Depression is colloquially known as the afternoon demon. Who
doesn’t know this term? I am sure there are very few who have not heard this
term. It is not very unusual for us to say, “I am depressed” when the life
doesn’t go as we want it to be. In fact,
it has become a meme, to borrow the term of Richard Dawkins. But what is
depression really? The DSM defines depression as a state of mind, where is one
is persistently sad for a period of at least 15 days which in turn has a
debilitating effect on one’s normal, day to day functioning of life. But the
story doesn’t end there.
All thanks to the recent advancements in technology, we now
know that depression is not just when your mood hits the downhill, but it is
empirically proven that it is a bio-chemical disorder of the brain. There is a
neuro chemical called serotonin, which plays a key role in the gelling of the
synapses. The deficiency of this chemical causes depression. But depression is
not just mere sadness. It is much more that, and it comes in many ugly colours.
Some feel sad, for some experience emotional turmoil, beyond
one’s capability of expression and some even get angry. It is said that there
are myriad symptoms of depression. It takes only a certified mental health
professional; be it a psychologist or psychiatrist to diagnose it. A big caveat
for the patients or the caretakers: Never take the task of treatment in your
own hands. Let the professionals do that for you.
Psychotherapy is usually considered to be the first line of
treatment for depression depending on the patient’s score on the Hamilton
scale. Hamilton scale is considered the gold standard for evaluating the given
patient’s intensity of depression. It can be mild, moderate or severe. It is my
opinion that for mild or moderate cases, psychotherapy would do. If one is
severely depressed; say on a scale of 1-10, if the score is 8 or 9 then the
patient should be immediately put on the anti-depressant medication. This is what my reading and research
indicates.
However, it takes time for the medicine to have its effect,
and cause a substantial change in the patient’s behaviour, thus allowing him to
resume his normal lifestyle. Above all, it should be remembered that depression
is not a weakness of character, and seeking help is not a sign of weakness.
Timely help and prompt treatment will make the patient’s life better and the
caretaker lives easier.
Disclaimer: The above article is just my opinion. It is no substitute for a consultation with a psychologist. I have written this article based on my readings of psychology