How Does Psychotherapy Work
Cognitive-behavioral therapy is a form of psychotherapy that can treat anxiety or depression in children. CBT helps children learn to think more positively and control negative behaviors. It can also help children manage anxiety by getting to the root of their fears and worries. Therapy gives children tools to cope with anxiety and depression in healthier ways.
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.
Major Life Changes Major Depressive Disorder
When Jessica C. moved to New York City, she knew her transition would be stressful. After all, she was starting a new job and settling into a new apartment. Plus, she had to learn her way around one of the worlds busiest cities. It was a lot all at once, she says. Everything did seem like it was falling apart. The anxiety proved too much: Jessica stopped eating, lost 15 pounds, and felt tired frequently. Thinking the anxiety from her move was at the root of her problems, she sought out a therapist. I knew I had some personal things I had to be conscious of, but I didnt realize the extent of my problems.
After a lengthy search for a therapist, Jessica found a psychiatrist, and after her first visit, she had her diagnosis. It wasnt an anxiety disorder as she had suspected it was major depressive disorder . She was given a low-dose antidepressant and another medicine to help treat the anxiety.
I was surprised with the diagnosis. I called my mom after the first appointment because I had this feeling of shame. I remember asking her, What if this medication makes me become a new person? She reminded me there was no shame in this diagnosis, she says.
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Disruptive Mood Dysregulation Disorder
Disruptive mood dysregulation disorder is a condition that occurs in children and youth ages 6 to 18. It involves a chronic and severe irritability resulting in severe and frequent temper outbursts. The temper outbursts can be verbal or can involve behavior such as physical aggression toward people or property. These outbursts are significantly out of proportion to the situation and are not consistent with the childs developmental age. They must occur frequently and typically in response to frustration. In between the outbursts, the childs mood is persistently irritable or angry most of the day, nearly every day. This mood is noticeable by others, such as parents, teachers, and peers.
In order for a diagnosis of disruptive mood dysregulation disorder to be made, symptoms must be present for at least one year in at least two settings and the condition must begin before age 10. Disruptive mood dysregulation disorder is much more common in males than females. It may occur along with other disorders, including major depressive, attention-deficit/hyperactivity, anxiety, and conduct disorders.
Disruptive mood dysregulation disorder can have a significant impact on the childs ability to function and a significant impact on the family. Chronic, severe irritability and temper outbursts can disrupt family life, make it difficult for the child/youth to make or keep friendships, and cause difficulties at school.
Treatment typically involves and/or medications.
How Common Is Childhood Depression And Anxiety
Depression and anxiety are among the most common mental health disorders in children. About 7% of children ages 3 to 17 have anxiety about 3% deal with depression.
Both depression and anxiety tend to be higher in older children and teenagers between the ages of 12 and 17. An estimated 3.2 million adolescents aged 12 to 17 in the United States had at least one major depressive episode. This number represented 13.3% of the U.S. population aged 12 to 17. An estimated 31.9% of adolescents have had an anxiety disorder.
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Different Types Of Depression
Your doctor may diagnose you with depression and say that its mild, moderate or severe, depending on your symptoms and how severe they are. Or you may be diagnosed with a specific type of depression, such as:
- dysthymia mild depression that lasts for several years
- seasonal affective disorder a depression that comes and goes in a seasonal pattern
- postnatal depression a depression that many parents experience after having a baby. Some people experience antenatal depression during pregnancy
Finding The Right Resources To Answer Your Questions And Meet Your Complex Needs
Just as anxiety and depression tend to be worse when occurring together, treatment of these disorders is most effective when both conditions are addressed at the same time.1
Hartgrove Behavioral Health System provides integrated care that treats these and other mental health issues simultaneously. As part of our comprehensive care, medical specialists and therapists work together to help bring healing and balance in our patients lives a feeling of being in charge of their inner self again.
2 How to Cope With Anxiety and Depression. Everyday Health, August 27, 2015.
3 Anxiety Disorders. National Institute on Mental Health, March 2016.
4 Depression. National Institute on Mental Health, October 2016.
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Symptoms Of Clinical Depression
People are considered clinically depressed when they have a depressed or irritable mood, decreased energy, and other symptoms in the list below that last for more than a few weeks and are severe enough to disrupt daily life. Probably the best single marker for clinical depression is loss of interest in activities and responsibilities that used to be important for example, if you find yourself saying, I used to enjoy gardening, cooking, and going to church. I dont feel like doing any of those things anymore. Clinical depression may be brought about by lupus, by the various medications used to treat lupus, and/or by any of the factors and forces in a persons life that are not related to lupus. For reasons that are not entirely understood, people with chronic disease often experience this type of depression.
If recognized and properly treated, symptoms of clinical depression can improve.
These are among the most common psychological and physical symptoms of clinical depression:
Clinical depression may not be recognized in people with lupus because its symptoms and the symptoms of active lupus can be so similar. For example, lack of energy, trouble sleeping, and diminished sexual interest can be attributed to the lupus itself. However, these are also symptoms of clinical depression.
How dealing with chronic illness can lead to depression
Lupus And Depression: Know The Signs And How To Get Help
Life with lupus can be challenging. With symptoms that come and go, disease flares and remissions, and the uncertainty of what each day will bring, its normal to experience feelings of unhappiness, frustration, anger, or sadness. Its also normal to grieve for the loss of the life you had before lupus.
As you learn more about lupus and how to adjust and adapt to necessary life changes, feelings of unhappiness, frustration, anger and sadness will lessen.
However, there is a difference between temporary negative feelings and negative feelings that become overwhelming and long-lasting, which may signal a serious but treatable illness called clinical depression.
What Causes Psychotic Depression
The cause of psychotic depression is not fully understood. It’s known that there’s no single cause of depression and it has many different triggers.
For some, stressful life events such as bereavement, divorce, serious illness or financial worries can be the cause.
Genes probably play a part, as severe depression can run in families, although it’s not known why some people also develop psychosis.
Many people with psychotic depression will have experienced adversity in childhood, such as a traumatic event.
Treatment for psychotic depression involves:
- medicine a combination of antipsychotics and antidepressants can help relieve the symptoms of psychosis
- psychological therapies the 1-to-1 talking therapy cognitive behavioural therapy has proved effective in helping some people with psychosis
- social support support with social needs, such as education, employment or accommodation
The person may need to stay in hospital for a short period of time while they’re receiving treatment.
Electroconvulsive therapy may sometimes be recommended if the person has severe depression and other treatments, including antidepressants, have not worked.
Treatment is usually effective, but follow-up appointments so that the person can be closely monitored are usually required.
Diet And Physical Activity
Recent studies have indicated that adults with mild depression may be able to prevent an episode of major depression through a combination of lifestyle changes. Gut microbes and diet may also play a role in the development of depression. Some research has also shown that certain diets, such as the Mediterranean diet, might help older adults avoid depression.
On the other hand, diets that are high in sugar and trans fat, especially heavily processed food, can promote or worsen depression, especially when paired with a sedentary lifestyle. A possible reason for the link is that diets high in these foods can lead to weight gain. Although, weight gain alone does not necessarily lead to depression.
While weight gain may be associated with the the onset of depression, it should also be mentioned that eating foods high in sugar or trans fats can disturb the balance of the gut microbiome. This can lead to a leaky gut. The immune system gets alerted and releases cytokines that can cross the blood-brain barrier, leading to alterations in neurochemicals. For example, some cytokines can shift production away from serotonin and into glutamate, which, when present in excessive amounts, causes cell damage or cell death. When this occurs, it can trigger anxiety or depression.
In fact, a 2018 study found that people were more likely to become depressed if they were overweighteven if the extra weight wasnt causing other health problems such as high blood pressure or type 2 diabetes.
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Does Depression Affect Children
Depression can affect people of any age, including children. Although children naturally have mood swings as they grow and develop, depression is different. The disorder can affect how children interact with friends and family. It may prevent them from enjoying school, sports, hobbies or other normal childhood activities.
In children, depression and anxiety often go hand in hand. Anxiety is a medical condition that causes feelings of fear, panic or worry about everyday situations. Sometimes, depression or anxiety in children gets chalked up to growing pains. But if you have any concerns about behavioral or mental health, talk to a healthcare provider.
Most Common Signs Of Depression
Depression isnt a one-size-fits-all condition.
Its symptoms can vary from person to person and can be based on the specific type of depression you have. But even if two people have the same type of depression, they may still have different symptoms.
There are many symptoms of depression, but there are five common ones that, if you experience them for most of the day for more than 2 weeks, may be a strong indicator that you have depression.
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Loneliness Is The Worst Thing For Meexperience Of Loneliness And Isolation
Well, if I am alone, I just go crazy in a way.
And maybe, that you can talk about it in a group that you can say: I am , I have this and that problem. What do you think, what is your impression, what is your problem? . . . Because I cant possibly walk into my classroom and say: you know what happened to me? Well, I could, but . . .
Well, somehow I feel a rather great pressure on me, because um I am in the last year of school and um I would like to get a very good Abitur , because I dont have anyone, well, that I can count on really.
Well, I just did not want to tell because I did not want them to worry or to feel guilty or something like that.
He had never, never expected that from me. Because, to some extent I was able to hide it well from him. At home I just said: Its okay, fine, I am fine. But that was just painful for me seeing him like that, the way he is suffering, because he really suffered from itthat I was in such a bad state. And that of course was again a little, well, more negative.
For that reason I could not show it to anyone, because I never talked to my friends about well my feelings. Well, at least not about the negative ones. And that is why I always had it accumulate inside of me until the evening. And well, then it all came out at night.
Then, by and by I just got totally bad grades, because I just could not tell anyone that I am not handling it, because I just cant and not because I dont fancy doing it.
Causes And Risk Factors
While some illnesses have a specific medical cause, making treatment straightforward, depression is far more complicated. Certain medications, such as barbiturates, corticosteroids, benzodiazepines, opioid painkillers, and specific blood pressure medicine can trigger symptoms in some peopleas can hypothyroidism . But most commonly, depression is caused by a combination of biological, psychological, and social factors that can vary wildly from one person to another.
Despite what you may have seen in TV ads, read in newspaper articles, or maybe even heard from a doctor, depression is not just the result of a chemical imbalance in the brain, having too much or too little of any brain chemical that can be simply cured with medication. Biological factors can certainly play a role in depression, including inflammation, hormonal changes, immune system suppression, abnormal activity in certain parts of the brain, nutritional deficiencies, and shrinking brain cells. But psychological and social factorssuch as past trauma, substance abuse, loneliness, low self-esteem, and lifestyle choicescan also play an enormous part.
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I Dont Need Thattherapy As A Last Resort
But I have never seen it for myself: I have to do this now, well, I wasnt ready, I said: I am fine. Other people have worse problems than me. but at a certain moment one does not manage by oneself any more.
Partially, I also try to solve this anger and this aggression through reading, because I, erm, well, this calms me down a little.
That I, that I am happy when I can do stuff with my friends. That is like being on holiday.
But when I am out with my friends, everything is forgotten. In those moments, all is well.
I am a world champion in suppression.
And, if I can forget in a way what happened. Well, maybe not really forget, but lets say suppress it a little bit
And well, if I was in a bad mood, then I always suppressed it the whole time. And nobody ever noticed it. But this was just extremely arduous for me.
Well, it is just annoying for me, because I try it and I dont manage.
Well, I was always searching for a long time, because for a long time I had the need, um, so to say, to start therapy.
Well, I just did not really realise it or take it seriously. I just thought, that from time to time I am in a bad mood or that I am more irritable than others, but I have never really thought, that I might really have some kind of illness. And that just got worse and worse. . . . well, I just perceived it as normal. But now, in hindsight, I realize that this wasnt normal at all.
Depression Is Different From Sadness Or Grief/bereavement
The death of a loved one, loss of a job or the ending of a relationship are difficult experiences for a person to endure. It is normal for feelings of sadness or grief to develop in response to such situations. Those experiencing loss often might describe themselves as being depressed.
But being sad is not the same as having depression. The grieving process is natural and unique to each individual and shares some of the same features of depression. Both grief and depression may involve intense sadness and withdrawal from usual activities. They are also different in important ways:
- In grief, painful feelings come in waves, often intermixed with positive memories of the deceased. In major depression, mood and/or interest are decreased for most of two weeks.
- In grief, self-esteem is usually maintained. In major depression, feelings of worthlessness and self-loathing are common.
- In grief, thoughts of death may surface when thinking of or fantasizing about joining the deceased loved one. In major depression, thoughts are focused on ending ones life due to feeling worthless or undeserving of living or being unable to cope with the pain of depression.
Grief and depression can co-exist For some people, the death of a loved one, losing a job or being a victim of a physical assault or a major disaster can lead to depression. When grief and depression co-occur, the grief is more severe and lasts longer than grief without depression.
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