PakMediNet Discussion Forum : Psychiatry / Psychology : Social, cognitive and eternal sequels of depression?
Social, cognitive and eternal sequels of depression?
What are social, cognitive and eternal sequels of depression and various options of the treatment?
We, unfortunately, may not only have to face such cases in our daily practice but also be the victims of the resultant disposition and instinct.
I request the Psychologists and Psychiatrists (if available here) to kindly enlighten the subject explicitly.
Thanking in anticipations!
Posted by: HussainA (Guest) :: 21-12-2007 :: | Reply to this Message
Re: Social, cognitive and eternal sequels of depression?
First of all it is important to note that anxiety and depression are two different entities. Most clinicians label any sadness as anxiety but it is not the fact. They often prescribe tranquillizers (benzodiazepines) etc which make the depression worse. Because depression needs elevation of the mood while benzodiazepines further depress the mood. It is only the antidepressants, if indicated, which elevate the mood to alleviate depression.
Most people who are depressed do not seek psychiatric help and must rely on their family doctor. Unfortunately, it is often difficult for a primary care physician to recognize the problem if the patient does not bring it up directly.
Patients themselves may be unable to sense or admit their own depression. In one study, although 21% of patients who visited their family physicians were depressed, only 1% described their problem as depression.
Coming to the original question a brief description is as follows.
1. Depression can be devastating to family relationships, friendships, and the ability to work. Many people still believe that the emotional symptoms caused by depression are "not real," and that a person should be able to shake off the symptoms. Because of these inaccurate beliefs, people with depression either may not recognize that they have a treatable disorder or may be discouraged from seeking or staying on treatment due to feelings of stigma. Sever depression usually leads to agitation, aggressiveness and destructive actions etc.
2. Drug abuse is also a danger for people who are depressed or suffering from anxiety. Anxiety sufferers may turn to tranquillizers or other "calming" drugs in an attempt to relieve anxiety or panic. Self-medication can be as simple as an increased dependence on tobacco or caffeine. Smoking may calm anxiety, and caffeine may help counteract the lethargy of depression.
3. Depression leads to poor concentration, memory and intellectual abilities. There is often characterized by misery, hollowness, and a feeling of unrealistic expectations for ones life.
4. Suicide is, of course, a major concern when treating people with depression. Feelings of despair, guilt and worthlessness make suicide seem a viable option. Fifteen percent of people who suffer from major depression commit suicide. Suicide ranks as a leading cause of death in the United States, with a yearly rate of approximately 200,000 attempts.
Treating the anxiety disorder or depression may prevent and resolve some complications associated with the disease. Other mal-adaptive coping behaviors, such as alcoholism, often require separate treatment and may continue long after the disorder that caused them.
Left untreated, depression and anxiety may cause both physical and mental complications. Suicide is not uncommon among people with depression or anxiety disorders. Attempts to "self-medicate" the disorder may lead to substance abuse and alcoholism. Social anxiety can become so intense that agoraphobia develops, making it difficult to leave the house.
Psychotherapy of various kinds may help people address and allay otherwise a psychiatrist must be called upon and the further treatment options range from simple antidepressants to lithium and electroconvulsive therapy. It is important to note that a psychiatrist must be involved in the care of patients in whom more severe symptoms develop and for whom a more intensive level of care will be needed (e.g. suicidal ideation, psychosis, mania, severe decline in physical health etc).
Posted by: zainPosts: 35 :: 24-12-2007 :: | Reply to this Message
Re: Re: Re: Re: Re: Social, cognitive and eternal sequels of depression?
Yes! whoever submits himself entirely to Allah and he is the doer of good (to others) he has his reward from his Lord, and there is no fear for him nor shall he grieve.
Al- Quran: Surat, 002 (Al-Baqra); Verse, 112
Posted by: zainPosts: 35 :: 24-12-2007 :: | Reply to this Message
Re: Re: Social, cognitive and eternal sequels of depression?
AOA. (for pakistani psychiatrist ) ITS NICE EXPLANATION BUT I THINK THESE WHOLE R BOOKISH TALKS. U KNOW 90%PEOPLE OF PAKISTAN DONT KNOW ABT SYMPTOMS OF EVEN MINOR PSYCHIATRIC DISORDERSJUST LIKE ANXIETY N DEPRESION N SAME IS THE CASE WITH HEALTH CARE PROVIDERS (THEY DONT KNOW ABT SIGNS)SO ULTIMAYELY ALL REMIANED UNDIAGNOSED N A BEING TREATED AS SURGICAL OR AN OTHER MEDICAL DISORDER.And a VICIOUS CIRCLE GOING ON. I JUST WANA TO ASK ONE QUESTION
?? OUR PSYCHIATIRT WHY DONT THINK OF EDUCATINNG PEOPLE THROUH :;;TV;;; rather then throug newspapers bcz the suggested one is present ih 90% depression prevalant homes . though being a source of it but can be used by wise muslims to treat it with references from our relegion.thanks bye
[Edited by amman on 20-06-2008 at 04:58 AM GMT]
Posted by: ammanPosts: 2 :: 20-06-2008 :: | Reply to this Message
Re: Re: Re: Re: Re: Social, cognitive and eternal sequels of depression?
Wassalaam and I agree with you!
Depression and anxiety are two different conditions and it is hard to find an isolated case of these two. They overlap on each other, with one condition usually predominant. The features of these two conditions are entirely different. The treatment depends upon ratio of MIXTURE of these two.
Unfortunately, even most of the physicians prescribe benzodiazepines for every sad person. So in this way the DEPRESSION which needs ELEVATING the mood becomes WORSE by such drugs.
It must be remembered that depression and anxiety are normal within the psychological limits (norms) and abnormal beyond these limits. Not all cases need drugs but only those who have the problem beyond the normal limits otherwise psychotherapy by an experienced psychotherapist is enough. Regarding psychotherapy, there is NO effective way of motivating the individuals other than Holy Quran and the Sunnah.
I have no documentary proof but can guess that number of the people following Holy Quran and the Sunnah and even eating HALWA etc and having obesity is not frequently seen in the cardiology wards or CCU. If some of these people are seen in the psychiatry wards they are usually due to some undue religious RESTRICTION imposed on them by the parents or the teachers.
You are also right to say REMIANED UNDIAGNOSED N A BEING TREATED AS SURGICAL OR AN OTHER MEDICAL DISORDER.
For example, a patient comes for perforated peptic ulcer, surgeons do just closure of the perforation after laparatomy followed by H2 antagonists or PPI but NEVER proper treatment of the underlying cause if ANXIETY is present.
Regarding your question, religious education is already promoted on the TV, Schools, Mosques and many other forums. The advantages of the religious teachings have already been mentioned above. There is now need of FAITHFULLNESS otherwise such teachings have NOT been starting recently but since remote past. So where does seem to be the deficiency?
Posted by: zainPosts: 35 :: 22-06-2008 :: | Reply to this Message
Please differentiate???
Dear experts!
RELIGION is the personal concept of a person that how he takes, observes, and experiences BELIEFS...
You have admixed RELIGION with PSYCHOTHERAPY in your didactic discussion prior to this post...
The important point of consideration is this, that what is role of RELIGION or BELIEF in PSYCHOTHERAPY...
If some is ATHEIST, then what will be your criteria of PSYCHOTHERAPY...
Please justify this question by your VALID SCIENTIFIC COMMENTS...
Thanx for considerateness...
DR. ALI
scholastic786@yahoo.com
Posted by: iqra786Posts: 36 :: 08-07-2008 :: | Reply to this Message
Please differentiate???
Dear experts!
RELIGION is the personal concept of a person that how he takes, observes, and experiences BELIEFS...
You have admixed RELIGION with PSYCHOTHERAPY in your didactic discussion prior to this post...
The important point of consideration is this, that what is role of RELIGION or BELIEF in PSYCHOTHERAPY...
If someone is ATHEIST, then what will be your criteria of PSYCHOTHERAPY...
Please justify this question by your VALID SCIENTIFIC COMMENTS...
Thanx for considerateness...
DR. ALI
scholastic786@yahoo.com
Posted by: iqra786Posts: 36 :: 08-07-2008 :: | Reply to this Message
Re: Please differentiate???
Ah ...how can I thank you for this answer.You are right.....
There is a chemical imbalance in the brain and we can correct that wih depression.Having said that there is a cognitive and behavioral therapy component to the treatment which is often missed,so combination of both will help treat any mental disorder better than drug therapy alone.Religion is one's sanctuary ,our beilefs strengthen us and good support system is the key in the treatment of almost all the mental and physical ailments.
Since I am not a psychiatrist I will defer the more complicated cases to those who are called " shrinks" instead of beating up a dead horse by saying you need to be a better muslim when its his/her personal choice to whatever role they want their religion to play in their lives.
May Allah give all of us the strength to face whatever life throws at us.Amen
Posted by: Noor1Posts: 15 :: 15-07-2008 :: | Reply to this Message
Re: Social, cognitive and eternal sequels of depression?
An interesting line of discussion esp that of the role of religion and anxiety/depression. I have another viewpoint. I think there should be another starting point as an approach to treating anx/depr. That of Psychotherapy/Counselling. If this takes on the initial starting point then referral can be made to Psyc for the medication approach. In my experience (in Kenya) starting off with counselling/psychotherapy can often do away with the need for medication which in my view turns the poor "victim" into zombies. Any views
Mohamoud
Posted by: meraliPosts: 3 :: 17-07-2008 :: | Reply to this Message
Re: Re: Re: Social, cognitive and eternal sequels of depression?
quote:
RELIGION is the personal concept of a person that how he takes, observes, and experiences BELIEFS...
You have admixed RELIGION with PSYCHOTHERAPY in your didactic discussion prior to this post...
The important point of consideration is this, that what is role of RELIGION or BELIEF in PSYCHOTHERAPY...
If someone is ATHEIST, then what will be your criteria of PSYCHOTHERAPY...
Please justify this question by your VALID SCIENTIFIC COMMENTS...
Thanx for considerateness...
Posted by: zainPosts: 35 :: 18-07-2008 :: | Reply to this Message
Re: Re: Re: Re: Social, cognitive and eternal sequels of depression?Any references to studies that compare cognitive and behavioural therapies with pharmacological therapy will enrich this discussion. Anyone?
Posted by: rqayyumPosts: 199 :: 22-07-2008 :: | Reply to this Message
Re: Re: Re: Re: Re: Re: Social, cognitive and eternal sequels of depression?
Randomly assigned 41 recurrent tension headache sufferers to either cognitive-behavioral therapy or to amitriptyline therapy. Both therapies yielded clinically significant improvements in headache activity. In instances where differences in treatment effectiveness were observed, cognitive-behavioral therapy yielded somewhat more positive outcomes than did amitriptyline. Neither treatment eliminated headache problems. (Author/NB)
http://eric.ed.gov:80/ERICWebPortal/custom/portlets/recordDetails/detailmini.jsp?_nfpb=true&_&ERICExtSearch_SearchValue_0=EJ432217&ERICExtSearch_SearchType_0=no&accno=EJ432217
http://www.biomedcentral.com/1471-244X/8/47
http://psycnet.apa.org/index.cfm?fa=main.doiLanding&uid=1991-28036-001
http://www.health.gov.bc.ca/library/publications/year/2007/MHA_CognitiveBehaviouralTherapy.pdf
http://www.semel.ucla.edu/adc/AnxietyCD/CBT%20Related%20Articles/CBT-Anxiety_disorders.pdf
When standard cognitive-behavioural therapy is not enough
http://pb.rcpsych.org/cgi/content/full/31/4/121
SUCCESSFUL COMBINATION TREATMENT WITH BEHAVIOUR THERAPY
http://www.gjpsy.uni-goettingen.de/gjp-article-peter.htm
Posted by: SalarPosts: 4 :: 26-07-2008 :: | Reply to this Message
Re: Social, cognitive and eternal sequels of depression?
It is important to understand the bio-psycho-social aspect of depression.
Psychosocial includes psychological causes and social involves the influence of culture and could include patients beliefs. I think in the process of treatment the focus is patient and not our beliefs or opinions.
Awareness about the illness
Assessment of any immediate threat
Early intervention
Family or friends support
Social Assistance if needed
Psychotherapy
Antidepressant medications
MOST IMPORTANT THING IS PATIENTS SAFETY..PLEASE DO NOT TAKE IT LIGHTLY IF YOU SEE ANY SYMPTOMS OF SUICIDE OR HOMICIDE.
Posted by: nadiacarePosts: 2 :: 12-12-2011 :: | Reply to this Message
Re: Re: Re: Social, cognitive and eternal sequels of depression?I AM NEUROLOGY DOCTOR I HAVE 2 YRS EXPERIENCE IN NEUROLOGY FOR TREATMENT OF ANY PSYCHIATRIC DISORDER PROTOCOL SHOULD BE FOLLED AS FAR AS SELECTIVE SEROTONIN REUPTAKE DRUGS ARE CONCERNED THEY TAKE FEW WEEKS TO ACT AND IMPROVE SEROTONIN LEVEL(CHEMICAL NEUROTRANSMITTER)IN BRAIN. ACCORDING TO GOODMAN AND GILMAN RECEPTOR MODULATION OCCURS WHICH IMPROVES SEROTONIN LEVELS
Posted by: KHAN IRFANPosts: 13 :: 19-07-2012 :: | Reply to this Message
Re: Re: Re: Re: Social, cognitive and eternal sequels of depression?NOW BETTER DRUGS LIKE VENLAFAXINE AND DES VENLAXINE ARE AVAILABLE BUT HAVE SIDE EFFECTS OF INCREASED BP
Posted by: KHAN IRFANPosts: 13 :: 19-07-2012 :: | Reply to this Message
Re: Please differentiate???
TAUSAB CHOD NADAN BHAR KAE AIAIN-I-KHANA MA
YEH TERE APNI TASVEERAIAE HAIN JIN KO SAMJHA HA BURA TU NAE
Posted by: KHAN IRFANPosts: 13 :: 19-07-2012 :: | Reply to this Message
Re: Re: Re: Social, cognitive and eternal sequels of depression?
GOOD WHAT NONSENSE IS YOUR NAME NO BODY IS BOTHERED I STUDIED IN KASTURBA MEDICAL COLLEGE MANIPAL SO TO SAY 5TH BEST COLLEGE IN INDIA. BEFORE POSTING ANY(HOW DARE U).I HAVE 2 YRS EXPERIENCE IN CLINICAL NEUROLOGY.QUALITY OF DRUGS IN INDIA IS FAR BELOW SRILANKA. SAME DRUG FROM DIFFERENT COMPANIES LIKE SUN OR PFIZER DO NOT HAVE SAME OR GOOD BLOOD LEVEL CONCENTRATION AND U NONSENSE GET SO MANY SEZURE RECURRENCE IN INDIA THAN IN ANY PART OF WORLD.TAKE A LOOK AT YOUR GOVT HOSPITALS U ARE DECYING AND DHIRTY LOT . U DESERVE THE TREATMENT U GET.
[Edited by KHAN IRFAN on 10-09-2012 at 10:55 AM GMT]
Posted by: KHAN IRFANPosts: 13 :: 10-09-2012 :: | Reply to this Message
Re: Re: Re: Social, cognitive and eternal sequels of depression?
DONT EVER DARE TO ASK ANY NON SENSE QUESTION AGAIN YOU ARE DELIRIOUS. WE HAVE RULED OVER U FOR 1000 YEARS AND WE WILL RULE FOR ANOTHER THOUSAND IT IS JUST MATTER OF BELIEVE ME WE WILL GO FOR U NONSENSE PIG HEADED FOOL.....................
KOI ANDAAZA KAR SAKTA HA US KE ZOOR-E-BAZOO KA
KI NEGHAI MARD-I-MOMEN SE BADAL JA TE HAIN TAQDERAINE
[Edited by KHAN IRFAN on 10-09-2012 at 02:15 PM GMT]
Posted by: KHAN IRFANPosts: 13 :: 10-09-2012 :: | Reply to this Message
Re: Re: Re: Social, cognitive and eternal sequels of depression?
DONT EVER TRY TO SHOW SPARK TO INFLAMABLE LIQUID
JIS KHAAK KE ZAMIR MA HO AATISH-I-CHINAAR
NAHIE MUMKIN KI SARD HO WOH KHAAK-I-ARUJAMAND
Posted by: KHAN IRFANPosts: 13 :: 10-09-2012 :: | Reply to this Message
Re: Re: Re: Re: Re: Re: Social, cognitive and eternal sequels of depression?yes I agree with you
Posted by: Maleeha1Posts: 2 :: 04-11-2015 :: | Reply to this Message