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Depression is a mental illness marked by feelings of profound sadness and lack of interest in activities. It is a persistent low mood that interferes with the ability to function and appreciate things in life. It may cause a wide range of symptoms, both physical and emotional. It can last for weeks, months, or years. People with depression rarely recover without treatment.
The exact cause of depression is not known. It may be due to a certain type of brain chemistry. While the exact cause is not clearly established, there are several factors that play a role in depression.
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Depression is more common in females. There are a range of factors that may increase your risk of depression. Examples include:
Depression can differ from person to person. Some people have only a few symptoms, while others have many.
Symptoms can change over time and may include:
There is no blood test or diagnostic test for depression. You will be asked about your symptoms and medical history. Depression is usually diagnosed based on the duration, frequency, number, and nature of your symptoms. Special attention will be given to:
Specific mental health exams may be done. This will help the doctor get detailed information about your speech, thoughts, memory, and mood. A physical exam and other tests can help rule out other causes.
Treatment may involve the use of medicine and/or psychotherapy.
Severe depression can require hospital care, especially if you are at risk of hurting yourself or others.
Antidepressant medicines may be most effective in people with severe depression. These medications can take 2 to 6 weeks to reach their maximum effectiveness. There are many different types of medicine to treat depression. You will work with your doctor to find the medicine that benefits you the most and has the fewest side effects.
Psychotherapy for depression consists of various types of counseling. These include cognitive-behavior therapy (CBT) , interpersonal therapy, psychodynamic therapy, or a combination of these. Therapy is designed to help you cope with difficulties in relationships, change negative thinking and behavior patterns, and resolve difficult feelings.
If you want to take supplements or change your diet, talk to your doctor first.
The herb St. John's wort may be an effective alternative to standard medicines with fewer side effects. However, St. John's wort may reduce the effectiveness of many drugs, such as antidepressants, birth control pills, blood thinners, and other medicines. It is important that you talk to your doctor before trying any herb.
There is also some evidence that dehydroepiandrosterone (DHEA), a hormone that is available as a dietary supplement, may help some people.
A regular exercise program has been shown to relieve some of the symptoms. It should play a large role in the overall management of depression.
ECT is the use of an electric stimulus to produce a generalized seizure. It may be used in people with severe or life-threatening depression. ECT is also used for people who cannot take or do not respond to medicine. It is considered a safe and effective procedure.
VNS is used as therapy for depression when multiple trials of medicine do not work. A pacemaker-like device stimulates the vagus nerve in the neck.
Stimulation of the vagus nerve (yellow) at the neck is a depression therapy option.
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TMS involves the application of low-frequency magnetic pulses to the brain. The change in electrical field stimulates nerves. There are a number of studies that show the benefits of TMS for the treatment of depression. It may be used if you have not gotten better with medicines and psychotherapy.
Bright light therapy involves exposure to high levels of light from a special light box that has a screen on it. The light shifts natural rhythm of the sleep cycle. It is generally used in combination with other treatments and can take 1 to 3 weeks for results to be seen.
Sleep deprivation therapy is a behavioral program where sleep is greatly decreased over a few consecutive nights. It is designed as a short-term treatment that produces rapid improvement in mood.
Strategies to reduce your chances of depression include:
Depression and Bipolar Support Alliance
Mental Health America
Canadian Mental Health Association
Canadian Psychiatric Association
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Last reviewed September 2018 by EBSCO Medical Review Board Adrian Preda, MD Last Updated: 8/19/2020