Signs of Depression - What to Look Out For

Signs of depression can be classified as either emotional or physical. Emotional symptoms include feeling sad, empty and hopeless. Loss of interest in the things you previously enjoyed is another symptom. You may lose interest in the hobbies that you used to love. You may also become disinterested in things such as sex. Irritability, anxiety and feeling guilty or worthless are other indicators. Having trouble in making decisions as well as thoughts and plans to hurt yourself are other signs. You may also develop thoughts of death and suicide.

There are also a number of physical symptoms. Headaches are common in people with this condition. If you suffer from migraine headaches, they may worsen when you become depressed. Back pain is another indicator. If you already experience such pains, they will worsen when you develop this condition. Other signs of depression are muscle aches, joint pains and chest pains.

There are also a number of physical symptoms. Headaches are common in people with this condition. If you suffer from migraine headaches, they may worsen when you become depressed. Back pain is another indicator. If you already experience such pains, they will worsen when you develop this condition. Other signs of depression are muscle aches, joint pains and chest pains. Exhaustion and fatigue is another symptom of this disorder. You will feel tired and worn out all the time. Getting out of bed in the morning may turn out to be hard if not impossible.

Other physical symptoms of this condition are sleeping problems and change in appetite and weight. You will have difficulties falling asleep while in other cases, you may sleep more than normal. You may lose appetite and weight. In some instances however, you may develop a craving for certain foods for example carbohydrates and this may make you to gain weight. Dizziness is also another sign of depression.

Mercy Maranga Reports on Health and Fitness issues. Visit Her Site here for more information on Depression and its treatment. Depression

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How Many Heads Does Your Depression Have?

A few months ago Gillian felt lifeless, dead inside and uninterested in anything. Everything was an effort. She just wanted to sleep. She suffered bouts of constipation. She didn't want to meet anyone, prepare food for herself or take care of her dog. She couldn't go to work. Her words came out slow and with long pauses in between. The words were flat, without expression -just like she felt. She couldn't even cry. Nothing touched her and she moved like a robot from her bed to the shower to a chair and back to bed again. She didn't care about anything or anyone. This was not the Gillian she knew or wanted to be. She had always been driven to work hard, please those around her and then earn her rest. She had been very sociable and knew how to have a good time.

Now Gillian is very angry and tearful. She cries easily when memories of past hurtful relationships invade her as if from nowhere. She complains of being exhausted and resents having to go to work. She is impatient with herself and others when problems don't get sorted out quickly. Anything in her immediate environment that has a glitch feels like another burden on her shoulders. Nothing feels right and that makes her furious. She has enough of her own stuff to deal with. When the world outside also has 'problems' it makes Gillian want to give up bothering to face the day at all...

Working and being busy no longer protected her from her past wounding experiences. Her back and neck pain interrupted her sleep. Skin eruptions came and went. It was as if she had lost control and is the unwilling victim of her history. She was reliving that history and it was unbearable. She wanted to get back to being in total control and able to glide through life as before. Having to interact with a car that breaks down, a dog that barks to be taken for a walk, and an insurance companies that refuse to reimburse her for necessary expenses made her crazy. She was irritable, short tempered, unable to wait her turn in lines at the bank or supermarkets. Her interface with the world became brittle, drained of any juice and fractured.

As time went on Gillian's anger seemed to subside. It had robbed her of space to feel any joy, excitement, softness or empathy. As she pushed it down again for the millionth time, she became more able to function in her job and did the bare minimum to take care of herself and her dog. While she slept for longer periods it wasn't refreshing and didn't give her the oblivion she wanted.

She felt disenchanted with her colleagues and friends. Even when friends gave her what she wanted it didn't register. It was as if she was still starving. The only thing that appeared to satisfy her if only temporarily was food. She would eat and eat when she was alone at home. It calmed her from the moment she began to get the food to the last bite. It was the one sure way she could give herself some peace from her disappointment with others, their unreliability, their ingratitude and inability to satisfy her. She began to put on weight and whipped herself with criticism and loathing. When the self-flagellation became too much to endure she would gorge on food and then drink lots of water, stick her fingers down her throat and throw up. If she got most of it out, she could approve of herself and get a break from the harsh judgments. If she couldn't vomit it up then she would be consumed with guilt. She continued this cycle of emptiness, bingeing, crucifying herself, attempting to vomit, taking pride in herself if it was successful and drowning in guilt if not. Gillian tolerated this life since it was preferable to the risks she had to take if she allowed herself to be open to relationships. At least this cycle was in her control and familiar. She was the slave master and the slave. Better than being someone else's victim with repercussions that last forever.

Gillian's depression had at least four heads. It came in waves. From a sense of lifelessness she would shift to being full of uncomfortable emotions like anger. Hair like triggers would set off bouts of crying that would sap her and make her numb again. When the emptiness came she would fill herself with food that put on weight and that set up a binge, guilt and purge rotation. Each head of the depression acted separately with little communication among them. Each head ruled for a time and then relinquished its power to the next head. Gillian finally came to grips with what she wanted from life when all four heads were vying for supremacy at the same time. Each squeaked a little but didn't get top billing. They were all dying off, and Gillian was challenged to find out what the costs and consequences were for her of accepting empathy, generosity and care without obligation. It wasn't till all parts of her got 'sick' that she was forced to face the inevitable.

Terry thrived on work. He got a buzz from the autonomy his managerial position gave him. He could work when he wanted and felt important taking on extra responsibility. He was always ready to stand in for other colleagues when they were sick or on vacation. He would think nothing of doing his job and that of a sick employee simultaneously. He was well paid and could afford the nice things in life. He had a girlfriend and took satisfaction in being able to buy her expensive gifts. However there were times when he wondered what all this was for. He never had time to enjoy his money in a leisurely way. He never took time off, never got sick and had no long term plans for settling down.

After years of living mostly for the 'high' that work gave him, Terry began to feel more tired than usual. He forced himself to continue performing at the same level as before, but his body protested. His concentration span became shorter and he found himself having to ask people to repeat themselves. He read things two or three times before he absorbed the information. He realized he was less alert when driving when he hit a car as he parked near his apartment.

Terry thought this was just a phase and he tried to make sure that he got plenty of sleep. But it made no difference. He was dragging himself up in the morning and falling asleep before he could eat his dinner at night. He would go long periods without eating when he was absorbed in the fast pace of work. He was worried about the difference he noticed in himself and tried working even harder to compensate. He never took breaks and delegated fewer tasks. He had no feeling for the issues his work force brought to him which was unusual for him. He went to a medical doctor to find out why his energy was flagging. All test results were normal, and he was told to ensure a good balanced diet with regular meals.

Terry became alarmed when other people commented on the changes within him. He had no idea that it could be so obvious. He couldn't bear that his 'weaknesses' were visible. His whole image of himself was under threat. The harder he tried to return to his former self, the worse his performance and functioning became. When the first set of wake up calls didn't lead him to take a good look at what he was doing to himself, the spiral downward came faster and with greater force. He was no longer eager to answer calls from work to bail them out, do shifts for others or sort out difficulties other managers left behind. He didn't want to have to find time to go out with his girl friend. He didn't want to deal with paying for the car he hit when he was sleepy at the wheel. When his body demanded extended amounts of sleep, he had to give in and take a few days off work. He had to be 'sick' before he felt he could legitimately separate himself from work.

He got angry with his body for failing him. He was disgusted with himself for having to call in sick and for having to rely on others to do his job. He worried that he would have to do it all again since no one could do it like him. He hated depending on his girlfriend for shopping and housecleaning when he was too weak to do it himself. He didn't answer calls offering comfort or understanding. He hated the time he got to 'feel' himself.

Unfortunately for Terry, as soon as he felt a little more energy he went back to his old ways with a stronger sense of fervor. He was determined to compensate for the time off and wanted to prove to himself and everyone else that he was the same reliable superman. He was terrified that if he showed himself to be as human as anyone else, he would be denied promotion and became ordinary, with a non-descript life. That wouldn't serve the voice inside him that said he had to achieve at the highest levels at all costs or else he was a failure and hence unlovable. The time periods between his normal functioning and depressions became shorter. The depressions themselves became longer, forcing him to examine his life style and what he expected of himself. What he found was that he was terrified that he was really trash, and that he had used the status of work, the money it provided and the time it used up as a costume to hide the garbage.

Terry's depression had three heads. He catapulted from lack of concentration and sluggishness to self-disgust and anger, followed by being shut down. As in Gillian's case the heads led independent lives and controlled him. He thought he was in control but it was exactly the opposite.

Having many heads to your depression provides extra places to go when one head is tired and used up. As it replenishes itself with your self-hatred and critical voice you can sap the energy of another head. Eventually none of the heads will have the chance to recover. They will all shrivel up and crumble. You have to feel all the trash, and smell the stink. It is truly awful, but the best news ever. Without feeling, smelling and tasting the parts of yourself you have ignored, you are going to stay depressed - each head waxing and waning through your life.

Depression at its worst is a gift that your are given so that you can be your own master. No more do you have to live according to those voices inside you that won't allow you to be human, and deprive you of the simple pleasures of life. You get to plan and build in your time, take pleasure and pride in your work and be comfortable in your own skin. For those who need to go through the fires of depression with its many heads, there is a treasure at the end that is not found in any other way. It is the authentic you, that you can accept and be proud of.

Imagine having the chance to build your own self your way. How exciting and thrilling! You can be the architect, give the planning permission, act as your own contractor and inspector, buy your own materials and construct the best you that you want to be. This does not mean that you cannot get relief from medications. If used in conjunction with the work you do to feel all parts of yourself no matter how distasteful, you can construct a stronger and more resilient person. One that you will like and others too.

Jeanette Raymond, Ph.D., practices counseling and therapy in LA and helps individuals and couples with relationship issues and anger. Jeanette is available here: http://www.goodtherapy.org/San-Jose-therapy.htm

Depression at Work - How to Deal With It

Depression can be a very destructive disease. Stress can affect the family or personal relationships; it can also affect productivity in the workplace. Employers are losing money because of depression. The money spent in accidents of employees and absenteeism greatly affects the company's productivity. An employer can not treat or cure depression, but there are things you can do to help.

Employers should look for signs of depression. One of the main signs is the reduction of productivity. This can be especially worrying if the person was a good worker and their productivity levels have declined. There could be a strange cause and depression is a possibility.

People who are depressed often ignore stress warnings. This can cause symptoms manifested in a physical way. If you have an employee who is constantly complaining about pain, then this is a sign of depression.

Try to talk to this employee. You need to let them know that you expect them to be productive. However, you must let them know that you have noticed some changes and you're worried. Do not make them feel that their job is at risk. This could make things worse. If there is any employees' assistance program, try to encourage this employee to use this service. This could be a first step to recovery.

You need also establishes clear rules on what you expect from the employee. Let them know that the company has some policies related to diseases of depression and what they can do.

You must ensure that the employee knows that all is confidential. Not even you have the right to know what is discussed at the sessions. Try constantly to encourage employees to seek treatment for depression. If this condition is not treated in time, it could lead to serious consequences.

If the employee does not seek treatment you could allow him a more flexible schedule. A severe depression can lead to serious consequences. Any attempt of suicide should not be taken lightly. Report this situation immediately so that it can be analyzed. Your employees will thank you so.

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Depression Treatment: Electroconvulsive Therapy (ECT) Or Transcranial Magnetic Therapy (TMS)?

Electroconvulsive Therapy. Two words that make up one complete and disturbingly descriptive sentence.

In a nutshell, ECT works by inducing a physical seizure. But, when compared to the emotional/Life Seizure induced by deep depression, ECT may be preferable.

ECT has had some remarkable successes but, like any other therapy, electroconvulsive therapy is not for everyone. And, ECT side effects are also a consideration because they can be disturbing.

Keeping in mind that ECT and TMS treatments use some form of electricity to stimulate the brain, there are very important differences between the two:

- Electroconvulsive Therapy (ECT), also known as electroshock therapy, uses an electric shock to induce a seizure. TMS uses a magnetic field to induce a much smaller electric current in a specific part of the brain without causing seizure or loss of consciousness.

- In many cases, ECT has been very effective in treating severe depression. TMS is not so powerful but, concurrent treatments to TMS such as neuro-feedback and/or hypnosis may actually boost the healing power of TMS. For now, TMS is used to treat milder depression, and it can only be prescribed for patients who have failed to benefit from one, but not two or more, antidepressant treatments. This treatment restriction may change in the future however, a depression sufferer may still benefit from appropriately applied complimentary healing methods such as hypnotherapy or biofeedback.

- TMS is much safer than ECT. Unlike ECT, TMS does not require sedation and is administered on an outpatient basis. TMS patients can drive to and from treatments on their own.

- Electroshock therapy always causes temporary confusion. And it often causes temporary--but sometimes very disturbing--memory problems. Plus, it can have significant effects on the cardiovascular system which can be an issue for some patients. TMS causes none of these problems. Another way of seeing this is that TMS is virtually free of side effects.

A question that many of my patients have needed to answer before seeking help is, are they truly depressed or just going through a normal life sadness event?

For instance, someone once contacted me and, after telling me that they had just lost a loved one, they then asked: "Do I need anti-depressant therapy?"

They asked about antidepressant medication/psychological treatment because their feelings of sadness and loss were overwhelming and seemed to be out of control. And, they did indeed score "yes" on many depression symptoms (listed below.)

However, after speaking with them some more, I determined they did not fit a "depressed" diagnosis but, their levels of pain were such that they did need some support.

Wondering which might be best for them, I asked them how they felt about hypnosis and receiving a positive answer, I then invited them in for a hypnosis session to help them constructively deal with a very difficult issue.

NLP (neuro-linguistic programming) was also a good match for my patient and so I used some very effective NLP methods to help them to be able to better make it through some very difficult days.

Losing a loved one hurts beyond words and it is understandable to want to fade away or die to avoid the pain however, most people truly do not want to die; they just don't have the tools to keep moving on until the pain eventually fades.

With the above in mind, and, after over 20 years in the psychiatry field, it is my firm belief that if proven, complimentary methods such as neuro-feedback, NLP and hypnosis were employed at the onset of truly painful life events, then costly, disabling depression could be avoided.

In other words, those who have suffered terrible losses could be saved a lot of terrible emotional and financial cost such as alcoholism, unemployment and more.

How can someone avoid the emotional/financial bankrupting costs of depression? They can learn how to recognize if they are depressed. This goes for you tough guys (and gals) out there who think you don't need treatment (also known as healing from painful events.)

If you are in pain and you want to feel better and you are curious, check out the possible signs and symptoms of depression listed below.

Note that in general, the below potential depression symptoms have lasted at least two weeks and have filled a significant part of your days.

- Persistent sad mood with feelings of "I can't take it anymore - I just want to die."

- No patience. Not even for little things.

- Little or no interest in things that used to excite you, such as sex.

- Sleep problems. You know if you have them. Waking up often; trouble going back to sleep; racing heart when you wake up; huge heaviness in your stomach when you wake, etc.

- Eating disturbances; either suddenly becoming too much or too little.

- Inability to concentrate and/or sit quietly.

- Your thinking is "different" although you're not sure exactly how. Your body doesn't seem your own.

- Can't make up your mind; even about little things such as what to eat.

- No energy even after sleeping all night - even small tasks are really difficult and require a lot of effort.

- A deep feeling that you are worthless and/or guilty of being deeply inadequate.

- Memory problems that are not normal.

- Intrusive, uninvited thoughts of wanting to die... and agreeing with them.

- Making serious plans on how you are going to "resign from life."

Something that is important to remember is that even if one of the above signs and symptoms of depression is overwhelming, disabling or otherwise having a significant negative impact on your life, then get some help.

Depression can be overcome. There is a rainbow to your personal storm. I'm glad that you took time to read this article. Thank you.

Named as one of "America's Best Doctors" 5 years in a row, Rachel Fleissner, M.D. is a Board Certified Adult, Child and Adolescent Psychiatrist with over 15 years of clinical experience.

Dr. Fleissner is dedicated to helping her patients accomplish the happiness they deserve.

2902 S University Drive
Fargo, ND 58103
(701) 364-9723

http://www.MyDrRachel.com

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