सोमवार, 11 दिसंबर 2017

“Am I Depressed?” Treating depression symptoms, including bipolar and clinical depression, and seasonal affective disorder

क्या आप इन दिनों खुद को ,अपने आप को दीन-हीन , असहाय ,उपेक्षित ,मानने बूझने लगें हैं। आपका स्वाभिमान ,आत्मसम्मान ज़मीन सूंघने लगा है। आप अपनी  सजधज ,पैरहन ,आपके कैसे दिख रहें हैं ,परसनल हाइजीन ,व्यक्तिगत संभाल के प्रति भी नियमित नहाने धोने के प्रति बे -परवाह होने लगें हैं ,सिगरेट शराब का इन दिनों आप पहले से कहीं ज्यादा सेवन कर रहे हैं ?


एक खिन्नता चिड़चिड़ाहट आपको हर पहर घेरे रहती है। आपको लगता है आप किसी काम के नहीं रह गए हैं किसी के काम के भी नहीं रह गए हैं।  अन -उपयोगी अवांछित हो गए हैं अपनों के लिए बाकी सबके लिए भी। न आप खुद अपनी परवाह करते हैं न कोई और ये विचार ,ये संवेदन आप को घेरे रहता है ,तो यकीन मानिये सब कुछ ठीक ठाक नहीं  है आपके लिए। कभी कभार ऐसा होना और बात है और हर दम 'लो एनर्जी लेवल ' में, बेदम सा अनमना रहना दिखना एक दमसे  और बात है।  

पूरी विनम्रता आदर और संकोच के साथ कहता हूँ कहीं ये अवसाद डिप्रेशन के लक्षण तो नहीं है जो आज एक अलग रोग का वैसे ही दर्ज़ा पा गया है जैसे काया के अन्य रोग। 

रूप बदलके भी आते हैं बहरूपिया बन ये लक्षण अति उग्र और मॉडरेट रूप में  भी।सामान्य है सब कुछ वैसा सा ही तो दिख रहा है ऐसा ओढ़ना भी ओढ़े आते हैं अवसाद के लक्षण। 

आज ये छद्म रूप सा दिखने वाला अवसाद कई रूपों में प्रकटित हो रहा है :

(१ )नार्मल डिप्रेशन 

Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn't worth living.

More than just a bout of the blues, depression isn't a weakness and you can't simply "snap out" of it. Depression may require long-term treatment. But don't get discouraged. Most people with depression feel better with medication, psychotherapy or both.

(२ )क्लीनिकल डिप्रेशन 

Major Depression (Clinical Depression)


A constant sense of hopelessness and despair is a sign you may have major depression, also known as clinical depression.

With major depression, it may be difficult to work, study, sleep, eat, and enjoy friends and activities. Some people have clinical depression only once in their life, while others have it several times in a lifetime.

Major depression can sometimes occur from one generation to the next in families, but may affect people with no family history of the illness.

Most people feel sad or low at some point in their lives. But clinical depression is marked by a depressed mood most of the day, sometimes particularly in the morning, and a loss of interest in normal activities and relationships -- symptoms that are present every day for at least 2 weeks. In addition, according to the DSM-5 -- a manual used to diagnose mental health conditions -- you may have other symptoms with major depression. Those symptoms might include:

  • Fatigue or loss of energy almost every day
  • Feelings of worthlessness or guilt almost every day
  • Impaired concentration, indecisiveness
  • Insomnia or hypersomnia (excessive sleeping) almost every day
  • Markedly diminished interest or pleasure in almost all activities nearly every day (called anhedonia, this symptom can be indicated by reports from significant others)
  • Restlessness or feeling slowed down
  • Recurring thoughts of death or suicide
  • Significant weight loss or gain (a change of more than 5% of body weight in a month)

(३ )बाइपोलर डिप्रेशन -

Bipolar disorder, formerly called manic depression, is a mental health condition that causes extreme mood swings that include emotional highs (mania or hypomania) and lows (depression).

When you become depressed, you may feel sad or hopeless and lose interest or pleasure in most activities. When your mood shifts to mania or hypomania (less extreme than mania), you may feel euphoric, full of energy or unusually irritable. These mood swings can affect sleep, energy, activity, judgment, behavior and the ability to think clearly.

Episodes of mood swings may occur rarely or multiple times a year. While most people will experience some emotional symptoms between episodes, some may not experience any.

Although bipolar disorder is a lifelong condition, you can manage your mood swings and other symptoms by following a treatment plan. In most cases, bipolar disorder is treated with medications and psychological counseling (psychotherapy).

(४ )सीजनल अफ्फेक्टिव डिसऑर्डर 

Seasonal affective disorder (SAD) is a type of depression that comes and goes with the seasons. It usually starts in the late fall and early winter and goes away during the spring and summer. Some people do have episodes of depression that start in the spring or summer, but that is a lot less common. Symptoms of SAD may include
  • Sadness
  • Gloomy outlook
  • Feeling hopeless, worthless, and irritable
  • Loss of interest or pleasure in activities you used to enjoy
  • Low energy
  • Difficulty sleeping or oversleeping
  • Carbohydrate cravings and weight gain
  • Thoughts of death or suicide
SAD is more common in women, young people, and those who live far from the equator. You are also m
ore likely to have SAD if you or your family members have depression.
The exact causes of SAD are unknown. Researchers have found that people with SAD may have an imbalance of serotonin, a brain chemical that affects your mood. Their bodies also make too much melatonin, a hormone that regulates sleep, and not enough vitamin D.
The main treatment for SAD is light therapy. The idea behind light therapy is to replace the sunshine that you miss during the fall and winter months. You sit in front of a light therapy box every morning to get daily exposure to bright, artificial light. But some people with SAD do not respond to light therapy alone. Antidepressant medicines and talk therapy can reduce SAD symptoms, either alone or combined with light therapy.
यूनिवर्सिटी हेल्थ न्यूज़ (UHN )से प्राप्त लोकोपकारक यह जानकारी प्रस्तुत चिठ्ठे में आपके साथ अतिविनम्रता और आदर के साथ प्रस्तुत है :


कारण ,हेतुकी ,अवसाद की ?
एक नहीं दर्जनों अंदरूनी और बाहरी ऐसे कारक हैं जो हमारे दिमाग में दिमागी रसयान शास्त्र  में तबदीली ला सकते हैं।उत्प्रेरक ,अवसाद के कारण ,ट्रिगर  भी अनेक हो सकतें हैं ,कुछ का उल्लेख करते हैं  

(१) स्ट्रेस ,जीवनशैली ,लम्बी अवधि तक बने रहने वाली बीमारी यहां तक की कुछ दवा दारु मेडिकेशन्स भी डिप्रेशन का कारण बन सकते हैं। अचानक होने वाली कोई बहुत बुरी  घटना ,किसी अपने बहुत अपने की आकस्मिक मृत्यु होना आदि। 
उत्पादक स्ट्रेस होना एक बात है लेकिन निरंतर इसका दीर्घावधि, चिरकालिक बने रहना एक दम से दूसरी बात है। कुछ दवाब तनाव तो जीवन में चाहिए भी किसी  बड़ी  उपलब्धि के लिए ज़रूरी भी है।

इतना ही नहीं शोध की खड़की से छनके ये बात भी आ रही है डिप्रेशन अपने आप में कई अन्य पसरे रहने वाले रोगों यथा हृद रोगों ,क्रोनिक हार्ट  डिजीज की भी वजह बन सकता है। 
अवसाद के लपेटे में होने पर आपको बिस्तर छोड़ना भी मुश्किल नहाना धोना नैत्यिक कर्म भी परेशानी सी देने लगते हैं। जैसे ये भी कोई गैर -ज़रूरी बवाल हो। 
दूसरी तरफ गई -बीती चर्या जीवनशैली ,पुअर लाइफस्टाइल भी डिप्रेशन का कारण बन सकता है। 

एक अच्छी बात यह है आपके सोने उठने की नियमित चर्या योर स्लीप पैटर्न आपके खाने की थाली में क्या है ,आपका फ़ूड चयन भी जीवन  शैली में सुधार डिप्रेशन से भी बाहर निकाल सकता है बचाये भी रह सकता है।यकीन मानिये -इस बात में कुछ तो जान है आप वही हैं जो आपकी खाने की थाली में है ,यू आर योर फ़ूड। जैसा अन्न वैसा मन। जैसा पानी (खान -पानी )वैसी वाणी।             

मूल प्रारूप पढ़िए - 

Take a depression test to see if your depression symptoms indicate you’re suffering from a serious condition


Dear me /virendra,

Have you ever asked yourself “Am I depressed?” Most people have. While many people feel blue some of the time, for some, these feelings are more persistent and can have a lasting impact on their lives. This is depression, a physical disease like any other.

Depression symptoms come in many forms. From mild to moderate to severe, depression symptoms come disguised as normal, everyday feelings.

Symptoms like:

  • Feeling sad or down most of the time
  • Difficulty concentrating
  • Feelings of helplessness
  • Increased use of alcohol
  • Low self-esteem
  • Neglecting your personal care
  • And many more
Unsure if these signs indicate you are suffering from depression? Your next step is to speak with your doctor. But there are some things you can do before getting an appointment. First, you’ll want to immediately get the free report, “Am I Depressed?” Treating depression symptoms, including bipolar and clinical depression, and seasonal affective disorder from University Health News.
In this free guide, you’ll find depression tests to help you self-diagnose your condition before seeing a physician. These depression tests ask you questions about your energy and sleep; to evaluate your memory and concentration; to assess your appetite and much more.
Following the completion of a screening questionnaire, your physician will likely continue with a physical exam and some lab tests. Which lab tests are most common? Are brain scans customary? Should you expect to undergo a sleep study? Find out in our free report, “Am I Depressed?” Treating depression symptoms, including bipolar and clinical depression, and seasonal affective disorder.

What causes depression?

There are dozens of internal and external factors that can produce changes in the brain, leading to depression. The triggers range from stress and illness to lifestyle and medications. Stress is actually a good thing . . . in the appropriate amounts. But what happens when you’re under too much stress?
And suffering from a chronic disease can definitely bring on bouts of depression but did you know that the research is now pointing to depression itself leading to chronic illnesses like heart disease?
If you’re depressed, you often have difficulty getting out of bed and taking proper care of yourself, but poor lifestyle habits can also lead to depression. Find out how your sleep routine and food and nutrition choices can reduce your depression risk. Get “Am I Depressed?” Treating depression symptoms, including bipolar and clinical depression, and seasonal affective disorder now!

What are your depression symptoms telling you and your doctor?


A diagnosis of depression can range from mild, infrequent occurrences like seasonal affective disorder (SAD) to severe bouts of bipolar and clinical depression. An onset of seasonal affective disorder is usually tied to the change in seasons. Winter’s lack of sunlight, disrupts your body’s circadian rhythm and causes mild, but temporary type of depression.
But many people suffer from more serious forms of depression. The two main clinical depression diseases are Major Depressive Disorder and Persistent Depressive Disorder. And even more severe depressive conditions include bipolar disorder and psychotic depression. Each serious and complex, their symptoms fall in a wide range of feelings and physical characteristics.
Read the latest medical thinking on all types of depression – how to recognize them, how to treat them, how to live with them – in the free guide, “Am I Depressed?” Treating depression symptoms, including bipolar and clinical depression, and seasonal affective disorder.

Depression symptoms in women and men

Diagnosing depression can be difficult. And the fact that depression symptoms can present themselves differently across genders, adds to the complexity. Depression often coexists with other health and mental conditions that have a higher prevalence in women. Hormonal differences and variances in displays of emotions contribute to challenges in diagnosing the disease. And your age impacts the signs you and your doctor assess in your diagnosis and treatment. Young children, teens, adults and the elderly all can express depression symptoms. Learn the details, particularly the unique signs of depression in women and men, in your free guide.

Best medications to treat depression symptoms

Numerous anitdepressants are available to elevate depression sufferers’ moods. After complete evaluations of any depression tests, physical exams and lab tests, your physician may prescribe depression medications like:
Selective serotonin reuptake inhibitors (SSRIs) like fluoxetine (Prozac), citalopram (Celexa), sertraline (Zoloft), escitalopram (Lexapro), or paroxetine (Paxil).

Serotonin and norepinephrine reuptake inhibitors (SNRIs) like duloxetine (Cymbalta), venlafaxine (Effexor), and desvenlafaxine (Pristiq).
Reuptake inhibitors and receptor blockers like trazodone (Desyrel) and nefazodone (Serzone).
Newer antidepressants that work a little differently from those listed above include bupropion (Wellbutrin), Mirtazapine (Remeron), vilazodone (Viibryd), and vortioxetine (Brintellix).
Tricyclic antidepressants (TCAs) are the oldest antidepressants, and include imipramine (Tofranil), nortriptyline (Pamelor), desipramine (Norpramin), amitriptyline (Elavil), and clomipramine (Anafranil).
And Monoamine oxidase inhibitors (MAOIs), also an older class of drugs including tranylcypromine (Parnate), phenelzine (Nardil), isocarboxazid (Marplan), and selegiline (Emsam, which comes in a skin patch formulation).
As with any medication, it’s important to follow your physician’s instructions and understand how the drug should work. Potential side-effects, discussed in this free guide, should also be reviewed with your doctor.

How to beat depression, naturally

In your free copy of “Am I Depressed?” Treating depression symptoms, including bipolar and clinical depression, and seasonal affective disorder you’ll also get the pros and cons of complementary and alternative therapies. What works and what’s overblown hype.
St. John’s wort? The popular depression remedy can be effective for mild-to-moderate depression but the herb has side effects. Roseroot? A new study suggests it may be effective but without the troublesome side effects.
Relaxation techniques? Meditation, yoga and other relaxation techniques are effective alternative methods for treating mental health issues.
Omega-3 fatty acids? Definitely crucial to healthy brain function but results are mixed as a treatment for depression. B and D vitamins? SAMe supplements? Massage? Accupuncture? Light therapy? Get important information on these potential treatments to guide your discussions with your doctor from our freereport, “Am I Depressed?” Treating depression symptoms, including bipolar and clinical depression, and seasonal affective disorder.

Living with depression

If you’re suffering from depression, your inactivity and isolation can further feed your depression. As you work with your doctor on the best treatment, what can you do to help ease the pain and live with your condition? Some advice from this free guide: Take it easy on yourself. Blaming yourself is not constructive.
Like any disease, the most important step is seeking help and making the decision to get better. Also, work to improve your health lifestyle choices. Better nutrition and exercise habits are always a good thing. Additional ways you can take care of yourself can be found in “Am I Depressed?” Treating depression symptoms, including bipolar and clinical depression, and seasonal affective disorder.
Yours for lasting good health,

Tim Cole
Editorial Director
P.S. Perhaps this free guide can help a friend or loved one with depression. If you’re trying to help someone else, realize, despite your best intentions, helping someone with depression isn’t always easy. Your friend or loved one might not realize he or she is depressed or may not be willing to accept your help. Realize that you cannot “cure” that person, no matter how hard you try. All you can do is help someone recognize that there is a problem, let him or her know you care, and suggest professional help.
P.P.S. Remember, while you can’t put a price on good health, this fact-filled, indispensable guide is absolutely FREE. Get your copy now!

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