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Newsletter

December
2007

Volume 1, No 24
Even though the holidays are joyous occasions, there is a  high incidence of depression in the winter months and holidays.   I posted this information from the Mayo Clinic on the different kinds and common aspects of depression.
  For more information, click on the website URLs listed below the sections.

 


 
What Is A Nervous Breakdown and What Causes It?

"The term "nervous breakdown" is used by the public to characterize a wide range of mental illnesses. Nervous breakdown is not a medical term and doesn't indicate a specific mental illness. Generally, the term describes a person who is severely and persistently emotionally distraught and unable to function at his or her normal level.

Often, when people refer to having a nervous breakdown, they're describing severe depression. Signs and symptoms of severe depression include:

  • Agitation or restlessness

  • Difficulty or inability to stop crying

  • Sleeping difficulties

  • Dramatic appetite changes

  • Indecision

The causes of mental illness usually aren't clear. But these factors may play a role:

  • Stress

  • Drug and alcohol use

  • Coexisting medical conditions, such as thyroid disorders and certain vitamin deficiencies

  • Genetics "

Source:  Mayo Clinic
http://www.mayoclinic.com/
health/nervous-breakdown/
AN00476


 

What Is the Relationship Between Vitamin B-12 and Depression?  Are They Related?

"Doctors have long known of the relationship between low levels of vitamin B-12 and depression. Vitamin B-12 and other B vitamins, such as folate, play a role in the production of certain neurotransmitters, which are important in regulating mood and other brain functions.

However, it is less clear whether vitamin B-12 deficiency may be the cause or the result of depression. Poor nutrition is one cause of vitamin B-12 deficiency. But poor nutrition may also be a consequence of depression. People who are depressed may lose interest in eating or make less healthy food choices, which may lead to vitamin B-12 deficiency.

A study published in the American Journal of Psychiatry in December 2002 examined the association between low levels of vitamin B-12 and depression in 3,884 older adults. The study reported that older adults with vitamin B-12 deficiency were more likely to have depressive symptoms than those who were not deficient in vitamin B-12. However, the reason for this isn't clear and more research is needed to confirm this finding."

For more information:  See

Source:  Mayo Clinic
http://www.mayoclinic.com
/health/vitamin-b12-and-depression/AN01543

Caffeine and Depression.  Is There a Link?

"The exact relationship between caffeine and depression isn't clear. There's no evidence that caffeine — a mild stimulant — causes depression. However, some people are more sensitive to the effects of caffeine than are others. In such individuals, caffeine may worsen existing depression. How or why this occurs isn't clear. But several theories exist.

  • Although caffeine initially gives you a "lift," it may later have the opposite effect as the effects of the caffeine wear off.

  • Caffeine can make it more difficult to fall asleep and stay asleep.
    A lack of sleep can worsen depression.

  • Caffeine appears to have some effect on blood sugar, especially in people with diabetes. Fluctuations in blood sugar can be associated with mood changes.

If you have depression, you may consider limiting or avoiding caffeine to see if it helps improve your mood. However, caffeine can be habit-forming. So an abrupt decrease in caffeine can cause withdrawal symptoms, such as headaches, fatigue, irritability and nervousness. To lessen these withdrawal effects, gradually reduce the amount of caffeine you consume. For example, drink one fewer can of caffeinated soda or one fewer cup of caffeinated coffee a day."

For more information:  See

Source:  Mayo Clinic
http://www.mayoclinic.com/
health/caffeine-and-depression
/ANO1700

Seasonal Affective Disorder (SAD)

"Like many people, you may develop cabin fever during the winter months. Or you may find yourself eating more or sleeping more when the temperature drops and darkness falls earlier. While those are common and normal reactions to the changing seasons, people with seasonal affective disorder (SAD) experience a much more serious reaction when summer shifts to fall and on to winter.

With seasonal affective disorder, fall's short days and long nights may trigger feelings of depression, lethargy, fatigue and other problems. Don't brush this off as simply a case of the "winter blues" that you have to tough out on your own.

Seasonal affective disorder is a type of depression, and it can severely impair your daily life. That said, treatment — which may include light box therapy — can help you successfully manage seasonal affective disorder. You don't have to dread the dawning of each fall or winter."

For more information:  See

Source:  Mayo Clinic
http://www.mayoclinic.com

/health/seasonal-affective-disorder/DS00195

Male depression: Don't Ignore The Symptoms

"Male depression is a serious medical condition. Many men try to tough it out on their own, but depression symptoms can make them chronically miserable. Effective treatment helps.

Are you irritable, isolated and withdrawn? Do you find yourself working all the time, drinking too much alcohol, using street drugs or seeking thrills from risky activities?

If so, perhaps you're being chased by what Winston Churchill called his "black dog" — male depression. Churchill attempted to ward off his black dog with compulsive overwork and large amounts of brandy. For male depression, the coping strategy may be reckless driving, risky sex or shutting yourself off from the world.

But none of these can keep male depression at bay for long. Even worse: Men with depression are at an increased risk of suicide.

Male depression often is undiagnosed. Each year, depression affects about 6 million American men and 12 million American women. But these numbers may not tell the whole story. Because men may be reluctant to discuss male depression with a health care professional, many men with depression may go undiagnosed, and consequently untreated.

Some men learn to overvalue independence and self-control during childhood. They're taught that it's "unmanly" to express common feelings and emotions often associated with depression, such as sadness, uncertainty or a sense of hopelessness. They tend to see illness — especially mental illness — as a threat to their masculinity. So men may deny or hide their problems until a partner's insistence or a catastrophic event, such as job loss or arrest, forces them to seek treatment.

When they visit their health care professional, men are more likely to focus on physical complaints — headaches, digestive problems or chronic pain, for example — than on emotional issues. As a result, the connection between such symptoms and male depression may be overlooked. And even
if they're diagnosed with depression, men may resist mental health treatment. They may worry about stigma damaging their careers or about losing the respect of family and friends.

Symptoms of male depression:

In both men and women, common signs and symptoms of depression include feeling down in the dumps, sleeping poorly, and feeling sad, guilty and worthless. Men with depression, however, have bouts of crying less often than do women with depression.

Other symptoms of male depression often include:

  • Anger and frustration
  • Violent behavior
  • Losing weight without trying
  • Taking risks, such as reckless driving and extramarital sex
  • Loss of concentration
  • Isolation from family and friends
  • Avoiding pleasurable activities
  • Fatigue
  • Loss of interest in work, hobbies and sex
  • Alcohol or substance abuse
  • Misuse of prescription medication
  • Thoughts of suicide"

 "In addition, men often aren't aware that physical symptoms, such as headaches, digestive disorders and chronic pain, can be symptoms of male depression.

Job stress a common trigger of male depression: Whether in men or in women, the precise cause of depression isn't known. Researchers believe depression is the result of a combination of genetics, your thought processes and your social environment. Everyone, for instance, is susceptible to depression in the wake of a major life stress, such as the end of an important relationship, the death of a loved one, moving or financial problems.

Some research suggests that for men, job-related stress may also play an important role in male depression. Some job characteristics that may be associated with male depression include:

  • Lack of control over your responsibilities
  • Unreasonable demands for performance
  • Conflicts with supervisors or co-workers
  • Lack of job security
  • Night-shift work
  • Excessive overtime
  • More time than you'd like spent away from home
  • Wages that don't reflect the level of responsibility.

Suicide and male depression:

Although women are twice as likely to have depression, men are four times as likely to suffer its worst consequence: suicide. Starting in adolescence, men are far more likely than women to take their own lives. Older men, particularly white men over age 85, have the highest suicide rate. Although women attempt suicide more often than men do, men are more likely to complete suicide.

Men are more likely to use more lethal means in suicide attempts, such as guns, which partly accounts for their higher rate of suicide. But other factors also are involved. One such factor may be their tendency to move from suicidal thoughts to suicidal actions faster than women. Men take an average of just 12 months to go from contemplating suicide to attempting suicide. In contrast, it takes women about 42 months. During this time, men are less likely than women to show warning signs, such as talk of suicide. Because this window of opportunity is so short, family and mental health professionals may have little chance to recognize a man's depression and intervene.

Treatment and self-care for male depression:  If you or someone close to you is considering suicide, seek help immediately from your doctor, the nearest hospital emergency room or emergency services (911).

If you suspect you have depression, schedule a physical examination with your family doctor or primary health care professional. Conditions such  as a viral infection, thyroid disorder and low testosterone levels can produce symptoms similar to male depression. If your doctor rules out such conditions as a cause of your symptoms, the next step may be a depression screening. Treatment for male depression may include antidepressant medications, psychotherapy or both."

For more information:  See
Source:  Mayo Clinic
http://www.mayoclinic.com/
health/male-depression/MC00041

What is Atypical Depression and How Does It Differ From Regular Depression?

"Nearly 50 years ago, two English psychiatrists first described atypical depression — a type of depression that seemed to differ from classic forms of depression in both its symptoms and treatment. Experts in the field of psychiatric research continue to debate the finer points of this diagnosis. However, atypical depression is typically characterized by:
  • Earlier onset of symptoms
  • Overeating
  • Oversleeping
  • Mood reactivity
Mood reactivity refers to the observation that although people with atypical depression experience pervasive sadness, mood may improve or worsen in direct response to specific events. This is different from classically depressed individuals who experience persistent sadness.

In addition, some research suggests that an older class of drugs, monoamine oxidase inhibitors (MAOIs), may be more effective in treating atypical depression than newer drugs, including tricyclic antidepressants and selective serotonin reuptake inhibitors (SSRIs). However, research continues to try to define this more clearly.

Atypical depression is more common in women than in men. The exact cause of depression isn't clear. But genetics and environmental factors play a role. If you are concerned that you or someone you know has atypical depression, seek help from a mental health professional."

For more information:  See

http://www.mayoclinic.com
/health/atypical-depression/AN01363

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