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Which Lab Tests Can Help Make The Depression Diagnosis
After reviewing the information from your appointment, including the signs and symptoms, patient history, family history, and physician exam, your doctor may ask for some lab tests to rule out a physical condition that may be causing your symptoms. Certain viruses, medicines, hormonal or vitamin deficiencies, and illnesses can cause depression-like symptoms. Your doctor will also want to review all medications youâre taking as well as the alcohol or recreational drugs you may be using.
Youre Tired So So Tired
Fatigue can be part of any type of depressive episode or disorder. And were not talking about feeling tired because you slept less rather, its a pervasive loss of energy that comes up most days and doesnt go away for at least a few weeks. If youre getting enough sleep but still have low energy, depression could be to blame.
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Electroconvulsive Therapy Electric Shock Treatment
If you have severe depression and other treatments, like medication, havent worked, ECT might be recommended for you.
When receiving ECT, you will be given an anaesthetic and medication that relaxes your muscles to begin with. Electrodes will be placed on your head that give an electrical shock to your brain.
ECT is given over a series of sessions, normally twice a week for three to six weeks.
ECT can cause side effects including nausea, headaches, aches in the muscles and memory problems.
Most people find that ECT is good for relieving severe depression, but the beneficial effects tend to wear off when several months have passed.
Are There Warning Signs Of Suicide With Depression
Depression carries a high risk of suicide. Suicidal thoughts or intentions are serious. Warning signs include:
- A sudden switch from sadness to extreme calmness, or appearing to be happy
- Always talking or thinking about death
- Clinical depression that gets worse
- Taking risks that could lead to death, such as driving through red lights
- Making comments about being hopeless, helpless, or worthless
- Putting affairs in order, like tying up loose ends or changing a will
- Saying things like It would be better if I werent here or I want out
- Talking about suicide
- Visiting or calling close friends and loved ones
If you or someone you know shows any of the above warning signs, call your local suicide hotline, contact a mental health professional right away, or go to the emergency room.
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Consider Seeing A Psychiatrist First
There’s a tendency for some new patients to visit a counselor or psychologist for their initial mental health evaluation rather than a psychiatrist. This can be beneficial for many people, especially if your case is not severe, but for others, it’s often not enough.
Only psychiatrists are also medical doctors, which means that they are able to prescribe medications.
If your depression stems from a chemical imbalance, talk therapy will not be sufficient to treat you. It’s best to make your initial visit to a psychiatrist, who can both prescribe medications and offer you psychotherapy if it’s needed. This two-pronged approach of medication and talk therapy is often the most beneficial to patients.
Psychotherapy is a broad term for a variety of different verbal and psychological techniques that are employed to help an individual work through their mental health condition or source of underlying stress. These techniques include but are not limited to psychoanalytic therapy or psychodynamic psychotherapy, behavior therapy, cognitive therapy, and cognitive behavioral therapy . Oftentimes, other mental health professionals in the field such as counselors and social workers will draw from psychotherapeutic techniques and use them with their clients.
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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Your Weight Is Changing
It can be difficult to notice psychological symptoms, but physical changes can be a more obvious sign that somethings wrong, Martinez says.
If youre not trying to gain or lose weight, but your weight is fluctuating significantly, the change could be a symptom of depression because biochemical changes in the body that occur with depression can result in weight gain or loss.
Weight loss can also reflect other symptoms, such as a connected to loss of pleasure in food. For example, do your all-time favorite dishes not excite you anymore? Or is it just too much to even think about meal prep and eating? A persons appetite can grow or recede depending on their moodand maybe they just dont have the energy to think about how much theyre eating, Martinez says.
Other Causes Of Depression
There are a number of things that can lead to developing depression.
- Stressful events big changes in your life, like bereavement, the end of a relationship or the loss of a job, can be difficult to deal with. When these things happen, it’s important to keep seeing friends and family instead of trying to deal with problems alone this increases your risk of developing depression.
- Giving birth pregnancy and birth can make some people vulnerable to depression. Postnatal depression can happen as the result of physical changes, hormonal changes, and the responsibility of taking care of a new baby.
- Loneliness your risk of depression gets higher if you aren’t in contact or spending time with family and friends.
- Personality some personality traits can put you at a higher risk of developing depression. These include low-self esteem or a habit of criticising yourself too much. These personality traits can come from your genes, which you get from your parents, or they can be as a result of experiences in your early life.
- Family history it’s more likely for someone to develop depression if a family member, like a sibling or parent, has experienced it before.
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What Felt Good Before Doesnt Now
Loss of pleasure in things that you used to enjoy such as baking, playing the guitar, or hanging out with friends is a major sign you could have high-functioning depression, Martinez says. Many people with the condition have a difficult time tuning into other symptoms, such as depressed mood. It can be especially hard to gauge when depressive symptoms start if theyre subtle, as they often are with high-functioning depression. So, evaluating what you have historically liked doing and whether you still like to do it may help you recognize that something is wrong.
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What Do I Do If Im Worried That A Relative Or Friend Has Depression Or Anxiety
If you think a friend or relative is experiencing symptoms of depression or anxiety, try to talk to them about it.
You may feel uncomfortable bringing up a sensitive topic, especially if the person you’re concerned about doesn’t often talk about their emotions. Explain why you are concerned but avoid diagnosing their problem or forcing solutions.
They may be unwilling to talk about it, but let them know that you’re willing to listen when they’re ready.
There are various ways you can help them, such as:
- Offer your support, listen and reassure them that how theyre feeling can be improved.
- Stay in touch, call or visit regularly. The risk of depression increases when people feel alone and unsupported.
- Encourage them to make an appointment with their GP or another health professional. Offer to go with them to appointments.
- Encourage them to keep active and healthy. Plan occasional outings to get them out of the house.
Supporting a relative or friend with depression can be both rewarding and stressful. There is information and support for carers where you can get help for the difficulties you experience. Contact Carers Direct, Carers UK and the Carers Trust for more information.
Who Regulates Online Therapy
Online therapy is one of the newest health fields and its regulations are still changing. There are a few levels of regulation in the United States: Federal, State, and ethical.
On the federal level, the Food and Drug Administration and the Federal Trade Commission try to regulate online therapy apps, though they are still developing many rules and laws.
On the state level, mental health professionals need to follow state licensing requirements. This often includes doing background checks, having relevant education for the practice, and passing a state-recognized counselor exam.
Beyond federal and state regulation, online mental health services need to follow the law set by HIPAA . Meaning, a health professional must keep your information classified and private at all times.
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What If I Am Not Happy With My Treatment
If you are not happy with your treatment you can:
- talk to your doctor to see if they can suggest changes,
- get an advocate to help you speak your doctor,
- ask for a second opinion if you feel it would help,
- contact Patient Advice and Liaison Service and see whether they can help, or
- make a complaint.
There is more information about these options below.
Advocacy
An advocate is independent from the NHS. They are free to use. They can be useful if you find it difficult to get your views heard.
There are different types of advocates available. Community advocates can support you to get a health professional to listen to your concerns. And help you to get the treatment that you would like. They arent available in all areas.
You can ask an advocate to help you make a complaint. Advocates that do this are called NHS complaints advocates. They are free to use and don t work for the NHS. They re available in all areas.
You can search online to search for a local advocacy service. If you cant find a service you can call our advice service 0808 801 0525 . You can email us too at . We will look for you.
Second opinion
Talk to your doctor about your treatment to see if you can resolve the problem with them first. If you dont agree with their decisions about diagnosis or treatment, you could ask for a second opinion. You are not legally entitled to a second opinion, but your doctor might agree to it if it would help with treatment options.
‘PALS’
Complaints
- Advocacy by clicking here.
How To Get Help For Depression
To get medical treatment for therapy, youll need to know what types of treatment are available in your area and how much they cost.
If you have insurance, you can call them to see exactly what types of depression therapy programs your policy covers. Also consider your out-of-pocket costs, like copays, and your yearly deductible amount.
Once you have an idea of what therapy will cost you, you can connect with a resource provided by a general practitioner, or try searching one of the resources listed above.
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When To Get Professional Help For Depression
If youve taken self-help steps and made positive lifestyle changes and still find your depression getting worse, seek professional help. Needing additional help doesnt mean youre weak. Sometimes the negative thinking in depression can make you feel like youre a lost cause, but depression can be treated and you can feel better!
Dont forget about these self-help tips, though. Even if youre receiving professional help, these tips can be part of your treatment plan, speeding your recovery and preventing depression from returning.
Information For Family Carers And Friends
You can get support if you are a carer, friend or family member of someone living with depression.
Being a carer might mean you can claim certain benefits that might help you and the person you care for. For more information, please see the Mental Health and Money Advice services website:www.mentalhealthandmoneyadvice.org/en/welfare-benefits/what-benefits-are-available-for-mental-health-carers/
You could also get in touch with carer support groups or sibling support groups. You can search for local groups in your area online or ask your GP.
You can ask your local authority for a carers assessment if you need more practical support to help care for someone.
As a carer you should be involved in decisions about care planning. There are rules about information sharing and confidentiality which may make it difficult for you to get all the information you need in some circumstances.
You can find out more information about:
How can I support the person that I care for?
You might find it easier to support someone with depression if you understand their symptoms, treatment and self-management skills. You can use this to support them to get help and stay well.
Below are some initial suggestions for providing practical day to day support to someone with depression.
You can find out more information about:
You can find more information about:
Website: www.web.ntw.nhs.uk/selfhelp/
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Take Care Of Yourself
You can also improve symptoms of depression by taking care of yourself. This includes getting plenty of sleep, eating a healthy diet, avoiding negative people, and participating in enjoyable activities.
Sometimes depression doesnt respond to medication. Your healthcare professional may recommend other treatment options if your symptoms dont improve.
These options include electroconvulsive therapy or repetitive transcranial magnetic stimulation to treat depression and improve your mood.
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