Friday 2 August 2013

The preliminary stage to get rid of depression is to first identify the symptoms of depression

SELF MANAGEMENT OF DEPRESSIVE EPISODES

If depression is not dealt in preliminary stage then it  can lead to massive  problems , t solve this problem first we have to identify the problems as in what activities lead to depression and what are the symptoms by which we can identify depression 
The key unhelpful activities of individual depression are :
- avoidance , particularly of activities that give them a sense  of pleasure or achievement
-withdrawal 'particularly from social situation that may offer support
-procrastination - being unable to start or complete tasks , or solve problems
It is easy to understand how these difficulties increase individuals negative views of themselves and further depress them . However it  is  often to break this cycle . Fortunately building on previously learned techniques  is a useful way to start . there are two main approaches - activity scheduling ( including social interaction )
- step by step approaches to tasks  and problems
UNABLE TO FACE ANYONE
individuals who are depressed frequently say that they doubt whether other people like them or want to send time with them . Negative thoughts such as ' i am boring ' or ' they wouldn't want to be with me if they knew what I WAS REALLY LIKE' ARE COMMON . THESE thoughts are powerful and not easy to challenge . when they are combined with low activity levels . it is easy to understand how  individuals become socially isolated however it is necessary to try to retain contacts  with outside world . keeping in touch with people offer you a important SOURCE OF SUPPORT , OFTEN PROVIDES valuable external feedback  and reinforcement at a time when you are finding it hard to see yourself in a positive light .it is not easy to make social contacts if you fear being judged by others , or worry about letting people down by not being good company . but you can control the frequency  of social contacts and the pace of change . perhaps you could try to include one social interaction each day for the first few days , and then gradually as you begin to gain confidence .
- first , can you  generate a list of social contacts that you have previously enjoyed or that you think you might enjoy
- next can you note the name of anyone who usually MAKES YOU FEEL GOOD ABOUT YOURSELF
- FINALLY has anyone actually contacted you recently to arrange a social activity ?
the next step is to recognize the list in order , with the least stressful social contact  at the top list and the most challenging social event or engagement at the bottom  . for example the  top  part  of you list may look something like this
- buy a newspaper  and try to hold a brief conversation with the shopkeeper
- call Jane and have chat on telephone
- accept rosemary's  invitation to go to coffee
- take flowers round to Jackie who is at home recovering from flu
To help in early stages you could plan in advance ( as in third option here ) to set a time limit for the interaction ' as knowing the end point sometime helps reduce any associated STRESS . YOU COULD ALSO  REHEARSE SOME TOPICS OF CONVERSATION OR QUESTION YOU COULD ASK PEOPLE SO THAT YOU DON'T FEEL AT A LOSS FOR THE   WORDS WHEN YOU FIRST MEET
 some individuals prefer to recommence their social interactions by talking to people they don't know well and by keeping the conversation light ( talking about the weather , the news )
Other ;prefer to start by talking with or meeting people  trust and who know them well . there is no ' best approach' . Begin with social contacts that you feel most confident ( despite your depression )  you can undertake . as with other activity ' experiment', review your  progress , examine any changes in mood , and gradually work you way through  the list you have developed . 

What kind of depression you have and how to get rid of depression , Read it and find a solution to your problem

PSYCHOSIS : 
in any case whether depression or mania, a person may lose touch with reality and psychotic symptoms . this may include experiencing unusual sensations called hallucination such as hearing voices when no one is around or seeing things that no one else can see . the individual may develop abnormal belief  about themselves or their worlds termed delusion . the content of delusion is usually influenced by the individual mood state . in mania people frequently believe that they are special and have the power to change the world (e.g . they are special and have power to change the world  , they have special skills and they should fly to NewYork to negotiate world peace )in depression people have a very negative outlook , often holding the conviction that they are evil and are responsible for many of the injustices in society .psychotic symptoms usually subside as the individual moods  returns to normal . although relatively rare , these symptoms can cause great concern, especially if the person is unable to recognize accept that their abnormal beliefs are a product of their mental state and not a reflection of reality. in such extreme situations, treatment in an impatient setting is frequently recommended .
Treatment
physical treatment : it means to use  medication , although it also include techniques such as electro convulsive technique . acute treatment aims to reduce the intensity of current symptoms , and the longer term phase , when the aim is to prevent recurrent episodes of mood swings
medication for depression are almost same but in case of  hypo mania respond to lower doses .
Admission to hospital 
if a person experiences an episodes of mania that is totally out of control and unresponsive to treatment , or a severe depression accompanied by psychotic symptoms or intense suicidal ideas they are almost need to be admitted to hospital 
Electro-convulsive therapy 
a small proportion of those individual admitted to hospital may be so unwell that they also need treatment with ECT .A longer term treatment is prescribed  with mood stabilizer to reduce the severity or frequency of mood swings . the commonly used mood stabilizer are lithium,valporate .
No treatment option :
if you do not want to go through any kind of medication then here is a solution to no treatment , it is important to take the decision in coll mind rather than in depressive mood the first and most important is to view the treatment - free period as an experiment . this has many advantages , not least that it keeps the door open for a return to treatment without such decision being viewed by you or anyone else as a ersonal failure . also try to know how and when will you know whether it is a no treatment experiment has been successful or not .self assessment is necessary
Important 
-review your decision by making a list of the advantages and disadvantages of this choice 
- carefully consider if there is anything that someone might do that would change your mind , if so , go to talk to them 
- talk to people who know you , and ask for their views on the advantages or disadvantages of hat you propose 
 - if you cannot talk to someone you know well . seek advice or support from a self-help organization for individual with manic depression 
-try to identify someone you trust with whom you  would be prepared to speak regularly to review your mood state ad how you are copying 
-try to regularize your day to day pattern activity and keep a record of your mood and any other symptoms you experience so that you can assess your progress 
- avoid non- prescription drugs , excess consumption of alcohol , caffeine or other stimulants 
-read about manic depression and try to assess how like you are experience a long symptoms free period and what will protect you against relapse 
- agree on  a plan with the person about what you will do if the experiment is unsuccessful things are going badly , or you experience a recurrence of symptoms  best of all write down the plan in details and both keep a copy .



MOOD SWINGS

MOOD SWINGS
The problematic mood swings are unpredictable , frequently fluctuating but without obvious precipitants , uncontrollable, emotional responses that seems inappropriate reactions to event and are beyond your control ; exyreme , with mood always experienced as intense highs or lows ; excessive , with very frequent ups and downs occurring for  many years
Extensive, marked changes of mood that last long time
Accompanied by associated changes, in your thoughts, the way they behave, and possibly in the biological system that impact on day to day functioning
Distruptive to lives, causing significant problems for the individual experiencing them and / or for others
Different Types of Mood Disorders
If your mood swings have most of these characteristics it is possible that you have mood disorders. the major difference between mood disorder and other forms of mood swings is that mood disorders tend to show a consistent pattern of symptoms that occur together whenever a significant mood disturbance occurs . Also the changes persist for prolonged periods of time. The most common mood disorders are: dysthymia (chromic minor depression)
Major depressive disorder (unipolar disorder)
Manic – depressive disorder (also called bipolar disorder)
Dysthymia and major depressive disorder are characterised by a depressed mood with ‘highs’. The depression interspersed with periods of normal moods. It has less severe symptoms than major depressions, but there are relatively few periods of normal moods. Furthermore the feeling of sadness is very persistent, occurring virtually every day for two or more years. Not surprisingly, individuals with dysthymia frequently report a lack of self confidence and low self esteem. The term manic depression ecompasses a number of syndromes characterised by both downswings and up swings. I individual with bipolar 1 disorder experiences episodes of major depression and mania and dysphonic mania, person are high but also irritable, impatient and agitated
How to find Depression and Mania
Depression
Depressed moods or loss of interest or pleasure in this you used to enjoy
 This must last at least 14 days. This change should be accompanied by 5 of the flowing symptoms:
 Reduced interest, fatigue, or agitation
Insomnia or increased sleep (hypersomia)
 Significant weight loss or gain
 Reduced or increased appetite
 Reduced ability to think or concentrate or indecisiveness
 Feeling of worthlessness, recurrent thoughts of death
The symptoms cause significant distress and / or impair social, occupational or other important areas of functioning
Mania
Distinctly abnormal and persistently elevated expansive or irritable mood.
 This must last at least 7 days. This change should be accompanied by 3 of the following symptoms;
Increased in goal directed activity
 Excessive investment in pleasurable activities
Reduced need for sleep
More talkative than usual with a pressure to keep talking, subjective experience of thoughts racing
Increased self-esteem
Grandiose idea these symptoms should substantially impair functioning or require that the person is hospitalized.
You can even contact the following for assistance
British Psychological Society
Division of clinical psychology
St Andrews House
48 princess road east
Leicester LEI 7DR
Uk
Tel no: 01162549568
Email:enquiries@bps.org.uk
Depression Alliance
212spitfire Studios 63-71 Collier Street London N1 9BE uk
 Tel no: 08451232320 , email : information@depressionalliance.org