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Are you sad or depressed?

Date updated: Sat, Jun 20, 2009
By Hvovi Bhagwagar
Varsha, a 32-year-old housewife, feels low all the time. She shows no interest in housework and most of the time watches TV. She sometimes forgets to eat and is underweight. She takes no pleasure in smiling at her young daughter’s antics nor has the desire for intimate relations with her husband.

On the other hand, Payal, a college teenager, is considered “moody” by her friends. She gets extremely tensed when exams approach and keeps fearing that she will fail. There are days when she is irritable, snaps at everyone and cries for no reason.

Are both these people suffering from depression?

Clinical depression
While any low emotional state is commonly referred to as depression, clinical depression is different. An expert would probably diagnose Varsha’s case as true clinical depression

As Dr Parul Tank, consulting psychologist with Godrej and Wockhardt hospitals, Mumbai, says, “Mental health experts are trained to recognize the symptoms of depression but it has become such a common word that everyone complains of it”.

On the other hand, there are chances that five to nine percent of adults who go to the doctor complaining of common problems such as back pain or headaches might also be suffering from depression. Even so, studies suggest that doctors and nurses miss the signs about half the time.
  • It is estimated that 50 million people in India suffer from depressive disorders. About half of these people are likely to be suffering from moderate to severe degrees of depression.
  • The highest rates of depressive disorders are found among those aged 24 - 44. 
  • Women are more than twice as likely as men to be clinically depressed. This can be attributed to hormonal changes and genetics besides stress at work and family responsibilities.
Diagnosis
Given below is a checklist of signs that indicate clinical depression:
  • A persistently sad, anxious or "empty" mood
  • Sleeping too little or too much
  • Reduced appetite and weight loss, or increased appetite and weight gain
  • Loss of interest or pleasure in activities once enjoyed
  • Restlessness or irritability
  • Persistent physical symptoms that don't respond to treatment, including headaches, chronic pain, or constipation and digestive disorders
  • Difficulty in concentrating, remembering things, or making decisions
  • Feeling guilty, hopeless or helpless
  • Recurrent thoughts of death or suicide
Doctors check for the presence of at least five or more of these signs everyday on a persistent basis, for at least two weeks.

Apart from this, risk factors for depression include:
  • Prior episodes of depression
  • Prior suicide attempts
  • Age < 40 yrs
  • Family history of depressive disorder
  • Recent childbirth
  • Lack of social support
  • Substance abuse (alcohol or drug abuse)
Treatment
Learning to differentiate when sadness moves into a full blown mood disorder is crucial to the treatment. Early recognition and treatment of depression is the best strategy to prevent complications including suicide. But it is equally important to recognize that certain blues and low moods often pass with time.

Hvovi Bhagwagar is a psychotherapist and behavior skills specialist

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