What Does Clinically Depressed Mean
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What Are The Different Antidepressants And How Do They Work
The most commonly prescribed cause changes in brain chemistry that affect how neurons communicate. Exactly how this improves mood remains somewhat of a mystery, but the fact that they do often work is well-established.
- SSRIs This category of drug includes Prozac , Celexa , and Zoloft and targets , a neurotransmitter that helps control mood, appetite, and sleep.
- SNRIs SNRIs include drugs like Cymbalta , Pristiq , and Effexor XR , which block the reabsorption of both serotonin and another neurotransmitter, .
- NDRIs This class of medications includes bupropion.
- TCAs include such drugs as Tofranil and Pamelor . These drugs were among the earliest antidepressants to come on the market. These days, doctors generally only turn to them when treatment with SSRIs, SNRIs, and NDRIs has failed.
- MAOIs MAOIs, including Nardil and , were the first antidepressants developed. Theyre rarely used today, in part because people who take them require careful monitoring to prevent negative interactions with certain foods and other medications.
All antidepressants can have side effects, but some may be more problematic than others. You may need to try several different medications, or a combination, guided by your doctor, before you find what works best for you.
What Is The Definition Of Clinical Diagnosis
clinical diagnosis. a diagnosis made on the basis of knowledge obtained by medical history and physical examination alone, without benefit of laboratory tests or x-ray films.
What does it mean by clinically? clinical. pertaining to a clinic or to the bedside pertaining to or founded on actual observation and treatment of patients, as distinguished from theoretical or experimental. What does clinical mean in a sentence? Clinical means involving or relating to the direct medical treatment or testing of patients.
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Seek Support For Symptoms Of Depression
Depression is often not recognised and can go on for months or even years if left untreated. Its important to seek support as early as possible, as the sooner a person gets treatment, the sooner they can recover.
Untreated depression can have many negative effects on a persons life, including serious relationship and family problems, difficulty finding and holding down a job, and drug and alcohol problems.
There is no one proven way that people recover from depression. However, there is a range of effective treatments and health professionals who can help people on the road to recovery.
There are also many things that people with depression can do for themselves to help them recover and stay well. The important thing is to find the right treatment and the right health professional for a persons needs.
Familial Social And Environmental Factors
Depression can be familial. Thus, a thorough family history is quite important. Familial, social, and environmental factors appear to play significant roles in the course of depressive illness in children and youths, even in preschool children. René Spitz described anaclitic depression in infants being raised in an orphanage and in hospitalized children whose parents were not allowed to visit.
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What Are The Different Types Of Depression
The most common types of depression are:
- Major depressiondepressive symptoms that interfere with a man’s ability to work, sleep, study, eat, and enjoy most aspects of life. An episode of major depression may occur only once in a person’s lifetime. But it is common for a person to have several episodes. Special forms of major depression include:
- Psychotic depressionsevere depression associated with delusions or hallucinations . These psychotic symptoms are depression-themed. For example, a man may believe he is sick or poor when he is not, or he may hear voices that are not real that say that he is worthless.
- Seasonal affective disordercharacterized by depression symptoms that appear every year during the winter months when there is less natural sunlight.
- Persistent depressive disorder depressive symptoms that last a long time but are less severe than those of major depression.
- Minor depressionsimilar to major depression and persistent depressive disorder, but symptoms are less severe and may not last as long.
What Is Samhsa’s National Helpline
SAMHSAs National Helpline, , or TTY: is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations. Callers can also order free publications and other information.
Also visit the online treatment locator.
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What Can I Do If I Have Depression
If you have symptoms of depression, see your healthcare provider. They can give you an accurate diagnosis, refer you to a specialist or suggest treatment options.
If you or someone you know is thinking of hurting themselves or taking their own life:
- Go to the emergency department of your hospital.
- Contact a healthcare provider.
- Speak to a trusted friend, family member or spiritual leader.
A note from Cleveland Clinic
Depression is a common condition that affects millions of Americans every year. Anyone can experience depression even if there doesnt seem to be a reason for it. Causes of depression include difficulties in life, brain chemistry abnormalities, some medications and physical conditions. The good news is that depression is treatable. If you have symptoms of depression, talk to your healthcare provider. The sooner you get help, the sooner you can feel better
Last reviewed by a Cleveland Clinic medical professional on 12/31/2020.
References
Who Is At Risk For Depression
Depression can affect anyone, no matter their age, gender or circumstances. About 16 million Americans experience depression each year.
Women may experience depression more often than men. And your genetics or other health conditions can increase the likelihood that youll have at least one depressive episode in your lifetime.
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What Is The Prognosis For Depression
Untreated episodes of clinical depression typically last from 6-24 months.
When properly treated, episodes resolve in much shorter time periods.
- About two-thirds of people will recover and be able to return to their normal activities within days or weeks.
- About 25% of people will continue to exhibit moderate to severe symptoms for months to years after the initial episode.
- Nearly 10% of people with depression will have continuous or intermittent symptoms for 2 or more years. A person who has one episode of depression should be on the lookout for recurrent episodes of depression, since these occur about 50% of the time. However, timely treatment is usually effective for these recurrent episodes as well.
When Should I Seek Help
If your symptoms of depression are causing problems with relationships, work, or your family — and there isn’t a clear solution — you should see a professional.
Talking with a mental health counselor or doctor can help prevent things from getting worse, especially if your symptoms stay for any length of time.
If you or someone you know is having suicidal thoughts or feelings, get help right away.
It’s important to understand that feeling depressed doesn’t mean you have depression. That condition involves not only changes in mood, but also changes in sleep, energy, appetite, concentration, and motivation.
If you have physical symptoms like these and find yourself feeling depressed much of the time for days or weeks, see your doctor.
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What Is Major Depressive Disorder
Sadness is a natural part of the human experience. People may feel sad or depressed when a loved one passes away or when theyre going through a life challenge, such as a divorce or serious illness.
These feelings are usually short-lived. When someone experiences persistent and intense feelings of sadness for extended periods, then they may have a mood disorder such as major depressive disorder .
MDD, also referred to as clinical depression, is a significant medical condition that can affect many areas of your life. It impacts mood and behavior as well as various physical functions, such as appetite and sleep.
MDD is one of the most common mental health conditions in the United States. Data suggests that more than 7.8 percent of U.S. adults experienced a major depressive episode in 2019.
Some people with MDD never seek treatment. However, most people with the disorder can learn to cope and function with treatment. Medications, psychotherapy, and other methods can effectively treat people with MDD and help them manage their symptoms.
What Should I Know About Clinical Depression
Throughout the course of our lives, we all experience episodes of stress, unhappiness, sadness, or grief. Often, when a loved one dies or we suffer a personal tragedy or difficulty such as divorce or loss of a job, we may feel depressed . Most of us are able to cope with these and other types of stressful events.
Over a period of days or weeks, the majority of us are able to return to our normal activities. But when these feelings of sadness and other symptoms make it hard for us to get through the day, and when the symptoms last for more than a couple of weeks in a row, we may have what is called “clinical depression.” The term clinical depression is usually used to distinguish the illness of depression from less difficult feelings of sadness, gloom, or the blues.
Clinical depression is not just grief or feeling sad. It is an illness that can challenge your ability to perform even routine daily activities. At its worst, depression may lead you to contemplate, attempt, or commitsuicide. Depression represents a burden for both you and your family. Sometimes that burden can seem overwhelming.
There are several different types of clinical depression :
Adjustment disorder is a state of distress that occurs in relation to a stressful life event. It is usually an isolated reaction that resolves when the stress passes. Although it may be accompanied by a depressed mood, it is not considered a depressive disorder.
Depression Statistics
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How Is Major Depression Treated
Major or clinical depression is a serious but treatable illness. Depending on the severity of symptoms, your primary care doctor or a psychiatrist may recommend treatment with an antidepressant medication. They may also suggest psychotherapy, or talk therapy, in which you address your emotional state.
Sometimes, other medications are added to the antidepressant to boost its effectiveness. Certain medicines work better for some people. It may be necessary for your doctor to try different drugs at different doses to determine which medicine works best for you.
There are other treatment options for clinical depression — such as electroconvulsive therapy, also called ECT or shock therapy — that can be used if drugs prove ineffective or symptoms are severe.Ã Other treatments for depression that is difficult to treat include intranasal ketamine or transcranial magnetic stimulation
Favorite Apps Products And Gadgets
If youre feeling sad, lonely, or stressed, the 7 Cups app could provide you with online therapy and emotional support. With180 professional therapists and more than 300,000 trained listeners and licensed therapists, youll be able to speak to someone 24/7 in a confidential setting.
This app offers activities and games to overcome negative thoughts. Youll receive a happiness score that you can improve each time you play. Its based on effective, evidence-based psychological strategies. The company says 86 percent of those who use the app report feeling better about their lives after just two months.
If you suffer from seasonal affective disorder , bright light therapy may help improve your symptoms. We like the Verilux HappyLight Lucent 10,000 Lux LED Bright White Light Therapy Lamp. Its compact and portable, so you can use it on the go. And it received an average of 4.5 stars on Amazon reviews. The cost is around $45.
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What Is Treatment Resistant Depression And Is There Any Help For It
If youve tried at least two different antidepressants and your depression hasnt improved, you may be diagnosed with treatment resistant depression . TRD is a serious condition that has been highly associated with suicidal ideation and suicide attempts. Nearly 33 percent of people with TRD attempt suicide in their lifetime, more than double the rate of their treatment-responsive peers, according to a recent report in Psychiatry Advisor. It is not, however, a hopeless condition. A number of alternative treatment approaches are available, including:
Physical Effects Of Depression
Depression can appear physically via symptoms felt in the body. Examples of physical effects of depression include sleep disturbance, appetite changes, poor concentration or memory, and a loss of interest in sex. Some people with depression may also feel chronic pain, experience gastrointestinal issues, or have a higher level of fatigue.
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Suicidal Thoughts And Behaviors
Strong signs of suicidality include talking about wanting to die, making plans, or attempting to take ones own life. Warning signs of suicidal intention include:
- Acquiring the means to commit suicide
- Changes in eating or sleeping habits
- Engaging in risky or self-destructive behavior
- Extreme agitation or anxiety
- Getting one’s affairs in order
- Increased use of substances such as drugs and alcohol
- Intense changes in mood/mood swings
- Saying goodbye to friends and family as though for the last time
- Feeling trapped or hopeless in ones situation
- Talking a lot about death, dying, and violence
- Talking about suicide or wishing that one hadn’t been born
- Withdrawal from friends or family
How Is Depression Syndrome Diagnosed
Everyone may feel sad or down from time to time. However, clinical depression has more intense symptoms that last two weeks or longer.
To determine whether you have clinical depression, your healthcare provider will ask questions. You may complete a questionnaire and provide a family history. Your healthcare provider may also perform an exam or order lab tests to see if you have another medical condition.
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How To Tell If You Have Depression
Depression affects people in different ways and can cause a wide variety of symptoms.
They range from lasting feelings of unhappiness and hopelessness, to losing interest in the things you used to enjoy and feeling very tearful. Many people with depression also have symptoms of anxiety.
There can be physical symptoms too, such as feeling constantly tired, sleeping badly, having no appetite or sex drive, and various aches and pains.
The symptoms of depression range from mild to severe. At its mildest, you may simply feel persistently low in spirit, while severe depression can make you feel suicidal, that life is no longer worth living.
Most people experience feelings of stress, anxiety or low mood during difficult times. A low mood may improve after a short period of time, rather than being a sign of depression.
Where Can I Go For Help
If you are unsure of where to go for help, ask your family doctor or health care provider. You can also find resources online including the NIMH website at www.nimh.nih.gov/FindHelp, or check with your insurance carrier to find someone who participates in your plan. Hospital doctors can help in an emergency.
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Alternative And Complementary Treatment
You may choose to explore complementary or alternative therapies for depression. One of the most common is an herbal supplement called St. Johns wort.
The FDA has not officially approved St. Johns wort to treat depression, but it is often suggested by alternative health practitioners. Research has indicated that St. Johns wort may be beneficial for some people who have symptoms of depression.
The supplement comes in various doses and preparations and can be purchased over-the-counter and at most health food stores. There is no standard dose and you may want to work with a practitioner as you undertake some trial and error to determine the dose that feels right for you.
Similar to how prescription medications affect neurotransmitter levels, St. Johns wort may influence the levels of a specific neurotransmitter called serotonin in the brain. When people have too little serotonin, they can feel depressed. Increasing the amount of serotonin can help improve symptoms. However, having too much serotonin can lead to a serious condition called serotonin syndrome.
If you are taking a medication that carries a risk of increasing your serotonin levels too much, your doctor will teach you about the signs of serotonin syndrome to watch for. They will also want you to make sure that you never take more than one medication, herb, or supplement that can raise your serotonin levels at the same time .