VARIOUS SECTIONS
DISEASES CHILD & ADOLESCENT adolescent behavioral problems DRUG & PSYCHO THERAPY GET IN TOUCH
| DEPRESSION Depression is the most common cause for middle age morbidity among all diseases. Every 1 in 10 men and 1 in 5 women will have a depressive episode in their life time. Only 15 % of the depressive episodes are recognized and only 10 % are treated. Depression when occurs with other illnesses (such as diabetes, cancer, heart disease, increased blood pressure) will significantly worsen and add to their complications. Patients suffering from depression usually feel excessive tiredness and lose hope in their ability to function. Feeling sad or anxious most of the time and they lose their ability to feel pleasure. Sleep disturbances are common, leading to preoccupation about daily life worries, misfortunes and failures. Thinking about past negative events or current life problems or apprehension about future occupies the major part of patient’s time. Ability for concentration is decreased leading to forgetfulness, frequent mistakes in work, financial miscalculations. Patient feels frustrated for minor setbacks leading to manifestation of frequent irritability at home, work or with friends. Severely affected individuals feel that carrying with life is a burden and frequently contemplate suicide. Effective treatments for depression are available (drugs and psychotherapy). BIPOLAR DISORDER Bipolar disorder is characterized by features of both depression and mania alternating with each other or they occur together. Clinically Mania is opposite of depression in which the patient feels excessively happy without any proper reason. Consequent to this happiness patient feels that he could achieve extraordinary capabilities or wealth. In severe cases affected person may feel that he is the king of the world or he is the direct messenger of God, leading to disruptive behavior in family, work place or society. Typically the patient may exhibit increased motor and mental activity, excessive and fast speech. Some may exhibit increased and inappropriate sexual behavior others with increased religiosity. Treatment may range from drugs prescribed in
the out patient basis to hospitalization and injections depending on the
severity of illness. Adequate and appropriate drugs will not only cure current
illness but also prevent future illnesses.
SUICIDE Suicide may be the result of untreated psychiatric illnesses (Depression, Bipolar, obsession or schizophrenia), difficult life situations or sudden and unpredictable stressors. Suicidal attempt should be viewed as a cry for help, as most completed suicides have history of previous suicidal attempt. Suicidal wishes, gestures, suicidal notes are indicators of future suicidal attempt. Those people should be brought under the care of psychiatrist without delay. Counseling, psychotherapy and drugs are
mainstay of treatment. Sudden change in emotional status of a person who is chronically
depressed(relief after the decision to commit suicide), sudden contact with friends and relatives (final good byes), making
of a will, taking a large insurance,
making up long lasting feuds all may indicate imminent suicidal attempt. Severely depressed patients should be under
constant surveillance 24 hours a day if necessary should be hospitalized to prevent suicide.
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