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What
is Depression?
It is easier to say what depression is not,
than it is to give a precise definition. Depression is not feeling
blue or down in the dumps. Depression is still viewed by many as a
personal weakness and it remains a disease that few of its sufferers
admit to due to the stigma attached to it. Depression is a medical
disorder, with an identifiable set of symptoms.
Depression can be successfully treated.
Severe depression:
present when a person has nearly all of the symptoms of depression,
and the depression almost always keeps them from doing their regular
day-to-day activities.
Moderate depression:
present when a person has many symptoms of depression that often keep
them from doing things that they need to do.
Mild depression:
present when a person has some of the symptoms of depression and it
takes extra effort to do the things they need to do.
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Types
of Depression
Major Depressive Disorder, single
episode or recurrent. Major depression occurs in episodes. Some may
have a single occurrence in a lifetime; others have recurrences of
major depression.
Bipolar disorder, formally known
as manic-depressive illness, is characterized by periods of depression
alternating with periods of elevated moods. During manic episodes,
people are overly active, euphoric, irritable, talkative and may exhibit
generally inappropriate behavior such as increased spending, increased
socializing including increased sexual activity and increased substance
abuse. Most patients with a diagnosis of bipolar disorder have had,
or will have, depressive episodes as part of the course of their illness.
Dysthymia involves symptoms similar
to those of major depression. The symptoms are milder but more enduring,
lasting a minimum of two years. Dysthymic patients may lack enthusiasm
and zest.
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Who
Gets Depressed
In any given 1-year period, 9.5 percent of the population, or about
18.8 million American adults, suffer from a depressive illness.1
The economic cost for this disorder is high, but the cost in human
suffering cannot be estimated. Depressive illnesses often interfere
with normal functioning and cause pain and suffering not only to those
who have a disorder, but also to those who care about them. Serious
depression can destroy family life as well as the life of the ill
person. But much of this suffering is unnecessary. 1
Robins LN, Regier DA (Eds). Psychiatric Disorders in America, The
Epidemiologic Catchment Area Study, 1990; New York: The Free Press
, Click
Here.
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