DEPRESSION _______________________________ ____________________ ___________________ ________ _ KEY FACTS • De Dep press ssio ion n iiss a co com mmo mon nm men enta tall d dis iso ord rdeer. lo!all"# an estimated $%& million people o' all a(es s)''er 'rom depression. • Depress ssiion is t*e le lea adin in( ( ca)se o' disa!ilit" +orld+ide# and is a ma,or contri!)tor to t*e o-erall (lo!al !)rden o' disease. •
ore +ome men n are a'' ''eected cted !" dep eprressi sio on
t*an men. • At its +orst# d deepression can lead to s)icide. • T*ere a arre ee'''ecti-e tr treatments ''o or depression.
_______________________________ ____________________ ___________________ ________ _ O/ER/IE0 Depress Depression ion is a common illness +orld+ide# +it* an estimated $%& million people a''ected. Depression is di''erent 'rom )s)al mood 'l)ct)ations and s*ort1li-ed emotional responses to c*allen(es in e-er"da" li'e. Especiall" +*en lon(1lastin( and +it* moderate or se-ere intensit"# depression ma" !ecome a serio)s *ealt* condition. It can ca)se t*e a''ected person to s)''er (reatl" and ')nction poorl" at +or2# at sc*ool and in t*e 'amil". At its +orst# depression can lead to s)icide. O-er 3&& &&& people die d)e to s)icide e-er" "ear. S)icide is t*e second leadin( ca)se o' deat* in 4%1561"ear1olds. Alt*o)(* t*ere are 2no+n# e''ecti-e treatments 'or depression# 'e+er t*an *al' o'
t*ose a''ected in t*e +orld 7in man" co)ntries# 'e+er t*an 4&89 recei-e s)c* treatments. :arriers to e''ecti-e care incl)de a lac2 o' reso)rces# lac2 o' trained *ealt* care pro-iders# and social sti(ma associated +it* mental disorders. Anot*er !arrier to e''ecti-e care is inacc)rate assessment. In co)ntries o' all income le-els# people +*o are depressed are o'ten not correctl" dia(nosed# and ot*ers +*o do not *a-e t*e disorder are too o'ten misdia(nosed and prescri!ed antidepressants. T*e !)rden o' depression and ot*er mental *ealt* conditions is on t*e rise (lo!all". A 0orld ;ealt* Assem!l" resol)tion passed in a" 5&4$ *as called 'or a compre*ensi-e# coordinated response to mental disorders at co)ntr" le-el. TYPES AND SYPTOS
Dependin( on t*e n)m!er and se-erit" o' s"mptoms# a depressi-e episode can !e cate(ori<ed as mild# moderate# or se-ere. A 2e" distinction is also made !et+een depression in people +*o *a-e or do not *a-e a *istor" o' manic episodes. :ot* t"pes o' depression can !e c*ronic 7i.e. o-er an e=tended period o' time9 +it* relapses# especiall" i' t*e" (o )ntreated. Rec)rrent depressi-e disorder> t*is disorder in-ol-es repeated depressi-e episodes. D)rin( t*ese episodes# t*e person e=periences depressed mood# loss o' interest and en,o"ment# and red)ced ener(" leadin( to diminis*ed acti-it" 'or at least t+o +ee2s. an" people +it* depression also s)''er 'rom an=iet" s"mptoms# dist)r!ed sleep and appetite and ma" *a-e 'eelin(s o' ()ilt or lo+
sel'1+ort*# poor concentration and e-en medicall" )ne=plained s"mptoms. Dependin( on t*e n)m!er and se-erit" o' s"mptoms# a depressi-e episode can !e cate(ori<ed as mild# moderate# or se-ere. An indi-id)al +it* a mild depressi-e episode +ill *a-e some di''ic)lt" in contin)in( +it* ordinar" +or2 and social acti-ities# !)t +ill pro!a!l" not cease to ')nction completel". D)rin( a se-ere depressi-e episode# it is -er" )nli2el" t*at t*e s)''erer +ill !e a!le to contin)e +it* social# +or2# or domestic acti-ities# e=cept to a -er" limited e=tent. :ipolar a''ecti-e disorder> t*is t"pe o' depression depre ssion t"picall" consists o' !ot* manic and depressi-e episodes separated !" periods o' normal mood. anic episodes in-ol-e ele-ated or irrita!le mood# o-er1acti-it"#
press)re o' speec*# in'lated sel'1esteem and a decreased need 'or sleep. CONTRI:?TIN FACTORS AND PRE/ENTION Depression res)lts 'rom a comple= interaction o' social# ps"c*olo(ical and !iolo(ical 'actors. People +*o *a-e (one t*ro)(* ad-erse li'e e-ents 7)nemplo"ment# !erea-ement# ps"c*olo(ical tra)ma9 are more li2el" to de-elop depression. Depression can# in t)rn# lead to more stress and d"s')nction and +orsen t*e a''ected person@s li'e sit)ation and depression itsel'. T*ere are interrelations interrelations*ips *ips !et+een depression and p*"sical *ealt*. For e=ample# cardio-asc)lar disease can lead to depression and -ice -ersa. Pre-ention pro(rammes *a-e !een s*o+n to red)ce depression. E''ecti-e comm)nit"
approac*es to pre-ent depression incl)de sc*ool1!ased pro(rammes to en*ance a pattern o' positi-e t*in2in( in c*ildren and adolescents. Inter-entions 'or parents o' c*ildren +it* !e*a-io)ral pro!lems ma" red)ce parental depressi-e s"mptoms and impro-e o)tcomes 'or t*eir c*ildren. E=ercise pro(rammes 'or t*e elderl" can also !e e''ecti-e in depression pre-ention. DIANOSIS T*ere are e''ecti-e treatments 'or moderate and se-ere depression. ;ealt* care pro-iders ma" o''er ps"c*olo(ical treatments 7s)c* as !e*a-io)ral acti-ation# co(niti-e !e*a-io)ra !e*a-io)ral !e*a-io)rall t*erap" C:TB# and interperson interpersonal al ps"c*ot*erap" IPTB9 or antidepressant medication 7s)c* as selecti-e serotonin re)pta2e in*i!itors SSRIsB and tric"clic antidepressants TCAsB9.
;EAT; CARE PRO/IDERS S;O?D ;EAT KEEP IN IND T;E POSSI:E AD/ERSE EFFECTS ASSOCIA ASSOCIAT TED 0IT; ANTIDEPRESSANT EDICAT EDICATION. ION. Di''erent ps"c*olo(ical treatment 'ormats 'or consideration incl)de indi-id)al andor (ro)p 'ace1to1'ace ps"c*olo(ical treatments deli-ered !" pro'essionals and s)per-ised la" t*erapists. Ps"c*osocial treatments are also e''ecti-e 'or mild depression. Antidepressants can !e an e''ecti-e 'orm o' treatment 'or moderate1 se-ere depression !)t are not t*e 'irst line o' treatment 'or cases o' mild depression. T*e" s*o)ld not !e )sed 'or treatin( depression in c*ildren and are not t*e 'irst line o' treatment in adolescents# amon( +*om t*e" s*o)ld !e )sed +it* ca)tion.
TREATENT OF PSYC;OOICA CONDITIONS in AY?R/EDA >
)st as t*e modern medicine *as allocated mental illness to t*e ps"c*iatr" di-ision# A")r-eda too *as DISTINCTI/E :RANC; TO TREAT PSYC;OOICA AIENTS# AIENT S# detailed in t*e ancient scripts 0IT; IN/O I N/O/ /EENT ANAS# D;EE# D;R?TI# :?DD;I# AA AAT TA. PANC;AKARA treatment is a comm common on met*od to treat AANASIKA ROAS7 PSYC;OOICA CONDITIONS 9 . T*ere are certain *er!s o' medicinal e''ect )sed in A")r-eda. T*ese *er!s are collecti-el" called RASYANAS. Clinicall" t*ese *er!s are can !e )sed a'ter complete deto=i'ication !"
PANC;AKARA pro-ed to no no)ris* )ris* ne)rolo(ical tiss)es. T*ese t*erapies