This year, the theme of the World Health Day campaign is depression.
In any one year, about one million people in Australia experience depression. One in six women and one in eight men will experience depression at some time in their lives. Depression is much worse than feeling sad or ‘low’ for a while after an unhappy or stressful event. It is a serious illness that changes the way a person thinks, feels and behaves.
Chemical changes in the brain are thought to contribute to depression. A number of factors may contribute to its development. These include emotional stress (e.g. loss of a loved one, relationship problems, unemployment), hormonal changes (e.g. after childbirth, menopause), alcohol and drug abuse, certain medicines and medical conditions (e.g. cancer, diabetes, stroke, chronic pain), other mental illnesses (e.g. anxiety, dementia, schizophrenia), personal factors (e.g. loneliness), certain personality traits (e.g. negative thinking patterns, low self-esteem), and a family history of depression.
Symptoms of depression can include sadness, feeling miserable, loss of interest or pleasure in activities, changes in weight or appetite, difficulty sleeping or sleeping too much, lack of energy, difficulty thinking, concentrating and making decisions, feelings of worthlessness, headaches, stomach or muscle pains, and thoughts of suicide or death. If you have had any of these symptoms for more than 2 weeks, talk to your doctor. If you are a parent, look out for these symptoms in your teenagers.
Depression is often not recognised and can go on for months or even years if not treated. Untreated depression can have many negative effects on a person’s life, including serious relationship problems, difficulty finding and keeping a job, and drug and alcohol problems. Depression is unlikely to go away on its own, and each person needs to find the right treatment for them. It is important to seek support as early as possible – the sooner a person gets treatment, the sooner they can recover.
There are several different types of treatment for depression. More than one form of treatment may be needed. Treatments used include psychotherapy (such as counselling or cognitive behavioural therapy) and antidepressant medicines, or a combination of the two. Psychotherapy can help you change unhelpful patterns of thinking and acting and improve coping skills. Antidepressant medicines can correct chemical changes in the brain. There are many different types of antidepressants, and you may need to try several before finding one that suits you.
There are also a number of things you can do yourself to help reduce the symptoms of depression. Regular exercise can create positive feeling and improve mood. Getting enough sleep on a regular basis, eating a healthy diet and avoiding alcohol can also be helpful. Learning and using relaxation techniques can help relax your body and mind. Let family and friends know how you are feeling. Although they may not fully understand what you’re going through, they may be able to give you extra support. Always check with a doctor or pharmacist before using complementary medicines or alternative therapies to treat depression. They can interact with certain prescription medicines.
At Fresh Therapeutics we have copies of several Beyond Blue publications including “What Works for Depression”. Our pharmacists can sit down with you and review your medicines by conducting a Medscheck and also provide information about self help groups and online mental healths services. For instance we can help you navigate the government web-site www.mindhealthconnect.org.au – the easy way to find mental health and wellbeing information, support and services from Australia’s leading health providers, together in one place. We also have the Pharmaceutical Society’s Self Care Fact cards on lifestyle topics such as relaxation techniques and sleep problems.