Themes That Emerged In Semistructured Interviews
Several themes emerged from careful review of the transcripts. We describe 4 major themes selected for their clinical importance. The themes relate to the patients perception of the relationship with their physician.
My Doctor Just Picked It Up
In several of the transcripts patients express a belief that their physicians are able to pick up on depression without the patient being explicit about their emotions. For example, Mrs K says that her doctor understands how she feels:
Because she seems to pick up on some things that I dont tell her, and shell bring it up right now. Now you didnt tell me this, lets get down to this. Whats going on? Thats the way she is, so I know something is wrong, yes.
This response suggests that the physician has an almost intuitive capability to recognize when something is wrong with a patient, which could reflect the ability of some physicians to recognize nonverbal cues, as is illustrated in the following excerpt from another woman:
I had one doctor tell me, when I walked into the room, he said, Young lady whats your problem? And um, I was trying to tell him how I was trying to tell him how I was struggling. He said, Youre depressed. Yes, he just said, You look depressed to me.
Im a Good Patient
He thinks Im a good patient, he thinks Im doing good. Besides, other people come in there have more pains and that more than I do.
Another patient, Mrs R, said:
They Just Check Out Your Heart and Things
Depression Treatment: Staying Positive
Your attitudes and beliefs are also important when it comes to depression treatment. Papakostas explains that a person who believes that medication and therapy can work has a higher chance of healing than someone who doesn’t have the same positive attitude. This is true in other medical fields as well.
Some people believe things that just aren’t backed by the evidence, he says. That’s another reason why it’s important to share any doubts you may have heard something about depression treatment that just isn’t true. “Having beliefs that are very pessimist and unrealistic — and not feeling comfortable discussing them with one’s doctor — may, in fact, get in the way of treatment,” says Papakostas. Your doctor can explain the facts and help you understand how and why treatment can work for you.
Types Of Health Practitioners
Finding a health professional who you can work with may depend on a number of things, including the approach they use and how comfortable you feel with the person.
Not everyone is right for you, and its important to get the right fit. The first health professional you see might not be right. When you first talk to a health professional, it can be useful to ask, How can you help me? or What can you do for me?. If you dont like their answer, or if youre not happy after the first session, you dont have to stay with them. Even though its hard to have to start again, its worth it to find someone who you feel comfortable with. You can always ask your friends if they use someone who they would recommend.
You can check if your health professional is a registered practitioner under the Health Practitioners Competence Assurance Act. Being a registered practitioner means they are recognised and regulated by a professional body.
A visit to your family doctor or general practitioner is often the first step in getting help for physical or mental health problems.
Your doctor can assess your symptoms and talk with you about what might be the best way for you to get treatment. That might mean taking medication, going to talking therapy or referring you to someone else who has specialist knowledge.
Your doctor can also help you work out a self-help programme and keep an eye on your progress along the way
Psychotherapists or counsellors
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What Are The Different Types Of Depression
You might have heard a number of terms used to describe depression. In this section, we explain what some of these terms mean.
What is clinical depression?
Clinical depression is a common term, but it is not a formal diagnosis. People sometimes say clinical diagnosis to just mean they have been diagnosed by a doctor.
What is a depressive episode?
Your doctor might say that you are going through a ‘depressive episode’. This is the formal name that doctors give depression when they make a diagnosis. They may say that you are going through a ‘mild’, ‘moderate’ or ‘severe’ episode.
What is recurrent depressive disorder?
If you have had repeated episodes of depression, your doctor might say that you have recurrent depressive disorder. They may say that your current episode is ‘mild’, ‘moderate’ or ‘severe’.
What is reactive depression?
If your doctor thinks that your episode of depression was caused by particular stressful events in your life, they may say that it is reactive. For example, divorce, job or money worries. This is sometimes separated from an adjustment disorder, where you may struggle with some symptoms of depression because of adapting to a major change in your life. Such as separation from people, retirement or migrating to a new area.
What is a severe depressive episode with psychotic symptoms?
You can find more information about Psychosis by clicking here.
What is dysthymia?
What is cyclothymia?
What is postnatal depression?
What is manic depression?
You’re Dealing With Unexplained Aches And Pains
“Emotional pain from depression that you aren’t getting help for can be channeled throughout your body and show up as physical ailments, like headaches, stomach problems, neck and back pain, even nausea,” says Thomas. “I see this with many of my patients they’re holding so much sadness and distress inside, these feelings end up playing out in other ways.” Not every cramp or twinge is a symptom of depression, of course. But if you’re suffering from a chronic ailment you can’t attribute to another cause that isn’t clearing up on its own, “see a doctor to get it checked out, but also consider it a possible sign of depression too,” says Thomas.
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An Introduction Of Atypical Depression
A lot of studies have used unrealized class evaluation to comprehend whether there are subtypes of depression. But various research studies have how to tell your doctor you think you have depression determined very different varieties of subtypes, which could be because they evaluated different collections of inquiries.
Depression Red Flags: When To See Your Doctor
Depression is a serious illness that requires medical attention. Unfortunately many people who are living with a depressive illness do not seek treatment. Depression can be successfully managed with medication, psychotherapy, or a combination of both. The earlier a person with a depressive illness begins treatment, the more successful it is and the greater the chance that recurrence can be prevented.
The first step to getting appropriate treatment is to see your doctor at the first signs of depressive symptoms. Certain medications and medical conditions such as thyroid disorder can cause the same symptoms as depression. A doctor can rule out these possibilities by conducting a physical exam, an interview, and lab tests.
The following is a list of signs and symptoms that may indicate a person has a depressive illness. If you or a loved one is experiencing any of these signs or symptoms, make an appointment with a physician as soon as possible. If you or a loved one is struggling with feelings of self-harm or suicide, seek medical attention immediately.
Signs that you should see your doctor:
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What Are Common Signs Of Depression
Depression is much more than just feeling sad or fed up and it is experienced differently by each individual person, however there are a number of common symptoms. Depression is where you are experiencing a few of these symptoms persistently, for a number of weeks.
Common depressive symptoms usually include one or more of the following:
- Depressed mood most of the time
- Feeling tired all the time
- A sense of hopelessness
To be diagnosed with depression you should consult your general practitioner.
Not Sure What To Do Next
If you or someone you know are finding it difficult to manage mental health issues, try healthdirects Symptom Checker and get advice on when to seek professional help.
The Symptom Checker guides you to the next appropriate healthcare steps, whether its self care, talking to a health professional, going to a hospital or calling triple zero .
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What Risks And Complications Can Depression Cause
Having depression can cause other problems. It can affect your mental health as well as your physical health, and it may affect other areas of your life too. For example, depression may cause:
- disturbed sleep,
- difficulties with work and your hobbies,
- difficulties keeping contact with friends and families, or
- suicidal thoughts or thoughts of self-harming.
Some people might also drink more alcohol to try and relieve depression. However, as we said in the previous section above, this can actually make depression worse.
If you have any of these problems, speak to your GP.
Your Bipolar Depression Doesnt Specify You
In the USA, throughout the early part of the 1990s, the cost of lost efficiency arising from this problem was estimated at around $15.5 billion yearly. Roughly 25-50% of people with bipolar disorder attempt suicide, and also 11% efficiently commit suicide. Globally, the long-lasting occurrence price of bipolar affective disorder is 0.3 1.5%. Yutzy and also coworkers reported an increase in the frequency of BPI as well what to tell your doctor depression as BPII over the last few years. This occurrence ranged from 0.4% to 1.6% between the mid 1970s and also 2000 by the late 1990s to the 2000s, the occurrence had actually the climbed from about 5% to 7%. Futhermore, an additional research examined psychological admission of 730 patients and located the admission rate for patients with bipolar illness was significantly greater throughout May, June, as well as July months with optimum sunlight exposure.
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Getting A Second Opinion
If you’re unhappy or want to confirm that the advice or support you were given was correct, you can ask for a second opinion from another GP or a specialist. It is your right to see a GP who you feel is competent to deal with your case. You can also make an appointment with another GP in the practice, or change practice altogether if your GP refuses to arrange a second opinion for you.
Sometimes seeing a different doctor can make all the difference.
‘When I first became ill and went to the GP with whom I was registered, he was useless and unsympathetic. I was advised by a friend to see a different GP in my practice. WOW, what a difference. Right from the start he listened, empathised gave me the time and support I needed when I was scared and confused and referred me to the correct mental health service.’ – Edith
What Happens If You Tell Your Doctor Youre Depressed
If you are depressed your doctor will talk to you about it, You should tell your doctor that you think it might beThe Type of Questions Your Doctor Will Ask Here are some typical questions from a few of the more common depression screening scales: From PHQ-9: In the past two weeks, Your psychiatrist will focus on checking your progress and adjusting treatments, Its always a good idea to get a physical exam in order to rule out other possible causes of the symptoms, they will have an evaluation of what might be wrong, If you have a poor diet and the body can not absorb enough B vits, If you are not doing a good job try to make a change, If you are depressed your doctor will talk to you about it, depending upon his or her initialSo, You
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How To Know If You Have Anxiety
Its that sinking in your stomach that feels like a heavyweight, the endless circle of troublesome thoughts and not forgetting that super-fast pumping heart rate. Perhaps this sounds all too familiar, extreme anxiety symptoms arent just present in our minds, but also show physical signs and can take their toll on your general health.
At some point or another, everyone experiences high anxiety symptoms in their lifetime. In fact, to some degree, its an expected and usual response to events such as changing jobs, moving house, or financial difficulties. If youre wondering how common it is, the World Health Organization estimates one in every 13 people worldwide experience anxiety. Its often explained as worrying about something that has not occurred yet, or something which may never happen, whereas depression is often linked to past events . The two are very different conditions and often overlap.
When anxiety symptoms start to take over and impact your day-to-day living, it could be symptomatic of an anxiety disorder. Its a good idea to understand your symptoms and where they are coming from so you can get on top of it. Anxiety can manifest itself in many different ways, but keep your eyes peeled for these six key signs.
Sleep Disturbances And Fatigue
Irritability And Agitation
A Foggy Mind
What If The Doctor Finds Signs Of Depression
If your child is showing signs of depression, the doctor will:
- Refer your teen to a therapist or doctor with special training in helping young people with emotional or behavioral problems
- Talk about medicines or other treatments like talk therapy that could help your teen manage their depression
- Order tests to check for other health problems
Make sure to include your teen when you make any decisions about treatment.
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How Long Is Seasonal Depression
SAD is not considered a separate disorder but is a type of depression characterized by its recurrent seasonal pattern, with symptoms lasting about 4 to 5 months per year.
Clinical depression can additionally be an attribute of another mental health condition called bipolar disorder. Individuals with bipolar disorder what to tell your doctor depression tend to alternating between periods of depression and durations of substantially raised state of mind called mania.
Are There Physical Signs Of Depression
Yes. In fact, a great many people with depression come to their doctor first with only physical issues. You might notice:
- Back pain
- Gut problems
- Constant tiredness
- Sleep problems
- Slowing of physical movement and thinking
You might notice these symptoms and signs even before you notice the mental health symptoms of depression, or you might notice them at the same time. Your doctor can help you figure out the source of your symptoms.
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Feeling Depressed Or Suffering From Depression
We often get mixed up between low mood and unhappiness and depression. The two things are very different. Depression isnt about feeling unhappy, its feeling youll never be happy again, explains Colin Grange, Psychologist and Clinical Director of Lifeworks.
If youre feeling low, is it starting to interfere with your day to day life? Are you not doing things that you used to do? Are you losing motivation in and enjoyment of life? Are you starting to not enjoy your hobbies? Is everything becoming an effort?
People suffering from clinical depression often experience a range of symptoms both physical and emotional which can interfere with day to day life. Discovering whether you are suffering from one or more of these symptoms could be an important step towards getting the help you need.
Quiz: Am I depressed?
How Do I Talk With These Health Professionals
The most effective way to take charge of your health is through shared decision-making, which means you and your doctor work together to make a treatment plan that works for you.
Some people prefer to be very involved in their care while others prefer less direct involvement. Your role may vary depending on the stage of your illness you’re at: whether you’ve been recently diagnosed or whether you have a lot of experience with your illness. Regardless of your preferred level of involvement, you do need to be involved in some way.
Depression can affect how you interact with your health professional. It can affect your memory and concentration. It’s helpful to look for ways to keep track of everything so you have the information when you need it. You could use apps on your phone to take daily notes, track changes in your mood, write down questions you’d like to ask at your next appointment, and set reminders so you don’t forget appointments. Some people carry a notebook with them. Online screening self-tests are another great tool: you can print out your screening results to bring to appointments. Some people also find it helpful to bring trusted family members or friends to appointments.
Defining the problem. Your role is explaining the problem in your own terms.
Setting goals. Deciding what the goals of treatment will be, or deciding what will happen as a result of treatment.
Step One: Defining the problem
Step Two: Setting goals
Step Three: Making decisions
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What Happens When You Tell Your Doctor You Re Depressed
That may be medication, If your psychiatrist is providing you with psychological treatmentsVitamin B-12 and other B vitamins can play a role in producing mood-affecting brain chemicals and low levels of these may be linked to depression, 4Top responsesYou can always ask your mom to leave the room, and if the therapist thinks youre depressed (dont worry, the appointments might be shorter, I know at our practice, The checklist wont provide a diagnosis for that youll need to see a health professional but it can help to guide you and provide a better understanding of how youreHow to Tell Your Doctor Youre DepressedIf your doctor has ruled out other possible causes for how you are feeling and feels that your symptoms and history are indicative of depression, If your family member shows signs, He or she can do tests to find out if dementia is the cause of your symptoms, He or she may also ask you to go for further tests, it might feel like youre destined to feel terrible forever, even talking with your doctor or psychiatrist, and help you set up a treatment plan that works for you, try to get them to see a doctor, or it may be therapy/counseling, or ask the doctor to have her leave, you could ask someone to go with you, or it may be both, completing our checklist is a quick,If you think that you or someone you know may be experiencing depression, Although, #4 Know