depression you know one of the major disease now ?


Recently, many people have left messages to ask me questions about depression (also because I have not written a new article recently...). I did a series of popular science content about depression in Netease open class last spring. It is divided into four parts, including: what is depression, the impact of depression, the treatment of depression, and how to accompany depression.

The article is very long and will be pushed in four. You can also click "Read the original text" in the lower left corner to see more content of the link at the NetEase open class. Today is the first article:

What is depression (1)

As the first visitor I received as a consultant, I sat down and said the following to me:

"It's hard to get up in the morning. I just want to cover my head and sleep, and hide no one. I don't want to talk to anyone. I don't want to eat, and I lose a lot of weight."

"Nothing makes me interested. I have always felt very tired. I haven't been able to sleep well at night. But I have to clench my teeth because I have to go to work and take care of the family. I feel hopeless and can't see any improvement. Hope, I feel that nothing will get better." "I think I'm terrible. I feel like I'm old. I can't remember anything and I can't understand things. I have all negative things in my head. I tried hard to be positive, but I couldn't do it."

"I feel desperate."

These few words, in the years after my consultation, the visitors who could be clinically diagnosed as "depression", repeatedly told me in different ways and constantly. Well, in this era of "depression" flying around, let's take a look at what is "depression".

Symptoms of depression

Emotions continued to decline. I feel empty and have no sense of value. People have a little misunderstanding about depression. They always think that patients with depression are "sad" and "sad" every day. This is not the case. Some people with depression have a more accurate description: feel empty and worthless. The antonym of "depression" is not "happy", but "vital".

The meaning of this "sustained" is more like this every day.

Lose interest in everything around.

The point is, lose interest in everything. We generally ask visitors, saying, what do you usually like to do? What do you like doing on weekends? A typical depression visitor would say that I used to play football, but now I am not interested seems that I am not interested in anything.

And some of my friends, who have been chatting with me for a long time, shed tears and said that they have no interest in anything. When packing up, I suddenly shined my eyes and said, I will take you to eat food near . It's super delicious!

Increased appetite/loss, significant weight change

Human emotions are always related to appetite. A stricter diagnosis is that there is more than 5% change in weight within a month.

Deliberate weight loss and weight gain are not counted.

What's even more surprising is that some visitors with depression haven't felt their weight change for quite a long time.

Problems with sleep, insomnia/ drowsiness

Many people come to the consultation room initially, they will not say "I'm depressed", but often say "I've been insomnia late at night". One study said that there are three stages of insomnia. The first is that it is difficult for you to fall asleep, and then it will develop to wake up repeatedly at night. The third stage is that you can't fall asleep early, that is, you can fall asleep, but you wake up at 3 or 4 in the morning, but you can only wake up until dawn.

Changes in behavior (irritability/slow action)

Patients with depression often have behavioral changes that can be observed by others: actions and thinking become sluggish. What is emphasized here is the "change" visible to others. For example, a person who was clean and tidy before suddenly became sloppy and unkempt. Someone who used to be clever, has been particularly confused recently.

Fatigue, no energy

Depression, rudely speaking, is a physical illness. Just like you get fever with pneumonia. With depression, the chemicals in your body will change, making you feel tired and weak. Some people with depression sleep 22 hours a day and still feel very tired.

Therefore, tell the visitors of depression, come on! Go exercise! Go make friends! be strong! you can! It's like saying to a patient with a fracture, come on! go running! Grit your teeth! you can! Exactly the same.

Low self-evaluation, negative thinking

This also seems to be uncontrollable. No one is willing to think negatively, and visitors with depression will work hard and want to be more active, and will even blame themselves for their "negative".

But this is a symptom of depression. More broadly, it is also the result of chemical action in the body. In fact, it is beyond the ability of depression visitors to control themselves.

Slow thinking and lack of concentration.

It's like you working overtime for three days and three nights. You feel dizzy, think too slowly, and you can't concentrate. You feel the same.

I heard a more interesting description, like when you are healthy, you can think of one circle or even two circles when you think about things. When you are depressed, you think about half, and the circle is stuck. When you look back, you remember what you just thought. Can't live.


There is a thought of death.

The idea of death will appear repeatedly. When all the above symptoms appear, you lose your "vitality" and it is difficult for people to have nostalgia and interest in life.

Lasts more than two weeks.

This is a more critical criterion. Sometimes during the climatic period of girls, most of the above symptoms are experienced again. Or something happened in your life that makes you cry for more than two or three days. However, if you experience many of the above symptoms, do so every day for more than two weeks. Please be sure to seek professional help.

The American Psychoanalytical Society has a reminder that if you show up

01 Emotions are low, empty, and worthless every day;

02 You have lost interest in everything around you", which lasted more than two weeks;

The World Health Organization's reminder is that if you add

03 Fatigue and slow thinking;

Any two of these three items appear, and for more than two weeks, you are at high risk of depression. Please go to a professional hospital for diagnosis and help.

Subtypes of depression

The above mentioned are all Major Depressive Disorder, and a more standardized translation should be called "severe depression". This is what we often see, and it's a type that we naturally think of whenever we talk about "depression."

But there are actually other subtypes of depression.

Bad mood Poor state of mind is more of a personality level. The patient's symptoms are not as severe as those of major depression, so as not to affect life too much. But emotions have been bad for a long time and also negative for a long time. It has been so long that the people around them, even the patients themselves, think that "this is so personal" and "TA is like this".

One of the diagnostic criteria is to last more than two years.

And patients with bad mood have a very high possibility of severe depression. This is called "double depression." The good news is that bad mood, like severe depression, is actually treatable. bipolar disorder Two-way emotional disorder, emotions have two directions. Mania and depression alternated among the visitors.

When a manic episode occurs, people will feel extreme excitement, full of energy, confidence and omnipotence. In severe cases, they will experience symptoms of auditory hallucinations and hallucinations, or even be aware of their behavior. When a depression strikes, people feel hopeless, powerless, and desireless, and they are useless.

Unlike severe depression, depression just makes people more sad, and when two-way emotional disorder occurs, people actually feel more happy in a manic state. Often, patients with bipolar disorder only feel that they need help when the depression occurs.

As a disease, it is also treatable. But clinically, two-way drugs are different from depression drugs. The drugs used to treat patients with major depression are harmful to patients with bipolar disorder.

Seasonal depression

As the name suggests, because of the depression caused by the season. And it only occurs in a fixed season (often referring to the short time and area of winter sunshine). I have seen a study before that said that there are a lot of seasonal depression episodes in the UK, and I guess the Nordic countries are even more so.

When I was studying in the UK, in the winter of the winter, it was dawn at 10 am and it was dark at 3 pm. After getting up and making a meal, it's dark before brushing the dishes. There is no way not to be depressed.

For seasonal depression, one of the treatment methods is particularly lovely. Someone has developed a light bulb that emits light like sunlight, allowing patients to shine under the light bulb for a period of time every day, pretending to be in the sun. It's like a polar bear crawling out of a hole, stretching out and basking in the sun.

About diagnosis and rescue

In the diagnosis, depression is classified as a mental illness. Regarding depression, we can't give a diagnosis in an intuitive and single way, such as taking a blood sample test (although there is new research but still needs further research to confirm), or putting a person in a machine, and scanning to know it Condition. To this day, our diagnosis of depression still depends on the psychiatrist's diagnosis of the patient's symptoms.

I have listed so many symptoms above, please do not think that people are only serious enough to lose interest in life, it is worth seeking help. The more common, but unfortunate thing is that patients with depression are often very smart and hard. They often clench their teeth when they have initial symptoms, thinking that they are probably just hypocritical mothers, and they just passed by. They even demanded that they live and work like a healthy person.

And the way to treat yourself better and life is: If you feel unwell, please seek professional diagnosis and help as soon as possible. It's like drinking water when you are thirsty and healing when you have a broken bone. Depression, as a physical and mentally visible disease, is worth your serious prescription.