I overreacted to the slightest stressful situation, slept badly.

And only now I understand what real emotional health is. This does not mean a constant good mood and the absence of any anxiety and excitement. This condition also refers to the pathological in psychiatry called “germanically”. You may have met such people in your life, I knew two of them, and both of them were scientists for some reason. They could talk and work for hours, almost days, never tired and never listened to anyone, always stayed in some elated euphoric state. At the same time, the lives of others they turned into hell, to communicate, and even more so to live with such people is absolutely unbearable, and they themselves are rarely happy and successful. I don’t think that’s something to aspire to.

By mental health, I mean something completely different. A person is healthy, if in the absence of any external influence his emotional state is stable, he feels balanced, with a slight deviation towards the positive, he is calm, but energetic and collected, able to concentrate on the task and at the same time get satisfaction from his work.

A person should get satisfaction from the process itself, whatever he was doing, to regain the taste of life, the ability to feel, to feel the world as it was possible in childhood. We all understand that the children’s brightness and freshness of sensations lost, and put up with it. But it shouldn’t be like this. To correct this state of Affairs, we first need to understand why this is happening, to discover the causes of this phenomenon of loss of a part of ourselves. About them we will talk in the next Chapter.

For whom this book is written

How to break out of a black hole Part 2

First, some statistics:

The world health organization (who) compares depression with an epidemic that has engulfed all of humanity: depression has already come to the first place in the world among the causes of absenteeism, the second – among the diseases that lead to disability.

Every year about 150 million people in the world lose their ability to work due to depression. Only the us economy, it causes annual damage of more than 50 billion dollars. This amount includes the cost of 290 million lost working days, psychotherapy and disability.

According to who forecasts, by 2020 depression will come out on the first place in the world among all diseases, having overtaken today’s leaders – infectious and cardiovascular diseases. Already today it is the most common disease that affects women.

According to studies conducted in the United States, people prone to depression are twice as likely to die from other diseases.

50 % of those suffering from depression do not seek medical care, and of the remaining only 25-30% get an appointment with a psychiatrist.

Unipolar depression is the leading cause of disability in the United States among children over 5 years.

Special studies have shown that 60 % of patients applying to clinics, detect depressive disorders of varying severity. Meanwhile, as a result of diagnosis by traditional medical methods, which are used in clinics, depression is determined only in 5% of all patients applying there depressive.

Depression is diagnosed in 22-33 % of hospitalized patients, 38 % of cancer patients, 47% of stroke patients, 45 % – myocardial infarction, 39 % – parkinsonism.

Not so long ago, the peak of depression was between the ages of 30 and 40 years, but today depression is sharply “younger”, and it often affects people under 25 years. Among those who were born before 1940, the number of people with depression before the age of 25 is 2.5%. Among those born in 1940-1959, this figure is already 10%. There is no accurate data for later years, but this trend continues to grow.

From 45 to 60% of all suicides on the planet are committed by patients with depression. According to forecasts, in 2020, depression will be the killer number 1.

A depressed person is 35 times more likely to commit suicide than someone outside of it. 50 % of people with endogenous depression and 20% with psychogenic commit suicide attempt. Every sixth it is possible.

The annual catalogue of new antidepressants reaches a thickness of 3 cm.

With a single episode of depression, the probability of relapse is 50 %, with the second – 70 %, with the third – already 90 %.

With depressive disorder, at least one of the spouses divorces occur 10 times more often than in ordinary families.

This book does not claim the status of scientific research, I will not describe in detail the causes and biochemical reactions behind the development of depression, complex mechanisms of action of psychotropic drugs used for its treatment. This is a look at depression from the inside, an attempt to tell about what a person feels, being in such a state, and, most importantly, that you can get out of depression, I did it, and therefore, you should get it.

This is not an easy way, there is no universal method or pill, drinking which could regain mental health. But, if you are among the people described by the soulless statistics in the above quote, the fight against depression should be your most important task, the meaning of life here and now, a goal without which you can hardly expect to achieve all the others.

Believe me, I know what I’m writing. I studied medicine for seven years at the Institute and had to spend another six years studying the problem of depression and methods of its treatment. You will not read this information in medical textbooks and drug instructions, your doctor will not tell you about it either. I am not bound by any shop obligations and am not going to defend my point of view before the ossified medical establishment. I recognize only one criterion-the result and ready for this criterion to withstand any tests and checks. Everything that is written here, I tried on myself, except psychedelics and electroshock, the first – in view of their illegality and absence of the psychotherapists having experience with them, the electric shock simply wasn’t necessary to me, I managed to jump off the train before arrival to this station.

Most of the therapeutic methods used for the treatment of depression, has a varying degree of effectiveness, and to achieve the optimal result requires a combination of them. Any psychiatrist will tell you that taking antidepressants should be combined with psychotherapy sessions. Unfortunately, this knowledge and recommendations of most specialists and limited. Rarely any psychiatrist will advise you to engage in meditation or gymnastics qigong. Even fewer specialists are familiar with the techniques of neurolinguistic programming, and almost no one in Russia knows about the primary therapy of Dr. Arthur Yanov.

There is no need to be afraid of the number of practices offered by me, there is no point in practicing them all. Some of them are described in order to avoid them and not to repeat my mistakes. The basis of my technique is the Primary therapy (primal therapy), developed by Arthur Yanov. I am convinced that without serious study of unconscious material it is very difficult to get rid of the true causes of depression, and I believe that Dr. Yanov’s methods are the most effective at the moment to achieve this goal.

This book describes my personal experience of getting out of depression, and I really hope that it will be useful for someone else. I know that you find it hard to believe that deliverance might know how tired you advice others to “pull themselves together”, the replica “you’re the man!”or “you’re a mother!”, “think about the children/parents/colleagues/interests of the company”, believe me, I went through all this nightmare.

But I would like to warn you. If you suffer from depression, you in any case should not engage in self-medication and perceive this book as an alternative to drug therapy and psychotherapy, on the contrary, the earlier you start treatment prescribed by a specialist, the more chances you will have to get rid of your problem forever. Another thing is that the book can help you in choosing a doctor, to understand the cause of your suffering, to save time and money that you could spend on all sorts of near-medical charlatans and, I very much hope to make the final step, to make a breakthrough to the final recovery.

I give practical advice and exercises that helped me get out of the black hole of depression.

If you, as well as I, unsuccessfully motalis from one specialist to another, if you are treated for all possible diseases in the world, until the present diagnosis, if you go to the pharmacy more often than the supermarket, if the number and color of the tablets already dazzled – this book is for you.

Remember-there is a way out.

Depression. How to break out of a black hole

Depression. How to break out of a black hole PART I

Depression is like a lady in black. If she came, do not drive her away, and invite to the table as a guest, and listen to what she intends to say.

Carl Gustav Jung

Best day of my life

Probably, it would be easier to throw out at once these two huge plastic bags stuffed to the eyeballs with all kinds of psychotropic drugs available in the post-Soviet space. But it was a special pleasure for me to get one multi-colored boxes, each of which meant a certain milestone, a stage in my six-year struggle with depression, to carefully consider them, to cause associated memories and ruthlessly send them to the trash, along with all the pain, fear, suffering that they meant to me.

“Prozac”, Cromwell Hospital, London, obese doctor with unhealthy shortness of breath, first told me “you are depressed“; “Remeron”, ajibedam hospital, Istanbul, $ 800, spent on meaningless tests; “Lerivon”, Moscow, 10 kilograms of excess weight, gained over three months…

Six years. Erased from life, from the most active period of my life, six years of unrealized opportunities, rejected career proposals, ruined personal life, hopeless vegetations.

I deserve this day. Definitely deserved it.

Introduction

Hi.

My name is Anar, I am a doctor, I am 38 years old.

The last 6 of them were stolen by depression.

I have suffered from depressive disorder, generalized anxiety and panic attacks since August 2002. At the peak of the disease, I took three types of antidepressants at the same time, visited a psychotherapist, engaged in various practices from the field of alternative medicine. Despite this, most of every day I spent in a depressed state, panic attacks happened 3-4 times a day, I shuddered from every phone call and appeal to me by name.

At some point I decided to accept it. I decided that I was destined to spend the rest of my days on antidepressants, which though I did not feel good, but which at least gave me the strength to get up every morning from bed and go to work, somehow communicate with the people around me, to perform their social functions.

In the end, it stopped working. I lost my job, my personal life was ruined, I didn’t see any sense in my future existence.

But six months ago, the situation began to change. Now in my life everything is different, I do not take antidepressants, do not feel anxiety and panic attacks, most of the day I am in a calm and positive state. I have a new job that gives me satisfaction, and a girl with whom I plan to connect my life and which is better for me there is no one in this world.

Not so much, you say?

Well, really, a lot of people around you have the same thing and don’t write books about it.

But if you are reading this book, perhaps your life is not so rosy. As a doctor, I have encountered depressive patients in my practice, some of them reached such a stage that they saw no other way out for themselves than suicide.

Then I still did not suffer from depression myself and I can responsibly say: never a person who has not been in this skin, will not understand that he is experiencing a depressed patient, for whom there is no greater happiness, a greater dream than to return to his pre-painful state, to live a normal life, to love and be loved, to enjoy the little joys that healthy people are so familiar that they do not cause any emotions.

So what happened six months ago?

There was no miracle, I did not find a wonderful pill that cured me, did not read any book that recommends “change your attitude to depression” and “think positively“, after which all my problems were resolved.

There are no miracles. There will be no them and in your case-to get rid of depression, it is necessary to work. But my example shows that the reward for work can be huge if you know exactly what to do. It took me 6 years to figure it out, you can get this knowledge in a few hours spent reading this book.

As a doctor, I was well aware of the underlying mechanism of depression, but as a patient, I could not find an effective solution that would stop this ruthless mechanism.

Now I know how to do it. I spent 6 years and over $ 50,000 on medication, psychotherapy, and various spiritual practices. Everything I know, including the only effective way out of depression that I know, I have summarized in a book that I have the honor to offer to your attention.

Just remember that reading the book will not cure you, the technique will have to practice. It is not difficult, does not take much time, and the effect you will feel after the first successful session. Each time it will increase, and, I assure you, the classes will not only not burden you, but, on the contrary, once you feel the effect, you will strive for them with impatience.

The basis of my methodology is based on the theory of primal therapy, Dr. Arthur Janov and methods of neuro-linguistic programming, originally developed by John Grinder and Richard Bandler.

I underwent three weeks of intensive therapy at the primary center in Los Angeles in January 2009, and this experience changed my whole life. I finally figured out how to get to the forgotten childhood memories and the repressed pain they continue to cause us.

It remained to find a method to work with psychological trauma from the present and recent past. This proved to be easier, NLP methods in this regard have shown themselves to be very effective.

To understand why a combination of these methods has had the best effect, you need to be aware of the causes of depression. Any doctor will tell you that the basis of depression is a violation of the normal course of biochemical processes in the brain and the associated metabolic disorders of neurotransmitters – serotonin, norepinephrine and dopamine.

But that’s not what I mean.

Every depression has a reason. Sometimes it can lie on the surface and be realized by the individual, sometimes its causes are buried in childhood injuries and experiences. But most often, even almost always, there is a combination of these two factors, stress in the present causes pain from the past to life. You can read more about this in the Chapter “Causes of depression“.

Dr. Yanov had been in therapy at the time, many celebrities, including Elizabeth Taylor and Barbra Streisand. But his most famous patient was of course John Lennon. Below you can read the memoirs of Dr. Janov about John’s therapy, with which he shared in an interview with the magazine “Mojo”.

In my opinion, Dr. Yanov managed to get to the root of the problem. Primary therapy allows you to reach and throw out suppressed emotions that cause nervous disorders. This is very important, but not always enough. To get rid of depression, you also need to work through traumatic situations that are already in your mind, are recognized by you, but still continue to torment you.

I’m not going to teach you Primary therapy, you have to go to Los Angeles and get it at the Primary center. In this book I describe my experience, undoubtedly positive, and the method that I had to come up with to be able to continue to work with his subconscious to stop the three-week intensive at the Center.

Primary therapy, like any other, is long-term. It does not stop after the first three weeks, and it is quite justified: it is impossible to work out all the unconscious material in such a short time. But I had to interrupt my treatment at the Center, I could not continue to stay in Los Angeles, besides, having lost my job, I already in any case had nothing to pay for the continuation of therapy.

Fortunately, I now have the opportunity to practice my method at home, and I’m ready to share it with you. You will learn how to relive long-suppressed feelings, how to get rid of the pain that has accumulated in your mind for decades, how to get rid of daily stress and work out traumatic memories from the recent past.

I also described in detail my experience of medication and psychotherapy, as well as the experience of various spiritual practices. Some methods worked for me, some didn’t. After reading this book, you will learn how not to make my mistakes and not to waste time and money on useless techniques, learn about the side effects caused by various antidepressants, the exact, and not always harmless, the mechanism of their work.

Here's a partial list of what I've had to try in the last 6 years:

Antidepressants and other medications:

Prozac, Zoloft, Amitriptyline, Lerivon, Remeron, Venlafaxine, Desyrel, Wellbutrin, Paxil, Xanax, Diazepam.

Psychotherapy and body-oriented therapy:

Interpersonal therapy, psychoanalysis, cognitive-behavioral therapy, primary therapy, Rolfing.

Spiritual and meditative practices:

Self-hypnosis, qigong, Scientology, transcendental therapy, holotropic breathing, psychoanalysis, sleep deprivation.

I do not urge you to stop your current treatment, my method is compatible with medication and psychotherapy. There is a high risk of premature and abrupt discontinuation of antidepressants, and they should be taken only under supervision and in consultation with the attending physician. But, practicing my method, you will feel that over time you will no longer need for other types of treatment.

I wrote this book from two points of view – the doctor and the patient. As a doctor, I will tell you about the causes of depression, the mechanism of action and indications for the use of various types of therapy. From me, as a patient, you will learn about the effectiveness of a particular method, side effects of drugs and, finally, that eventually helped me cope with my long-term disease.

I feel better now than I did before my illness. Simultaneous work with suppressed and conscious material gave results that I could not even hope six months ago. But I’m not going to stop there, it’s not enough for me to be just a healthy person in the ordinary sense of the word. Now I have a powerful tool at my disposal, using which I am going to completely clear my mind of the mental debris that has been building up in it for decades. My goal is to return and comprehend my personality, my true self, free from artificially constructed by me or anyone who has ever had an influence on me, psychological barriers, old complexes and beliefs.

Change your life and you. Do not settle for vegetating and suffering for the rest of your life. I know, I know very well that it’s hard for you to believe this right now, but life can really be beautiful and amazing, filled with happiness and meaning. This goal is worth fighting for.

Don't give up, get your life back!

How to Reduce Autumn Anxiety: 10 Ways to Relax

How to Reduce Autumn Anxiety: 10 Ways to Relax

EVEN IF THE STUDY IS LONG GONE, THE END OF THE HOLIDAY SEASON and the beginning of the school year are associated with stress and increased workload. Work is added, in transport there are more people, the weather worsens-and it's time to hone the ability to relax to calmly survive the autumn and winter. We have collected ten ways, the calming effect of which is confirmed by research and which will help to recover, even when it seems that everything collapses and goes out of control.

Drawing

Art therapy has already proved its effectiveness in the treatment of depression, anxiety disorder and other mental illnesses. After all, sometimes it is easier to draw what you feel than to tell. Forget about the lessons of fine ARTS and harsh teacher: here you are not required to clear lines, “correct” composition or a certain combination of colors. Create what you want and how you want, frames (they will be except on canvas) and no estimates, the main thing — come to this lesson consciously: take a break from thoughts and focus on the process. According to the candidate of psychological Sciences and associate Professor of Brooklyn College Jennifer Drake, only fifteen minutes of drawing significantly uplifting.

Meditation

Around meditation many myths — apparently it is complex, confusing and generally only advanced yogis. In fact, for a successful meditation is not necessary to sit in the Lotus position, teach wise (special gestures and finger positions) or pronounce mantras. It is important to choose a quiet place to concentrate on your breathing and try to observe their thoughts. The first time is unlikely to succeed (from the second and third too), but the main thing here is regular practice. Start with short sessions: five to ten minutes a day is enough to form a habit. It is better to meditate in the morning or before going to bed, but even this is not considered a strict rule.

Meditation helps lower cortisol levels in the blood, reducing stress and increased anxiety, but that’s not all. Last year, the society of integrative Oncology updated its guidelines-and now recommends the use of meditation as one of the ways to improve the physical and emotional state of breast cancer. Another study found that various practices for the mind and body, including meditation, mitigate the symptoms of menopause. And neuroscientist Sarah Lazar is convinced that eight weeks of regular meditation sessions can change the physical properties of the brain. During the experiments, Sarah and her colleagues found that the size of the amygdala (the area responsible for the appearance of anxiety, fear and stress) in people practicing meditation, decreased. This was followed by a decrease in the level of stress.

Strolls

Physical activity is useful in any form, and normal walks are also considered. With friends, a partner, a dog or without anyone — it doesn’t matter, just leave the house when you want to relax or calm down, it really helps. Spend more time outdoors and those who have depression. Walking an average of two hundred minutes a week, women noted that they had more energy, they felt better physically and emotionally, and it was easier for them to socialize. And if you increase the duration of walking to seven hours a week, it will help reduce the risk of breast cancer after the onset of menopause — so say researchers from The American cancer society.

Sex

Hugs, kisses and sex are very useful for health — both physical and psychological. So, sex reduces cortisol levels and relieves stress, so that a person feels more peaceful. According to psychologist from Paisley University in the UK Stuart Brody, such a calming effect may occur due to the release of the hormone oxytocin, it is also called the hormone of love and affection. In addition, sex helps to better perceive and control their emotions, increase self-esteem and overall health. But some research does say about the positive impact of sex on memory in women.

Floating

Floating was invented and developed by neuropsychologist John Lilly. Translated from the English term means “swim on the surface” — in fact, this happens during the procedure without any effort. The patient is immersed in water with a high concentration of salt rich in magnesium, so that the density of the water is much higher than the density of the body — and it pushes the person to the surface (as in the Dead sea in Israel). This happens in the sensory deprivation chamber — from the name it is clear that the person in it is almost completely cut off from external stimuli, often-in complete darkness.

Since the procedure appeared recently, it is still poorly studied, so it is necessary to approach it cautiously: it will be useful to consult with a psychotherapist if you have it (after all, not everyone will be comfortable in a small enclosed space alone). On the basis of already conducted studies, we can say that flotation (probably due to magnesium in the salt) helps to relax muscles, accelerate recovery after training, relieve stress, normalize the nervous system and even improve sleep. On the procedure you need to try to relax, although the first time it will be difficult to do: the brain does not understand what it is, it will seem that you are drowning (in fact it is impossible, do not be afraid).

Journeys

It is not necessary to go to the other side of the world — it will be useful to go just for or to another city, provided that there you can feel like a tourist. Studies show that the holidays allow you to break away from the routine, bad weather and problems at work, which helps a person to relieve stress, reduce anxiety and find peace of mind. This effect has a very short — four-day-trip. Even at the planning stage-making a route, booking hotels, buying online tickets to museums-a person is in a good mood: a study conducted at Cornell University, confirmed that waiting for a trip gives a person more pleasure than waiting for the purchase of something tangible, such as a car.

Nurslings

If you have long been thinking about how to get a pet, then this item is for you. In February of this year, Helen Brooks, a lecturer at the Institute of psychology, health and society (Liverpool University), and her colleagues published a systematic review of the impact of Pets on people’s emotional health. After analyzing more than eight thousand articles, they came to the conclusion that Pets helped their owners to better control emotions and helped reduce the severity of symptoms of mental illness.

According to Brooks, this effect was achieved due to the fact that Pets accept people as they are (and the person understands this), and give them unconditional support, which research participants did not receive from their family or friends. According to experts of the mental health Fund, games and walks with Pets, especially with dogs, help to relax and calm the mind. And in moments of despair, caring for Pets can be the only incentive to get out of bed — it helps a person to realize their value and necessity. The main thing-approach the question responsibly: consider the option to take the animal from the shelter and do not forget that any animal should be systematically engaged.

Autogenic training

Those who do not like to do fitness, can exhale: no exercise is not necessary. Autogenous training is a method of therapy aimed at relaxing the body, relieving tension and stress. The first time to conduct sessions of auto-training is better under the supervision of a specialist. It will help to learn how to relax properly-so that it does not lead to deterioration of the patient’s condition, the appearance of anxiety or panic attacks (and this can happen).

Then you can put yourself in emotional order at home. The main thing is not to make the main mistake of all beginners-do not force yourself to relax, everything should flow naturally. The indications of the use of auto-training include not only stress or fatigue, but also anxiety and depression, sleep disorders, irritable bowel syndrome, high blood pressure caused by stress. The results of the studies show that this method of therapy is really suitable for some people.

Massage

What could be better and more pleasant than to spread out on the massage table after a day in the office? Although the benefits of massage for health (for example, that it helps to align the posture or relieve back pain) is still debated, that it helps to relax the body and mind, there is almost no doubt left. In one of the studies, participants who were given a massage, there was a decrease in the level of anxiety. There are many types of massage: hot stones (stone therapy), herbal bags, aromatic, honey, Thai, soap-choose any, but again do not expect anything from them except relaxation.

Music

Music has existed for 250 thousand years, and maybe more — psychologists, anthropologists, musicologists, neuroscientists have long studied its origin, properties, goals and effects. Scientists have made significant progress in the study of the influence of music on the emotional and physical health of a person: for example, they found that music reduces the level of stress hormone (cortisol) and is even able to relieve pain. In a 2013 study, doctors found that listening to music reduces anxiety in people before surgery.

You are certainly without any kind of research I have noticed that after listening to a favorite album becomes easier. In one study, scientists interviewed 834 people to find out what music gives them. It turned out that a lot: music helps different people to think about feelings, to better understand others, to believe in themselves, not to lose heart and to find the meaning of life.

How I Fought Depression: from Denial to Treatment

How I Fought Depression: from Denial to Treatment

Why depression is a serious disease, not a whim, and how important it is to be able to admit it.

“ALICE, BE SURE TO WRITE ABOUT IT! This is a mystery cleaner than domestic violence: few people dare to talk about it aloud,” – advised me a familiar editor, when I honestly answered why for six months disappeared from the radar and that all this time happened to me. I know, many of my friends will be surprised by my confession, many may decide that I am exaggerating. But the fact remains: for a little less than a year I was suffering from depression with roller coasters of sudden enlightenment and new levels of despair. I write this text in the first person and do not hide the name, because the Russian Internet is full of abstract discussions about the depression of the characters in the third person. “Happens to someone but not me.” This forms a false picture of an anonymous disease, which are subject to if only the weak and losers, faceless crowd without names, names and professions.

I did not realize that I was sick until one November morning I dialed the number of the hotline of psychological assistance for fear that I would do something with myself while my husband and dog sleep in the next room. After several months of sleep and memory disorders, I mentally inspected the house and literally

I was looking for a place to hang myself. The main signs of depression — inattention, irritability, constant fatigue, dissatisfaction with themselves and others — were not perceived separately, and in a few months became part of my personality. To live in such a state was simply impossible, as well as to believe that this state can disappear somewhere.

In any uncomfortable conversation you always need to start over from somewhere far away. In adolescence, I, like many children, tested the limits of their own endurance. My body was athletic and strong and therefore gave incredible results. For example, for two years I lived a double life, preparing for University during the day and reading Gary and Eliade at night. After three days without a dream, I could perfectly pass the exam and speak in public. To quickly make a difficult and unusual task, I had enough to drink a Cup of coffee, and a spoken foreign language by ear, I taught for 4 months.

“Egoism” is one of the most common words in conversations about depression…

Many young people live with a mobile psyche, finally getting used to their condition: I had a typical cyclotomy, as doctors say — a problem faced by 1 to 5 percent of people, while most do not receive any professional help during their lives. Strong periods of active activity were followed by long periods of recession or lazy calm: one most often accounted for Sunny weather, the other — on the cloud. Gradually, the periods became stronger and shorter, after one dramatic event in my life there were outbursts of anger and long periods of unreasonably bad mood, sociability alternated with isolation, and for a person who lives without personal space (first with his parents, and then with her husband), this turned into a huge problem over the years.

The causes of depression or factors of prolonged illness are really most often problems in personal life and at work, illness and death of loved ones, life in an uncomfortable environment or unrealized, alcohol and drug abuse. But there are also a dozen additional factors that, superimposed on the type of personality, can trigger the mechanism of depression without any external triggers. Low self-esteem, long-spoken contradictions with loved ones, hormonal failures, the regime of the day — with predispositions to sharp changes in the mood of any of these factors can become a powerful anchor for depression.

It turned out that in my own case, nothing happened to turn my life into hell. At the time of my severe nervous breakdown last summer, I was married to a loved one, living in the center of my beloved city, surrounded by beloved friends and understanding family. I had a nice freelance job and a lot of acquaintances. I loved everything: reading, watching movies, going to museums, studying, communicating. And at some point I did not sleep for a few days, did not eat and realized that all this from the bottom of my heart I hate. Living the wrong way, pretending to be someone else, taking someone else’s place. And no one’s gonna get hurt if I disappear. A little hallucinations, a little bit of the novel “Nausea” and the film “Interrupted life” — the first time depression pretended to be another existential crisis and a stage that just need to go.

The nervous breakdown lasted only a few days, when I literally walked on the wall, silent or unequivocally answered questions, missed calls and cried several times a day. My birthday was approaching with annual summary questions about what I have achieved, what happened, why I am where I am now, whether I live properly and how it is expected of me. These issues, if you read psychological forums, suffer many adults right before the holiday. All missed opportunities stand in a row, as exhibits in the Museum, to make them easier to see. My answers didn’t comfort me. I know that many people are looking for joy in a fun frenzy, adventures, at the bottom of the bottle or at the end of the jamb, but all these methods have never worked for me. Such a familiar picture of the world where I live in peace with myself, crumbled — and I began to hate myself: for laziness and weakness, for narrow horizons and features of appearance, for every awkwardly inserted word and missed call, for any mistake.

Although my condition worsened after the birthday party and I even had to cancel the party for friends, I was still unaware of my illness, thinking that it was just a bad streak that lasted too long. I was too used to cyclotomy and considered it not a disease, but an integral part of myself. Kurt Cobain was afraid that when he cured his stomach, all the songs would fall out of him and the poems would disappear and he would remain just an ordinary American nerd who was not interesting to anyone. Something similar I thought: if you take away my mood swings, violent summer euphoria and hibernation, gloomy days when you do not want to see anyone, and moments of despair when you want to crumble the reflection in the mirror — it will not be me. Who then will wag his ass at the dance, write poems for any reason and cook at two o’clock in the morning fiery spicy curry? The same girl does the same thing.

At first, I shared a lot of experiences with my husband — a man who understands me better than anyone else and, perhaps, those who himself is experiencing similar conditions. He and all adequate friends confirmed my feelings: to doubt-correctly, to be afraid to make a mistake-normally, to do despite everything — surely, to be open and accepting — the biggest luxury. Everything I shared with them, I heard back. We are afraid, we doubt, we do not understand what we are doing, but we can not do, we have a huge responsibility for parents and children, we must try and force ourselves if you are on the right track.

ACCORDING TO THE WORLD HEALTH ORGANIZATION, depression affects about 350 million people. However, less than half of them receive treatment, and in some countries this figure is not and 10 %. One of the reasons why patients with depression do not receive qualified assistance is the social stigmatization of mental disorders and the lack of available information about the symptoms of depression, as well as about the methods of its treatment.

On forums about depression indeed most women, but are outfitted with and men. Even more surprising to see men on the forums of women’s sites, where they are trying to figure out what to do with their eternally crying wives, how to help them, what they did wrong.

Most say exactly what I felt-list the symptoms of banal, but this is no less acute suffering: it is impossible to get up in the morning from bed, eating through the force, sleep intermittent and restless, constantly feel at ease, uncertainty in every word, light visual and auditory hallucinations, guilt, do not work, shy away from every little thing — whether it is a flying bird or a man on the street.

Many forums complain about years of depression: work through force, life for the sake of the family to the detriment of themselves, unloved classes, life on credit, domestic poverty, lack of friends. They are echoed in the comments by hundreds of sympathizers and share homemade sedative dosages and sites where any pills can be bought without a prescription. Sometimes in the comments people come in with a ready diagnosis or verdicts: “Snickering, you there in the big cities. Flood the furnace in the village — and your depression as a hand will remove“, “I went to the neurologist. She said I should live not for myself, but for my husband and children. Live for others-immediately becomes better. All from egoism.

Suicidal thoughts are considered by many to be a sin, not a disease…

“Egoism” is probably one of the most common words when talking about depression. How else to call a person who constantly, for several years, says that he is ill? Attracting attention? Shouts “Wolf!”where nothing happens? The indictment was a familiar chorus of “fault” in different ways: “no one forced you to give birth” — for postpartum depression, “she chose now to pick up the pieces” — a bad marriage, “where eyes see” — a problem child, “turn your head and look around, how many laps do poor people” — on any complaint that is not related to a specific disaster.

The arguments regularly include starving children in Africa, slaves in Chinese factories, victims of wars and clean — UPS-and as long as they exist, it means that everything is not so bad for us today. Real and potential suicides are condemned with the zeal of early Christianity: “you do not have enough moral strength to deal with yourself, you do not have to be a rag!”Suicidal thoughts for many are in the space of sin, not disease, and even after the death of the beloved Robin Williams sounded too much poison against a talented person who seems to have everything.

Depression, especially in public people, is often invisible until it’s too late, and confessions of people who suffer from it are almost always signed with fake names or published anonymously. There are not many forbidden words, and “depression” is one of them. We cannot say that we are suffering — as if it would cause others to abandon their happy families and loved ones and begin to suffer. “Depression – from free time. Take yourself for 16 hours-and your legs will fall off, not to depression“. You can sigh as much as you want over a glass of wine with friends, but it is spoken aloud “depression” almost always becomes a stop word in any secular conversation. I said this word several times to almost strangers, they began to clap their eyes and just did not know what to answer me.

For a long time only my husband knew about my condition. I was ashamed and strange to talk about myself in this capacity to anyone — no one saw me crying “just like that” for all 28 years of my life. However, several times in tears for no reason I was caught close friends here have had to say all to be honest. It sucks to admit that you feel worthless and unnecessary, but it was necessary to argue the sudden departures of the guests, the disappearance without saying goodbye, unanswered messages. Then I was late with a couple of work assignments, which never happened to me. Then a few days did not leave the room in the hope of still sleep. It was the fourth month of my insomnia, and I finally realized that one more week like this, and I would have my own fight club. Torture lack of sleep is not in vain considered one of the strongest.

At 8:30 this morning, I wrote to a psychologist friend and asked for urgent contact with a psychiatrist. On the hotline of psychological help on the eve of a cold voice very sober, balanced and emotionless tried to persuade me to make an appointment with two doctors: a neurologist and a psychiatrist. I can’t believe it, but I was afraid to go out and talk to people. I was sweating as soon as I went outside, I was choking in the transport and hid my eyes from passers-by. The road to the pharmacy was a test, my husband could not make me walk the dog for a week, although this is usually my favorite pastime. In the municipal neuropsychiatric dispensary, I was scheduled to visit in 10 days. At that moment I could not think even for tomorrow and from planned visit to the state doctor it was necessary to refuse. I started to look for the doctors themselves, through a friend.

Need to say, that suicidal thought — urgent red-button and signal, that to psychiatrist need turn directly tomorrow, not expecting, that “the very will pass.” Choosing a doctor is a separate trick, and it is worth to tell more about it. Unfortunately, as psychiatry and psychological assistance in Russia is pitiful to see a specialist scared — I think you for all your thoughts put in the hospital and confined to my bed. Therefore, confused patients often seek advice from psychologists and psychoanalysts who do not have medical education, and therefore do not have the qualifications and the right to treat suicidal patients. Their advice and training can be very useful in a normal situation for personal growth, overcoming crisis situations, but not when you want to commit suicide and you are considering a specific way. A psychiatrist is a person with a long-term medical education who, in addition to the medical Institute, can have additional education and experience of internships, can work with medicines, participates in research and experiments.

ACCORDING TO THE INTERNATIONAL CLASSIFICATION OF DISEASES, symptoms of depression are low mood, reduced energy and loss of interest in life. Patients have reduced the ability to enjoy their favorite activities, focus, disturbed sleep and appetite. There are often thoughts of guilt and uselessness. Depressive episodes can range from mild to severe, including hallucinations, suicide attempts, and loss of social activity.

The first psychiatrist took me away from home, and getting to him was a separate torture. A trip to the municipal neuropsychiatric dispensary on the outskirts of the city — a test for himself. How much I can not cope on their own? How deep I fell in your illness? On the benches there were a lot of scared and sad young girls, several pairs of parents who were led by the hand of their children. I calmed down a bit that while I can move myself, without help. The first psychiatrist treated me with hypnotherapy: I decided that I was too strong to resort to medical care, and everything can be done at the expense of my own will and through work with the subconscious. After 6 sessions the dream did not return, and the deterioration has been devastating: over the last week I have lost 5 pounds, drinking almost only water, could not read and memorize any long phrase.

On the birthday of a friend on the eve of the New year, I let go, drank a record amount of alcohol, danced all my legs and flew on vacation. A plane ticket helped me out in the most difficult situations. Rescued and now. Without any pills in the sun among the palm trees, I instantly felt better, started eating normally and slept like a Groundhog. But three days before returning to Moscow, I again felt terribly hard to sleep and breathe. I could not think of anything other than the fact that all the upcoming cases will fail, I will embarrass myself, I will not work and friends with family communicate with me just out of habit. In mid-January, I caught up with another phase of dysphoria.

Hundreds of people had no idea, what’s happening to me…

With noticeable deterioration, I changed the doctor and decided to try treatment again – without pills and hypnotherapy. Attentive, intelligent and very caring, my doctor was not much older than me and had cerebral palsy. The first few minutes I tried to hide the surprise with which I watched him walk. Unlike the first doctor, he asked a lot of personal questions, memorized what I was saying, and struggled to help me cling to all the good that was in me and around me. In the meantime, he told me how he had been learning to walk for two years without any hope that he would go — day after day, he methodically tried to get back on his feet, although the doctors predicted that he would be chained to a chair. Now he swings in the gym and walks alone. I felt ashamed for my two whole legs and for the fits of moping and rage around with this man. “That’s why I’m telling you my story. There was a way out of my situation. From yours it is much easier.

All psychotherapists warn that the healing process is a painful and long work. At this stage, I literally heard the gears spinning in my head, how hard I am given any unusual thought or atypical action. We did exercises to acquire useful habits, I told him about the long-standing conflict with his own inner voice, that I’m afraid of old age and diseases of loved ones. I had to teach myself to go home not the same way as usual, read unusual books, do unusual things, ten times a day to overcome their own shyness.

The longer I was sick, the more I realized it was time to be honest about what was happening. It was painful for me to confess my illness to my parents. But when I shared my concern, my mom told me about how she had been drinking antidepressants for a long time.

three years old when she burned out at her job. I was 11 or 12, my mom never talked about it. I vaguely remembered seeing my mother lying in one place all day with a wandering gaze full of tears. How she woke up in the middle of the night and came to visit me, how she exploded and cried out of the blue, and I was angry, called names and did not understand what was wrong with her. We really are very similar, but how terrible to hear their own regrets and fears in the mouth of his mother, who 53. How unpleasant to understand that you inherit other people’s fears and problems. It turns out that the tendency to depression is often inherited by us from parents, even if we do not realize it, as well as in life, we often repeat the life scenario of parents, not realizing this report.

All psychotherapists warn that the healing process is a painful and long work. At this stage, I literally heard the gears spinning in my head, how hard I am given any unusual thought or atypical action. We did exercises to acquire useful habits, I told him about the long-standing conflict with his own inner voice, that I’m afraid of old age and diseases of loved ones. I had to teach myself to go home not the same way as usual, read unusual books, do unusual things, ten times a day to overcome their own shyness.

The longer I was sick, the more I realized it was time to be honest about what was happening. It was painful for me to confess my illness to my parents. But when I shared my concern, my mom told me about how she had been drinking antidepressants for a long time.

Three years old when she burned out at her job. I was 11 or 12, my mom never talked about it. I vaguely remembered seeing my mother lying in one place all day with a wandering gaze full of tears. How she woke up in the middle of the night and came to visit me, how she exploded and cried out of the blue, and I was angry, called names and did not understand what was wrong with her. We really are very similar, but how terrible to hear their own regrets and fears in the mouth of his mother, who 53. How unpleasant to understand that you inherit other people’s fears and problems. It turns out that the tendency to depression is often inherited by us from parents, even if we do not realize it, as well as in life, we often repeat the life scenario of parents, not realizing this report.

When I began to talk openly about my illness with others, the usual circle of carefree acquaintances opened from a completely different side. I remember one of the funniest parties at my house ended with my friends discussing loneliness and antidepressants: I found out about a few sweet and active friends that they had been on prescription pills for years. They talked about it so casually and so cool, as about household precautions: two in the morning and one at night, so as not to smear — something in this spirit. I have been seen crying or sombre more often than usual, but I have also seen old friends in others — excited, anxious, afraid to live life half-heartedly. More recently, I came across an article that most of today’s children instead of ghosts afraid of failure — if I was surrounded by all these children in the flesh of old friends. Many excitedly spoke about fatigue from unloved work, about uncertainty in the forces, in the partner, in the future. The crisis was in the juice, and even the most calm began to worry, thinking, what turns their salaries and plans for the year, how to live on and how to change life for the better.

13 % OF MOTHERS SUFFER POSTNATAL DEPRESSION, and half of them were not prone to depression before the birth of the child. In General, different forms of depression are more likely to be diagnosed in women than in men, but gender imbalance may be caused by a greater tendency of women to Express their emotions. In contrast, men are often not ready to admit to the problem and prefer not to seek professional help.

When my insomnia has exceeded for six months, another nervous night I asked my once depressed friend contacts another doctor. For starters, I needed a good sleeping pill just to get a good night’s sleep in six months of my dangerous life. My third psychiatrist met me in a public place when I was once again at the bottom. I’m tired of counting these times and came quietly to a meeting at 9 am, without sleep at night. Hypnotherapy and a five-hour conversation ended with a terrible vision and a very unpleasant discovery: that despite the fact that I seemingly allowed myself to be myself, I can not love myself for real all my life. Make the deficiencies and start working on the advantages to invest all the forces in a favorite and not be afraid of failure. These phobias have most, but if they prevent you to Wake up and get out of bed — in any case, without a specialist here can not do.

After the first visit, I experienced a tremendous surge of strength, which I never felt in my life. I mean, never ever. There are vulgar metaphors about grown wings, but I would rather say that my power is physically and mentally tripled. I was aware of the syndrome of the first visit to the therapist, but I could not even imagine such a relief. The six-month-old lump in my chest disappeared, I started to sleep normally and stopped worrying, for five days I did things that I could not do for two months. But came another critical moment threat of insecurity associated with the job. In my life again there was insomnia and appetite disorders, and for the first time I decided on the pill. They were the simplest and most famous antidepressants under the supervision of a psychiatrist with 30 years of experience who works in the rehabilitation of suicides and packs in one shift pulls people out of the world.

The healing process was painful and long work…

For several days we worked carefully on the daily routine to remove chaos from life. One nepoluchitsya it could confuse me and ruin the mood for a few days. Fear, it turned out, big eyes, and all the difficult and even unbearable things I’ve done in a short time. Clenching my teeth and with tears in my eyes, I suddenly realized how little I knew about things and people around me, how I exaggerated my importance. After I once again got drunk to overcome the awkwardness, the psyche ricocheted in the most terrible way-having lost once again the gift of speech and the desire to live for a couple of days, I swore never to drink, to make it easier to strike up a conversation or feel in place. So I gave up regular alcohol, a known depressant, which I, like many, drank about and without, to remove barriers to communication.

With my doctor, we especially discussed procrastination and laziness. When to be lazy? And when laziness is fear? And what if there is one and the other? In my case, it turned out that being lazy and resting are opposite activities. And the day is much more time than it seems at first glance. To be honest, look at my usual day, it has a lot of space for work and favorite activities, for books and walks, for communication and loneliness, as well as sudden things that I put off all my life. For a hundred years I wanted to sing and dance and learn Spanish, but put it off with excuses that I have a lot of work and I do not have time to spend time with my husband and friends. On the advice of a doctor, I immediately signed up for all the classes that have been postponed for a long time, and the schedule moved, freeing up a lot of sudden time that relieves stress, trains the brains and strengthens the body. Gone stupid shows and procrastination in the network, there was a time in the sport and meeting friends. The postponement is simple and necessary for the business, as it turned out, it was corrosive to my well-being no less than regular cocktails and a sedentary lifestyle.

A few weeks ago I finally recovered, although since the beginning of March I was steadily recovering and easily did what I could not do before. During this cursed year, I wrote quite a lot of texts, conducted lectures and opened two exhibitions, went to interviews, met with friends and even arranged several noisy parties. I met a hundred new people, none of whom probably knew what was going on with me and what it cost me to just say Hello to them and tell them my name. During this time, my husband turned from just my best friend into my bodyguard in the truest sense of the word, and those close friends whom I trusted sat with me in turn, when I was on the edge, and became almost family members.

What was that condition? Why did it happen to me? And will I hit it again? My doctor says you can push off the bottom, and now I’ve been given a lesson forever to distinguish seasonal melancholy from real disease. “Now you will know what is really bad,” — he told me in the end and demanded to constantly monitor the mode of sleep and food and not to postpone for the day after tomorrow what had to be done the day before yesterday. I was really lucky to get out of this pit with people who believed in me. And I also realized how little, false, quiet we talk about this overwhelming sense of despair that haunts us when we live without love for ourselves, our environment, and our cause.

A few years ago, I also thought that depression is “Woe from wit” and that it is enough to believe in the good and be good that this disease, like many others, bypassed you. It was easy for me to imagine that we ourselves, with rare exceptions, are responsible for our diseases. But depression is not treated only good thoughts and a ticket to a warm country, a bottle of wine from Friday to Sunday or casual sex. Like any long and nasty disease, it sits very deep and comes out in all its ugliness when you truly decide to put an end to eternal anxiety once and for all. If it’s time to deal with it, it will not seem enough, I’m sure. And no one can guarantee that depression will not return again at another turn and in another situation. On the other hand, having won it once, you already know exactly what it is in principle you can do. That this is not part of your personality, without which you can not live, and affectionate disease, from which it is necessary to get rid of all the forces and with outside help. And if there’s a person around who says, “I know how you feel, I was depressed, and I think you’re sick, too. Let’s get you to a doctor.”You should listen. Maybe he knows what he’s talking about and reaches out to you when you don’t even know you need it.

There is a Depression in Cats?

There is a Depression in Cats?

The answer to this interesting question is positive: Yes, it happens. Of mental balance cat may knock the change in daily routine, to which she was accustomed, or the feeling of loneliness. She experiences stress, and when a stranger appears at home, as well as in any other situation, if she feels that she is in danger. The sufferer (sorry, cats going through a lot silently) walks with a missing eye, stops eating, and to wash, starts bad to navigate, even in familiar surroundings.

From time to time it is a negative mental discharge: cute fluffy creature demonstrates behavior that is unacceptable in human understanding (“Oh, what a nightmare!”), – scratch, bite and irrigates the urine that is handy, for example untouchable Persian carpet. An unexpected change in the cat’s “personality” can be a symptom of one of many diseases. However, if the veterinarian will rule out all possible physiological causes of the new state, then you can be sure: your pussy is going through a nervous crisis. What is the cause of such deviations from the norm?

In search of an answer to this question, let’s remember who are cats and how they like to live. Some of them, as in the good old days, lead a real cat’s life: walk through the stables and gardens, explore the neighborhood, protect their territory, exposed to natural hormonal cycle. Home run only to eat and warm tired limbs. Then again go about their business, following the secret, they are a well-known trails. These lucky people, who behave in accordance with their nature, never face the problem of existence in the world. With them and in them all flows naturally.

Living conditions in the big city radically changed the old style of cat life. Fans of these animals (and their cities getting bigger) out of a desire to protect Pets from danger and the sense of responsibility for unregulated reproduction put them under house arrest. Fluffy little rascal has a guaranteed sofa for rookery and a bowl full of tidbits that do not need to produce their own, but it lacks the most important in life-freedom. What is to be surprised when the “prisoner” literally squeaks his teeth, seeing that the window glass separates him from the world. Cat falls into the clutches of unbearable boredom. People who perceive Pets in their own, human categories, make a serious mistake. For example, they do not understand what it means for a small predator to be unable to hunt.

Hunting is a fundamental need of every “domestic tiger”. Dissatisfaction in this sphere of life often leads to nervous disorders. How can you keep your mental balance if you can’t climb roofs, sit on fences and climb trees? How not to succumb to sadness when you are doomed to a monotonous life in four walls, without entertainment, without a single mouse or at least a moth for fishing? How not to die of boredom, when there is nothing to do but to meet with home appliances-incomprehensible devices and household appliances that can not be scratched, and when constantly driven away from the most interesting place – the kitchen?

Unless the cat is interesting, fun to watch with the owner of the Mexican television series or with the owner – the next match “Spartak – the champion!”? Boredom becomes a source of various incidents. Due to the lack of a real daily portion of physical and mental stress, the animal has only one goal of interest – the moving legs of the owners. “Home tiger” quietly creeps up hides, crouches to the floor, and then sudden surge rushes to “production” (master’s thigh, calf, ankle), and often with a wild cry. Then instantly disappears.

People don’t tolerate such antics, asking his players an earful. And in vain. After all, what, in their opinion, it is unacceptable for a cat is perfectly normal. Inattentive owners do not understand: this behavior is a symptom of mental illness of the animal, devoid of natural stimulating factors and so necessary physical activity.

Watch your pet. Cats usually behave with dignity, restraint. However, even the most balanced “personality” must from time to time defuse the accumulated tension. Those of them who live in freedom, carry out their “wild dance” over the caught victim – affect the excitement and joy.

He has to release the accumulated energy during his “five minutes of madness.” Calm Murka suddenly transformed into a real fury-flying around the apartment, like a witch in the broom, disguised tail rushes to the obstacles, riding on the carpet, jumps on the windowsill, one jump reaches the sofa and paused for a moment, instantly unfolds-the bullet flies out of the room. Then he calms down and from the terrible Gorgon turns into a balanced Mrs. Hutson. Let’s say you’ve already begun to understand that your four-legged is depressed. What should be done in this case? You can refer to the tablets and powders. Cats, by the way, the fit of the drugs used in the treatment of nervous system disorders in humans. But that alone is not enough. Modern therapeutic techniques recommend to accompany pharmacological treatment with dense psychological support: to surround the patient with care, to pay special attention to him, to please with tasty, fragrant, useful food, even to feed from hands. So in the case of a nervous breakdown in your pet should not immediately run to a cat shrink – with this trouble can be dealt by yourself at home. Take care of the necessary amount of entertainment; think about games with which the animal will be able to defuse emotional tension and give vent to the manifestation of hunting instinct. Remember: the game is a panacea for many cat troubles. What brings your pet the most joy? In addition to food – it is a game! All items designed for gnawing, braking, skating, shaking and grabbing satisfy not only the cat’s natural need to “hooliganism”, but also distract her attention from your carpets, furniture, shoes. Thanks to the games, the animal maintains physical shape, develops intelligence, does not yearn, does not get bored when he spends long hours alone in the daytime.

The household is filled with items suitable for hunting: toilet paper, paper bags, brushes, boxes, cabinets, Laundry baskets and so on. Every item that can roll, scratch or throw, will awaken even the most avid liebore fighting spirit and zeal. Look around you. Paper (in any case not polyethylene!) the package will certainly cause your pet great interest. The cat will enthusiastically greet the advent of cardboard boxes with cut out entrance or a cardboard tube. The desire to hunt will cause her ball of rustling wrapper, coil of thread, cork of wine, a ball of wool or a light spot, put on the wall of a flashlight – that is, everything that moves when touched (focus with a flashlight, of course, suggests an accomplice). Joint games long autumn evenings will not only rally your friendship, but also help the owner not to fall into the November melancholy.

Thus, if you want to make your pet was healthy "body and soul", should remember one thing: do not have a cat to entertain you and you cat.

How to Cope with Depression?

How to Cope with Depression?

“I have depression” – we often hear these words. But most often people call depression the usual attacks of melancholy and bad mood, which often pass by themselves a maximum of a few days. Real depression is a disease that can poison life for many years and never goes away without treatment.

What is depression?

Depression is a serious illness characterized by clear symptoms that distinguish it from a bad mood.

The main signs of depression include:

  • A joyless, oppressed state;
  • Frequent and sudden mood swings;
  • Anhedonia, the loss of feelings of pleasure (“Nothing pleases and is not interested»);
  • Inability to concentrate, memory impairment;
  • The inability to make a decision, the constant return to the same issues;
  • Fear, anxiety, panic attacks, attacks of aggression;
  • Chronic feeling of fatigue, lethargy (“Wake up broken”);
  • Sleep Disturbance, insomnia or, conversely, constant drowsiness;
  • Loss of appetite, weight loss, digestive problems;
  • Depression libido;

Feeling of pressure, heaviness in the abdomen and chest, shortness of breath; various vegetative symptoms, such as excessive sweating, tremor, dry mouth and others.

If these symptoms occur simultaneously and last for several weeks, then there is every reason to suspect depression.

We used to believe that depression is always a consequence of some sad events – the loss of loved ones, divorce, loss of favorite work. But that’s not exactly true. There are three main types of depression – reactive, somatic and endogenous. Jet really is the consequence of abrupt changes in life or of trauma. Endogenous arises as if “out of the blue”, without any obvious reasons. In fact, there are reasons, they are just not so noticeable to others. Endogenous depression can be the result of hormonal imbalances (especially well-known postnatal depression), taking some drugs, alcohol or drugs. Somatic depression is one manifestation of another disease, such as Alzheimer’s disease, hypothyroidism, traumatic brain injury, or even the common flu.

In addition, residents of the Northern latitudes are often observed seasonal depression associated with a lack of sunlight.

It is very dangerous to underestimate or poetize depression. In this state there is nothing attractive or romantic, it destroys the life and personality of a person, affecting not only himself but also his loved ones. Tips “stop whining” and” pull yourself together ” are not only useless, but also very harmful – a depressed person is unable to control this condition in the same way as a patient with a broken leg can not run a hundred meters. Reproaches of friends lead only to the fact that a person is even more confident in his weakness and worthlessness and even deeper immersed in this state. It is also wrong to believe that the disease is the result of the tendency to analyze too much and”wind yourself”. Even small children who have barely learned to speak can suffer from depression.

This disease is one of the most common mental disorders – it affects more than 350 million people of all age groups. Every year, about 150 million people in the world are deprived of working capacity due to depression. At the same time, women get sick twice as often as men – although doctors explain such statistics not by the “resistance” of the stronger sex, but only by the fact that men are less likely to turn to specialists and “are treated” mainly with alcohol or other similar means. There is another disturbing fact – according to statistics, the risk of getting depression increases three times if someone in the family already suffers from this disease.

Treat, cannot be deferred!

Getting rid of depression quickly is very difficult, and without the help of doctors and psychologists – it is impossible. But the disease is successfully treated with the right approach. Complex measures are usually prescribed.

First to fight drugs – antidepressants. They should be selected by a doctor-as a rule, such tablets can not be bought without a prescription, and uncontrolled intake of funds of this group can lead not to recovery, but to deterioration. Antidepressants relieve the main symptoms. As a rule, the stage of medical treatment lasts from several weeks to several months. As a Supplement to antidepressants, sedatives are often prescribed. In some cases, a good effect is also given by physiotherapy, light treatment, acupuncture.

After improving the condition, there is a period of consolidation of the results. This stage of treatment is equally important – depression is insidious and can return again in a few months or even years. In order not to leave the disease a single chance, you need a course of psychotherapy and individual work with a psychologist. To combat depression, there are many techniques-cognitive psychotherapy, which aims-to change the perception of man about himself and the world; interpersonal psychotherapy, helping to resolve conflicts with others; behavioral therapy designed to change the behavior that leads to stress and depression; psychodynamic method that resolves internal conflicts of a person with himself and many others. The duration of this stage depends on the severity of the condition and how the patient is ready for cooperation: it will take from several sessions to several months of work with a specialist.

Alternative opinion

The author of the book “The Loss of sadness: how psychiatry transformed normal sadness to a pathological depression,” Jerome Wakefield argues that depression could be the impetus for positive changes in your life, allowing you to understand the desires and to learn from mistakes.

How to beat depression, or antidepressant advice

You can overcome depression only if you really want it. And if the fight against the disease is limited only to the formal taking of pills and visiting doctors, the result will not be achieved or the path to recovery will stretch for months or even years. To get back in shape as soon as possible, “antidepressant measures” need to be actively incorporated into everyday life. There are no trifles in the treatment of depression. Of course, these tips will not help cure the disease without medication and psychotherapy, but can significantly speed up the process.

Switch attention

For depression are typified by obsessive thought, get rid of which very difficult. If you feel that for the hundredth time you are scrolling in your head the same memories and questions, switch your attention to any subject. Lift a stone from the ground, consider it, note the color, texture, weight, twist in your hands, think what it looks like. Instead of a stone, you can use any other object – a key, a leaf from a tree, anything that comes to hand. It is important to concentrate on contemplation. In a few minutes, the gloomy thoughts will recede.

Sport

This is not psychology, and pure physiology – during exercise, like them or not, the brain produces endorphins – hormones of happiness and joy, the lack of which provokes depression.

Create

Art therapy is a whole section of psychotherapy. Creativity really helps to cope with depression. Any result of creative work increases self-esteem, while the process itself is important. But the artistic value does not matter much.

Do not hold emotion in itself

The demands to “pull myself together“,”keep the blow” and “do not get unstuck“, as we have said, only drive a person into an even deeper depression. Pent-up emotions are like a bomb exploding inside. Even healthy people, who keep everything in themselves, pay for their apparent composure with neuroses and psychosomatic diseases. If you want to cry-cry, I want to scream-scream, I want to rampage-beat the sofa cushion.

Please yourself

Start to keep a diary in which you will celebrate all the pleasant moments, even if they were very fleeting and insignificant. Pay attention to what pleases you most often, and strive for it.

ENDOGENOUS DEPRESSION

Endogenous depression is a mental disorder, the classic signs of which are:

  • Depressed, sad mood;
  • Motor and mental retardation;
  • Irrational anxiety;
  • Slow thinking speed;
  • Depersonalization;
  • Decreased appetite;
  • Sleep disturbance;
  • Suicidal tendencies.

The state of the persons suffering from this disorder are characterized as depressed with a hopeless, oppressive melancholy. Although patients separate their feelings from the natural sadness and sadness, they can not explain what specific differences are endowed with the emotions they experience. Symptoms of the disease-pronounced and intense in strength manifestations, it has a strong painful effect on patients, forcing a radical change in the usual way of life.

Anxiety in endogenous depression manifests itself depending on the severity of the disorder in different ways: from the sense of inevitability of a catastrophic event with vegetative symptoms to agitation-anxiety numbness, reaching a state of complete stupor. Moreover, patients often can not distinguish between the state of panic anxiety and debilitating anguish, since these feelings merge together with the disease and they are characterized by stagnant pathological affects.

Endogenous depression occurs without the presence of external circumstances and outside influence, not depending on what happened or the present events in the life of the individual. No favorable moments: positive news, pleasant events, activities that bring normal pleasure, do not affect the mood and well-being of the person. People suffering from endogenous depression are not characterized by crying, but they are completely absorbed in the painful ideas of self-criticism, self-blame and self-abasement. That is, given these facts, the experts distinguish a disease from a psychogenic disorder and are diagnosed with endogenous depression.

A feature of endogenous depression, occurring in a mild form, is the daily cycle of mood changes, when after waking up in the morning, a person feels the maximum peak of a sad mood, while in the evening the feeling is slightly softened. In severe form of the disease there is a syndrome of” perversion of the daily rhythm”, when in the afternoon there is a noticeable decrease in mood, increased anxiety.

An important indicator for the diagnosis of endogenous depression is a pronounced mental retardation: slowing down the speed of thinking, the pace of speech. Sick for a long time to comprehend the information received, they require a much longer time than normal to formulate their answers and to describe the arisen thought. Persons suffering from the disorder note that their thoughts and decisions have become illogical, inconsistent, arise slowly with a tremendous effort of will. In contrast to asthenic States, the slowdown in the rate of speech is observed throughout the dialogue with the patient. Constant and constant is the decrease in motor activity-patients describe feelings of fatigue, lack of strength and energy, fatigue, which do not disappear even after a long rest.

Even in the presence of all these manifestations, endogenous depression often remains without due attention, most patients do not consider themselves sick and, accordingly, do not apply to a psychotherapist in a timely manner. This is due to the fact that in this disorder there are no visible external causes, there are almost always no bodily ailments, somatic manifestations are rare and non – intensive.

“Dreary” depression can be both an independent mental illness, and can act as one of the phases in the course of bipolar disorder (manic-depressive psychosis).

The leading place in the formation of prerequisites for endogenous depression belongs to the internal hereditary-genetic, biochemical and organ-somatic factors, that is, the main reason for the occurrence of the disorder lies in the individual characteristics of the human body. In most patients with this diagnosis, hereditary severity of various mental disorders is recorded. Very rarely, the onset of the disease is provoked by a strong negative or positive stress factor, but quite quickly the connection of low mood with a stressful event is lost.

Endogenous depression is classified as a severe depressive disorder with no psychotic symptoms. Despite the severe course of the disease, these diseases are attributed to the predicted favorable, as amenable to successful treatment with drugs (antidepressants).

The complexity of the treatment of this disorder is the absence of a real problem, as it is not clear what to fight and what should be corrected. Endogenous depression is associated with a high risk of suicide, and thoughts of suicide do not depend on the severity of the disorder.

Causes of endogenous depression

This disease belongs to the so-called predisposition disease, since the main factor in the presence of predisposition to the occurrence of the disorder is genetic heredity. The transfer of” inherited ” adaptive resources of the body and the feature of the regulation of the level of mediators: serotonin, norepinephrine, dopamine. When genetic pathology is a shortage of these chemicals controls mood. Despite this hereditary predisposition, a person staying in a favorable psycho-emotional environment may not suffer from depressive disorders.

Also, the lack of a number of important chemicals in the body can be provoked by the peculiarities of the diet, natural age-related changes. Thus, the lack of amino acids L-Tryptophan, L-Tyrosine, L-Glycine and L-Glutamine significantly reduces the body’s resistance to stress factors and is a factor in the inevitable development of depressive disorders.

The trigger for the development of endogenous depression can be external factors such as:

  • the traumatic event,
  • chronic somatic diseases,
  • pathology of the Central nervous system,
  • taking some medications.

Subsequently, a secondary depressive episode can occur independently, without external influence.

Symptoms

A typical endogenous depression is represented by a triad of Kremelin-a classic triad of the main symptoms: depressed mood, slow thinking, motor retardation.

  • The leading symptom and specific feature of this disorder is Hypo – MIA-pathological vital depression. Such a protopathic nature of longing is inseparable from the physical sensations experienced by patients and brings the strongest bodily suffering. Many people suffering from the disorder can accurately localize their feelings in a certain area (usually in the chest, head, neck). Moreover, patients clearly differentiate the sensation of pain, characteristic of somatic diseases and experiences associated with real causes.
  • Typical primary symptom acts and ideational (mental) braking. Even being in an emergency, extremely responsible situation, the patient is not able to quickly make the necessary decision, willpower accelerating the thought process.
  • With endogenous depression, motor retardation looks characteristic: the patient forms a kind of facial expression, the so-called “face of melancholy”, giving an expression characteristic of elderly people. Often, motor braking reaches the maximum degree of numbness, when the patient is in a depressed stupor. Occasionally, against the background of complete retardation, patients experience a sudden, unexplained and uncontrolled attack of despair, accompanied by intense motor excitation, up to the probability of self-harm.
  • With a depressive episode, the phenomena of depersonalization and anhedony often appear. Many patients note the appearance of a painful sensation, in which there are no emotions and desires and there is a sense of change in their own “I”. Often there is a derealization of what is happening: patients perceive what is happening unreal, dark, faded, there is a feeling of slowing down time.

Although expressed depressed mood may be accompanied by secondary (affectogenimap) symptoms – delusions, depression, in patients suffering from endogenous depression, there is a prevailing belief in his guilt, insignificance, hopelessness of the future. This disorder brings to public attention the most important human fears: concerns about the healing of the body, salvation of the soul, material goods. These primary fears form the typical delusional symptoms: hypochondriacal ideas, ideas of sin, ideas of self-accusation and self-abasement.

In severe involutional melancholia is clearly manifested stereotypical anxiety-delusional syndrome: depressed mood, morose state of alarming agitation, fear, verbal illusions, delusions conviction. Without adequate treatment is the formation of irrational phobic anxiety with continuing anxiety, constant agitated state and manifest a variety of manifestations of delusional experiences in the form of inevitability of punishment and death, hypochondriac moods, ideas of suicide. Typical hypochondriacal delusions stands particularly imaginative whimsicality, absurdity and irrationality of the content.

As a rule, having reached its peak, endogenous depression provokes the formation of a mental defect called “depressive weakness“, which is characterized by a decrease in mental and motor activity, constant depression of mood, decrease in emotional and sensitive resonance, a variety of violations in the intellectual sphere.

Melancholy depression affects the supply of human vitality and energy, and awareness of this fact causes the person the most concern. The vital symptoms include:

  • Excessive fatigue;
  • Severe apathy;
  • Inability to carry out volitional efforts in the usual volume;
  • Sleep disorders: too early awakening, alternating with problems falling asleep;
  • Appetite disorders and disorders of the digestive system: lack of appetite or, conversely, excessive appetite, constipation, nausea, weight loss or weight gain;
  • Problems with concentration;
  • Pain of somatovegetative nature:pressing” or “squeezing” pain in the chest, neck, head;
  • Lack of sex drive, loss of libido, inability to reach orgasm;
  • A sense of irrational fear, panic attacks;
  • Mood swings depending on the time of day.

For this disorder is characterized by a decrease in response to events, detachment from the surrounding reality, the immunity of information from the outside. In the physiological aspect, the decrease in reactivity is manifested in the absence of appropriate reactions after taking standard doses of drugs.

Treatment of endogenous depression

The basis of treatment of endogenous depression is the use of drug therapy. In this disease, antidepressants are usually used. The choice and dosage of the drug occurs on an individual basis, taking into account the personal characteristics of the patient and based on the presence and severity of symptoms.

Against the background of drug therapy, there is a gradual disappearance of symptoms. After 2-3 weeks from the start of taking antidepressants, motor and mental retardation decreases, while depressed mood, delusional formations and suicidal thoughts/attempts are still preserved. Therefore, the use of antidepressants should be carried out until the complete disappearance of all manifestations of the disease, since the sudden cessation of treatment is fraught with deterioration of the patient’s condition and a return to a deeper depressive state.

Along with antidepressants for the treatment and prevention of endogenous depression is used that group of drug. Long, continuous use of these drugs helps to stabilize mood and prevents the emergence of new depressive episodes.

Psychotherapy is carried out only as a secondary addition to drug therapy. Modern psychotherapeutic techniques help to identify and eliminate the true cause of the disorder, to form a new model of response to stressful situations, to correct personal assessment. However, without the help of antidepressants, it is impossible to restore the metabolism and concentration of neurotransmitters impaired in endogenous depression.

Persons predisposed to this mental disorder, it is necessary to periodically carry out preventive measures, to avoid excessive mental stress, to observe the regime of work and rest, not to abuse alcoholic beverages, to adhere to a healthy diet.

10 Celebrities Who Suffered from Depression

We often perceive celebrities as some kind of super-people. They look perfect in our eyes and we automatically assume they are absolutely happy considering they have everything – beautiful looks, money, fame and success. However, we forget that they are mere mortals like us, and that they have the same problems. They suffer, get sick and fight depression. However, these 10 stars, suffering or still fighting depression, serve as an example and inspiration for all of us.

Cara Delevingne

This 23-year-old beauty is not just a famous model: she has recently also successfully started her acting career. However, there was a moment in her life when she was ready to give up the future because of depression. Delevingne was diagnosed with depression when she was only 15 years old.

The young model believed that it is possible to find relief from pain in drugs. Last summer, she admitted in an interview with Vogue that at some point she even wanted to commit suicide. “I had constant suicidal thoughts, I didn’t want to live anymore,” Kara said in another interview. However, she pulled herself together and decided to start loving herself more – that’s how she managed to achieve what she has now.

Kerry Washington

We like to watch her main character in the popular TV series “scandal”, but this actress would like us to know that she suffered from depression, and is not going to hide it. Kerry was in serious trouble during College. She became depressed, which led her to an excessive obsession with food and exercise. Washington found solace in uncontrolled eating. And not to feel guilty, then she’d wear herself out in the gym.

Fortunately, it was noticed by her dance instructor who helped Kerry to understand that she needs treatment. But even after that, the actress from time to time experienced depression until in 2004, she miraculously escaped the tsunami and realized that life is good. Then she began to talk about how important it is to pay attention to mental problems.

Jon Hamm

John Hamm reached unprecedented heights in Hollywood after playing the role in the television series “Madmen”. He’s another celebrity suffering from depression in his youth, and like many other stars, he wants to clarify one thing: it’s not shameful to talk about.

When Hamm was only 10 years old, his mother died, and when He was 20, his father died. Unable to cope with the sorrow, young John was getting deeper and deeper into depression.

It was a classic case of the usual depression: I wanted to lie in bed all day and sleep until the evening. I had no desire to get up and do something.” However, he turned to the help of therapy and antidepressants that helped him to cope with the disease. The actor still has bad days, but he learned to deal with them.

Heath Ledger

Unfortunately, not everyone manages to win the battle against severe depression. A wonderful actor, the late Heath Ledger was one of those people. Although we may never know the whole truth about his death in 2008, it is believed that Ledger suffered from depression for a long time until he accidentally died of an overdose of a few drugs. His depression seems to have been exacerbated by his divorce from his wife and the love of his life, Michelle Williams.

However, the last straw for the disorder of the actor’s mental balance was the role of the Joker in the “Dark Knight”, for which he received a posthumous “Oscar”. During filming the actor began to suffer insomnia. “I couldn’t stop thinking. My body was exhausted, and my mind can not stop,” he complained a few months before his death.

Winona Ryder

Actress Winona Ryder has grown literally before our eyes. She went from one successful project to another, and everything she did became public. Such have become and its relations with other highly popular actor – Johnny Depp. And after the widely publicized breakup, her depression reached its climax. However, Ryder has suffered from bouts of anxiety and depression since she was 12 years old.

When she got the role of a mentally ill girl Susanna in the film “Interrupted life”, for her it was not just a role – this character reflected her life and struggle, and was an opportunity for her to show the world how depression looks, and how to deal with it. But after the actress reached the extreme, sleeping a cigarette in his hand and started a fire, the actress decided to seek professional help and undergo rehabilitation.

Lady Gaga

Known for her extravagant personality, flashy outfits and incredible voice, Lady Gaga is just a woman of flesh and blood who has been through a lot and wants to help others by sharing her experience. Recently, this successful singer said that as a teenager she went through a rape, and that she is still almost every day suffering from depression and anxiety attacks, with which she just now learned to cope.

I have suffered from depression and anxiety all my life, and now I feel them every day. I just want these kids to know that the depth they feel like people is normal. We were all born like this” says the singer, determined to show a positive picture to all teenagers going through problems. She believes that the most important thing is acceptance and love for yourself.

Halle Berry

One of the most beautiful and talented women walking on this earth, Holly berry is another celebrity who has gone through hard times. When her ex-husband, David Justice, told her that he wanted a divorce, she could not cope with the pain. The split of her marriage completely destroyed the self-esteem of the actress, and she briefly plunged into depression.

Then Holly got to a point where she was even ready to kill herself. However, already going to carry out his plan, she realized how selfish it is in relation to people who love her. “The fact that someone does not love me, does not mean that I am unloved,” -understood the actress. So she went through therapy, which helped her a lot, and just allowed time to heal her broken heart. Fortunately, more Holly berry did not return to such gloomy thoughts.

Dwayne “The Rock” Johnson

Can you imagine that strong guy, Dwayne Johnson, suffering from depression? However, it is, and there is nothing unusual. Depression can overtake each of us, and a strong appearance can hide a huge internal pain. However, the Rock wants everyone to know that he at some point suffered from this destructive state. When he was about twenty years old, his football career suddenly stopped. Although he was a super-successful College player, the NFL rejected him, and two months later his canadian team said goodbye.

The actor moved to live in the basement of his parents ‘ house: at this moment his life reached the lowest point. He felt lonely, regretting that no one had told him that everything would be fine. However, the Rock pulled himself out of this darkness, choosing a different direction – first wrestling, and then the actor’s path. Now he’s very popular, and wants his fans to know that “you’re not the first to go through this, and you’re not the last…”and also that” you’re not alone.”

Owen Wilson

Another star whose depression was easily overlooked, as it is a very bright and funny actor. However, in fact, many of the funniest and most positive comedians daily suffer from depression, and use humor to deal with it. Owen Wilson is one of those people: we used to see him in big screen comedies when, in 2007, we suddenly heard the news that Owen Wilson had attempted suicide.

For those who knew him, and who were aware that Wilson was very far from his screen characters, it was not surprising. In fact, the actor tried to cope with the burden of world popularity with drugs. In addition, just a few months before the failed suicide, he broke up with his girlfriend, actress Kate Hudson. Fortunately, Owen survived and was treated for depression. Now he is much better – he found happiness in communication with his two sons.

Demi Lovato

Young singer demi Lovato is at the peak of his career, and in fact she is only 23 years old. However, there was a time in her career when she completely lost control of her life. Since childhood, she was teased for being overweight, which led to serious disorders such as bulimia. She grew up a very troubled child, and only when her family asked for help to specialists, she learned that she had bipolar disorder.

I often with manic persistence took on the task, and said:” Yes, I can do it, I can.” I conquered the world, but then found myself completely broken, and felt even more depressed,” – described his condition demi. Medical treatment, family support, boyfriend and fans, healed her. Now the singer uses every opportunity to convince his fans not to hesitate to ask for help.

Depression Throughout Life

Many use the word “depression” to describe bad mood, sadness, or simply to say that they are not in the spirit. When a specialist uses the word “depression” – he means clinical depression – major depressive disorder (BDR).

Major depressive disorder (BDR): a condition in which the feeling of sadness is much stronger than usual and lasts longer than usual. In addition, there is a loss of interest and pleasure.

People suffering from depression experience difficulties in daily functioning. Difficulties also arise at work. Very often they are not interested in the proximity of family and friends. They feel desperate and useless.

There are different types of depression of varying severity: postpartum depression, seasonal depression, mild depression, and clinical depression (BDR).

Depression can be expressed as symptoms on both psychological and physical levels.

Symptom of Depression

Symptoms of depression are individual and manifest in each person differently. Not all of the following symptoms should be present in depression. There are also additional symptoms, not listed below, that may be present in depression.

    • Reduced mood.
    • Loss of pleasure.
    • Obsessive occupation of guilt and self-abasement.
    • Feeling helpless and desperate and self-loathing.
    • Deterioration of memory and ability to concentrate.
    • Removal from social activity.
    • Problems in the sexual sphere.
    • Disturbed sleep.
    • Low or increased appetite.
    • Thoughts of death or suicide.
    • Various physical symptoms such as fatigue, apathy, headaches and digestive problems.
    • In certain cases, delusions and/or hallucinations (usually auditory hallucinations) may be present.

    Risk Factors for Depression

    In most cases, it is not about one single cause leading to depression, but a combination of several causes.

    The following are causes that increase the risk of depression:

    • Heredity.
    • Early trauma, such as abuse, separation, or neglect.
    • Deterioration of physical condition.
    • Chronic pain due to injury, accident or illness.
    • Separation and loss.
    • Post-traumatic stress disorder or its complications.
    • Old age or widowhood, especially among men.
    • Previous mental disorders.
    • Adaptive response to changes in status, place of residence, especially in people with dependent personality.
    • Various physical ailments such as Parkinson’s and fibromyalgia.

    The thoughts of a depressed person can be dark and unpleasant, accompanied by a sense of failure, low self-esteem, and despair. These thoughts and feelings are accompanied by anxiety and reduced functioning – relative to the expectations of others, or his own.

    And yet, there is good news – there is what to do and who to turn to.

    Professional Help

    Psychological treatment from an independent practitioner: private treatment (psychotherapeutic treatment, psychiatric treatment, etc.) from an independent practitioner, through a health insurance Fund or in private.

    Psychological treatment in a polyclinic: includes psychiatric consultation, psychiatric treatment, recommendations to family members, etc.Treatment is carried out in psychiatric clinics of hospital offices, in public clinics of the Ministry of Health, in clinics at hospitals or in private clinics.

    Day hospital: a day hospital is a “transit point” between living in the community and hospitalization in the hospital and Vice versa. The treatment is very intensive: about 6 hours a day are different types of treatment-psychotherapy, group therapy, occupational therapy, etc.

    Hospitalization in a psychiatric hospital: designed for severe cases in which staying at home is impossible because of the risk (both for the patient and for others), because of reckless behavior or the need for continuous care.

    Selfhelp

    A person who is depressed is very difficult to find the strength to take care of himself. But if a person takes an active role in the treatment and goes to concrete actions, it will help to improve his condition.

    Care and self-care

    Quality sleep: most people with depression sleep either very little or very much. Quality sleep can significantly improve mood and increase the amount of energy during the day.
    Balanced diet: a varied and enriched diet will help to improve health, add clarity of thinking and increase the amount of energy in the body.

    Medication: taking medication on time and in the doses recommended by your doctor may help to improve mood and will be a palliative, complementary treatment to psychotherapeutic and/or group treatment.

    Sports: simple sports such as yoga, walking and swimming will help to improve your mood.
    Hygiene: when people suffer from depression, hygiene can become an impossible task. Regular bathing and comfortable, neat clothes can greatly improve the inner feeling.

    Introduce good habits

    Focus on positive things: make a list of actions, people and places that cause a feeling of happiness and well-being. You can choose from a list of things that are already being done, or you can do them every day. Most likely, it is impossible to do everything that is written in the list every day, but you can try to enter those things that can be done daily in the daily routine. At this point, this list may look pointless, but in the future it can become a source of ideas and lead to the understanding that all situations are transient and there is nothing that would remain unchanged.

    Be sensitive to yourself: no need for criticism or self-flagellation, if something did not work, or plans are not implemented. In addition, you can try to apply to yourself all that you would advise a friend, whether he is in your situation.

    Show Activity

    To join any group: the group in Matnas (community center), a community group with those closest to you in spirit and interests, sign up for a program or club. It’s important to find something you like to do to increase motivation.

    Trying new things: Hobbies, course, studies and new experiences can improve mood and prevent negative thoughts and actions.

    Volunteering: being able to do something for others directly affects the inner feeling and the feeling of loneliness. There are organizations and various structures such as medical facilities, matney, nonprofit organizations, educational institutions, factories and museums, looking for people who want to help.

    Set real goals: it is important to set real and independent goals: dress up in the morning, swim, walk around the neighborhood on your own or prepare food. Achieving these goals improves mood, gives confidence and encourages the establishment of the following goals.

    Effect not mood

    Mood observation: for some time, mood observation provides an opportunity to see a picture of changes in feelings and shows that the number of good days is greater than it may seem. This review will show the real picture that not everything is permanent and that there are activities, people and places that improve mood.

    Use imagination: imagination gives you the opportunity to plunge into the memories of good emotions and pleasant places. You can even imagine a future experience or a place you would like to visit. This method helps to understand that there are things that improve our health.

    Development of social relations and interpersonal relations

    Stay in touch: if you feel like you do not want to see anyone, you can send a message or contact by e-mail with family, friends or acquaintances.

    Communication: it is difficult to start talking about your feelings and feelings, but many people say that they feel better after they share their impressions and experiences.

    Join a support group: participating in support group meetings is a great opportunity to listen to people who are or have been in a similar situation and get information from them. Information on support groups on the topic of depression can be obtained through Internet searches, access to health insurance Fund or mental health stations.

    Getting support via the Internet: professional support via the Internet can help in cases where a person cannot or cannot ask for help. Professional forums or chat rooms, such as ERAN (Rishon Ezra navset – psychological first aid) or MOTHER – Kehilat briut hanefesh – society for mental health can provide first aid.

    Advice to family and friends of a depressed person

    Talk about bad mood and depression: it is difficult for most people to talk about their health and what is happening to them. It is necessary to remain open, talk about depression or about mixed feelings. This way, your friend or close relative who is depressed will feel more comfortable telling you what is happening to him.

    Advise to apply and send for professional assistance: a close friend or relative can be those who will provide assistance and support – both in everyday life and in applying for professional help. Talking over a Cup of coffee or a slow walk around the house can improve your mood, help to trust a friend or relative and lead to a decision, finding a way out of the situation and strength. It is impossible to force a person to ask for help if he is not interested in it, but it is possible to listen, calm, encourage to ask for help and remind that this opportunity always exists.

    Staying in touch: it is sometimes difficult for a depressed person to stay in touch and keep in touch, so his friends and family should try to stay in touch with him. Text messages or phone conversations can mean a lot to him and remind him what they think about him.

    Take care of yourself: caring for another person affects our feelings. Close family and friends can also receive support and guidance and participate in suitable support groups.

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