Depression:
Depression and Bipolar Support Alliance Indiana
 
Depression: A "Whole Body" Illness
Depression is a common and costly disease which affects approximately
17.6 million Americans each year and over one million Hoosiers
are at lifetime risk. Depression is more than "the blues," it
can not be willed or wished away. It is not a sign of personal
weakness. It is a flaw in chemistry, not character. This illness
affects mood, thought, body, and behavior. Some people may
have one episode, where others will have it a lifetime. Some
people have what is called "bipolar disorder." They
experience cycles of terrible lows and inappropriate highs.
These illnesses often interfere with normal functioning and
cause pain and suffering, not only to those who suffer the
illness, but their family and friends as well. Depression affects
the way a person eats, sleeps, and the way they feel about
themselves. Unfortunately, many people do not recognize that
they have a treatable illness.
Major Depression is manifested by a combination of symptoms
that interfere with the ability to work, eat, sleep, and enjoy
normally enjoyable activities. These disabling episodes can
occur once, twice, or several times in a lifetime. These are
the symptoms that doctors look for when examining their patients
for major depression:
- Change in weight or appetite
- Fatigue or loss of energy
- Changes in sleep patterns
- Feelings of hopelessness, guilt or helplessness
- Loss of interest in friends, activities
- Thoughts of suicide
- Unexplained crying
Dysthymia is a less severe, but involves long term chronic symptoms
that do not disable, but keep one from functioning at "full
steam."
Some people with dysthymia also experience major depressive
episodes. Symptoms of dysthymia are much like those of major
depression, but to a lesser degree. When people with dysthymia
suffer episodes of major depression, their symptoms become dramatically
more severe for a while, then turn to their usual reduced level.
These people are said to have double depression, that
is, dysthymia plus major depression.
Bipolar Disorder, also called Manic-Depression, involves depression,
and elation or mania. During the depressed cycle, individuals
experience many of the major depression symptoms. Sometimes the
mood swings are rapid, making a person feel really high and then
really low within a matter of days, but most often they are gradual.
Often it occurs in the late teens or early 20's. During manic
phase, some or all of these symptoms may appear:
- Increased energy, less need for sleep
- Pressured or rapid speech
- Racing thoughts, ideas
- Promiscuous sexual behavior
- Grandiose thoughts or inflated self-esteem
- Vigorous denial that anything is wrong
- Impulsive behavior and poor judgment, such as overspending
- Extreme irritability
- Unpredictable or aggressive response to frustration.
Further, individuals, when manic, tend to overlook
the embarrassing, sometimes harmful, consequence of their behavior.
Mania often affects thinking, judgment, and social behavior,
resulting in unwise business decisions that can cause
horrendous
debt. In extreme cases, individuals may experience thought
disorder, jumping from one idea to another with no apparent
connection. This can sometimes lead to the individual
experiencing delusions and hallucinations.
Causes and Treatments of Depression
Some types of depression run in families, indicating that a
biological vulnerability can be inherited. This seems to be the
case with bipolar illness. Studies of families in which members
of each generation develop bipolar disorder found that those
with the illness have a somewhat different genetic makeup than
those who do not get ill. However the reverse is not true: that
is, not everyone with the genetic makeup that causes vulnerability
to bipolar disorder has the illness. Apparently additional factors,
possibly a stressful environment, are involved in its onset.
Major depression also seems to occur, generation after generation,
in some families. However, it can occur in people with no family
history of the illness as well.
Psychological makeup also plays a role in vulnerability to depression.
People with low self-esteem, who consistently view themselves
and the world with pessimism or who are readily overwhelmed by
stress, are prone to depression.
A serious loss, chronic illness, difficult relationship, financial
problem, or any other unwelcome change in life patterns can also
trigger a depressive episode. Very often, a combination of genetic,
psychological, and environmental factors is involved in the onset
of a depressive disorder.
Treatments can include, antidepressant medications, psychotherapy,
and support groups. Any one or a combination of these treatments
are used to battle these illnesses. Treatment choice will depend
on the severity and type of illness. Electroconvulsive Therapy
may be used in extreme cases that are high risk for suicide and
do not respond to medication.
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Depression and Bipolar Support Alliance Indiana
Mission: To educate patients, families, professionals
and the public concerning the nature of depressive and manic-depressive
illness as a medical disease; to foster self-help for patients
and families; to eliminate discrimination and stigma; to improve
access to care; and to advocate for research toward the elimination
of these illnesses.
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Quick Links to other Subsidiaries:
Indiana Mental Health and Aging Coalition
Indiana Coalition to Reduce Underage Drinking
Indiana Mental Health Memorial Foundation, Inc.
Depression and Bipolar Support Alliance
Indiana
Indiana Association for Infant and Toddler Mental Health, Inc.
Indiana Addictions Issues Coalition, Inc.
Junior Mental Health America of Indiana, Inc.
APS Industries, Inc. and Community Connections, Inc.
Mental Health America of Indiana Ombudsman
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