Keeping your depression at a manageable level is achievable

Depression is a mood disorder that affects many people around the world. More than 350 millions of people are experiencing some form of depression in the world.

Depression occurs in many different forms, with different diagnostic indicators,often different aetiology and different treatment strategy

Among them the three more common types of Depression  are “Major Depression” or clinical depression,  “Dysthymia”, also called persistent depressive disorder and “Bipolar Disorders” or manic depression.

Around the 6% of australians suffers from clinical depression, with numbers increasing from year to year and with a major prevalence among women population. Major depression is the more common form of depressive disorder and also the better known one so much that many people refers to it simply as “depression”.
It’s characterized by a wide range of symptoms, but in general we can say that an affected person suffers from a persistent lowering of mood that hinders his ability to deal with normal day to day activities. Together with this peculiar low mood some of the more frequent symptoms are sensation to be low on mental or physical energy, difficulties to getting to sleep, weight gains or loss, a general lost of interest in work and other activities and often suicidal thoughts.

When a low mood lasts for at least two years probably there is an ongoing persistent depressive disorder

Compared to clinical depression dysthymia allows some day to day activity to people affected by it but in any case it affects in some way working activity, sentimental life and other. It’s a chronic illness characterised mainly by a constant low self esteem, eating and sleeping disorders and lack of energy.

Bipolar disorder, affects people who experience extreme mood cycling between a depressive phase and manic, high energy, periods

Manic phases have a symptomatology opposed to that of depression, with high esteem, high energy in any daily activity, but also the emergence of risk taking habits, such as sexual sprees, betting and risky economic decisions. Depressive periods are, instead, characterised by a depressive symptomatology as per major depression.

In Australia is estimated that 1,3% of people are suffering by some form of bipolar disorder.

Depression has many possible causes, often people who experience these health conditions have developed them on the basis of several triggering factors. Causes falls into three categories: genetic, biological and psychosocial factors. There’s often a genetic predisposition to depression, but the effective trigger can be the consequence of a stressful event in life. After the birth of a child some women experience a post-natal depression, other people developes depression as a reaction to a loss or a great distressing situation like job loss and unemployment. Even divorces and  important changing to daily routine like relocation can trigger a form of depression, as developing diseases or dysfunction like ED can originate depressive manifestations.
It’s also important to note that depression can be a risk factor to cerebrovascular and cardiovascular diseases.

There are two main approaches to treatment of depression

Pharmacological and psychotherapy. Sometimes are used in combination and, when these approaches don’t reach the expected results electroconvulsive therapy is adopted.

Pharmacological treatments it’s very effective in treatment of any depressive form. Use of antidepressants need some time to give results. The most prescribed antidepressants in Australia are SSRIs (selective serotonin reuptake inhibitors), like prozac, zoloft and celexa. What they do actually is the regulation of serotonin levels in the brain. The first important thing to assess is the kind of antidepressant that works best for every patient. Some medications have to be tested before choosing the right one for the therapy. Symptoms are typically addressed by medication in about two to four weeks and even when one feels better is very important not to discontinue the cure to avoid withdrawal symptomatology. Lifting a pharmacological cure must be slow and a constant attemption by a doctor is strictly necessary.

The major risks associated with antidepressant medications are their side effects, wich include even an increased risk of suicide. This is the reason why it’s so important a doctor’s supervision in pharmacological treatment of  depression.

Psychotherapy is also effective in treatment of depression

Both cognitive behavior therapy (CBT) and interpersonal therapy (IPT) have proven equally effective in curing depression. CBT, more frequently adopted in Australia, focuses his work in helping patients to identify and correct thinking and behavior patterns that can induce depression. IPT aims to treat depressed patients by improving their  social performances and interpersonal relations.

ECT approach is used when other therapies fail to treat the depression and in extreme situations like repeated suicide attempts. Benefits from this treatment are quick in comparison to other cures. Even 1 week of ECT can relieve symptoms of depression. The side effects of this approach, like confusion and short term amnesia must be taken into account by doctors and patients.

The most important thing to do when in a depression illness is to seek help from health structures

Australian government has several resources to address depression and other mental health conditions some of them active even in the web. Lifeline Australia offers an help for people with suicidal tendencies, and beyondblue operates in all national territory conducting several programs to help, inform and promote prevention for anxiety and depression related health issues.

Dr. Richard Exposito

Physiotherapist at Northside General Hospital
Dr. Richard Exposito is one of the most respected physiotherapists in the country. The experience of this medical professional covers more than 22 years. Dr. Exposito earned his degree at The University of Queensland after 4 years of study. This branch of medicine was always Dr. Exposito's favorite. Physiotherapy and sports have always been his passion, he is a big sports fan.   Dr. Exposito was working in several Sydney hospitals such as Northside General Hospital where he was head of the physiotherapy unit for more than 5 years. His dream was always to work with a professional soccer team and that was the way it was in 2010. That year Dr. Exposito was appointed as the official physiotherapist at the Sydney FC team rehabilitation center.   During 2015 he traveled to Florida in the United States to obtain a couple of official certifications as a specialist in physiotherapeutic treatment for nerves and spine systems. In addition to that, Dr. Exposito completed an investigation at the International University of Florida on orthopedic medicine and the application as a specialty in physiotherapy for the treatment of tendons, ligaments and joints.   Since his arrival as an official physiotherapist at the Sydney FC team, the muscle injuries of most players have been reduced to a minimum thanks to the program called “Recovery Before and After each game”. An initiative created by Dr. Exposito that won him an award from the Australian Physiotherapy Association.   Dr. Exposito is the founder of a clinic for the special treatment of muscle injuries in young children in Sydney. All treatments in this clinic are free for all patients who require therapeutic help.   Apart from being an active member of a soccer team. Dr. Richard Exposito is also a university professor with several hours of classes a week at two universities; The University of Queensland and Griffith University.   Every year he gives talks and conferences throughout the country for young athletes and other physiotherapy professionals in Australia. Dr. Exposito is a renowned speaker as a specialist in the area of ​​rehabilitation of high performance athletes.   Dr. Exposito has 3 children and is married to Melissa, a woman who loves medicine and she is a specialist in Sports Psychology.
Dr. Richard Exposito

14 thoughts on “Keeping your depression at a manageable level is achievable

  1. 2014 my sister died from pills. I was prescribed Xanax. Then a year later my younger brother died, from pills. I was thrown even more pills. The next year? My dad died from cancer from agent orange in Vietnam. In the middle of all of this I got divorced, and had custody of 2 kids. Last year I lost my job of 13 years due to a super mean controlling woman. Depressed is an understatement. I was prescribed everything. Anxiety pills, depression pills etc. I didn’t want to take them because I had family die from pills. I ended up just taking them….6 months later I still hated my life. I still do. I drink every night till I pass out now. No end in sight. I don’t take the pills anymore, just drink.

  2. I have been depressed since I was 19. I had a set of twins born at 31 week and my father had terminal cancer. I went into a depression and just wanted to die. I spent several months in the hospital after two suicide attempts. I finally leaned to deal with it but I still have it and can tell when I am fixing to go into a deep depression. In really hurts.

  3. Dealing with depression is not something I would wish on my worst enemy. Although I think my worst enemy IS depression. Most of the time I can get by with my anti-depressant medication, and if I keep busy with my job and socializing with friends, the depression tends to abate. But since my wife left me this past year, there’s nothing really to go home to. That’s when it really sinks in how lonely and quiet my life is. The silence at home allows my thoughts to wander into dark places I’d rather they not. Stopping them gets harder and harder each day, so I work harder and take on more than I should to try and stay occupied. Twice I’ve been suicidal, and sometimes it feels like if it happens to get to a third time, I might pull it off with success. But I never want to get that bad if I can help it. People who say “Just cheer up!” or “Don’t be depressed.” are those who never will truly understand the blanket of darkness we struggle with day after day. We don’t want to be this way.

  4. I always considered living with depression likened to falling down a rabbit hole. Everywhere you look is darkness and you are below ground level. Your mind becomes muddled and thoughts fail to mean anything and it doesn’t matter because you just don’t care whatever the matter. I personally would never commit suicide, but I think about that fact many times a day. The TV is on and you stare at whatever channel it’s on remains, regardless of what is showing, even infomercials. Nothing matters. Sometimes a strong, sharp emotional pain will stab me in the heart. And you just lay there, motionless.

  5. It has been this way since early high school, picked on by a few particular classmates. Being targeted and at the same time left out. Others spreading rumors about me. Not having any social friends in key years of my life. And therefore having a poor self image and worth. It never got better and I never recovered from it. I wonder how my life would have been if things went differently. But that is when it all started.

  6. I live with depression. It’s very difficult and I grew up fine but at 11 things started to change. I had to be put on an SSRI for anxiety and depression. It just really sucks that I still have to deal with it. My life was going downhill, and I had nothing else to do. Sometimes I still feel like that.

  7. I’ve dealt with depression for the last 20+ years. You manage and you learn your own signs, weaknesses and what works to calm those feelings. Sometimes it really makes you look deep into yourself. I personally do not medicate, but believe some people need to. I try to remember not to let it win. Once you can learn how to recognize the signs, feelings and emotions you learn how to cope.

  8. I’ve felt different my entire life and never felt accepted by anyone. Friends were never really my friends and I was used for others gains and it damaged my state of mind and level of happiness. Without a career or goals or a support system, I’ve got nowhere to go and don’t know who to talk to. I can’t rely on anyone other than myself, at least I can count on myself and my abilities.

  9. I first started suffering from depression while going through a very difficult divorce. My former husband was very cruel to me and there was a lot of emotional back and forth. It was hard for me to get my balance emotionally. It was also a huge financial hit and the worries about money led me into a lot of despair. It felt like a black hole I was never going to crawl out of, of not being wanted, not being able to provide for myself, not being able to move my life forward.

  10. I’d been living with depression for a long time before I really understood what it meant for me, or that it ran rampant throughout my family. The first time it reared its ugly head in my life was when my sister attempted suicide. Fast forward into high school and then college, and I started to get bouts of depression that were difficult to shake, myself. Fast forward again, several years into my marriage, and I’ve spent years struggling to shake the fog of depression that has permeated my life after a string of deaths and tragedies in the lives of people close to us.

  11. To begin with, I grew up rough. My biological father went to prison for 20 years when I was 6, leaving my mom to raise me and my sister alone. My mom could only earn a fraction of what my father made to support us so we had to move to an area that she could afford, which was also crime-ridden. From there, I grew up running with the wrong crowds, doing drugs, getting into trouble. That has extended into my adult life, as I am now over 30 and still fighting my demons that began after my life changed as a kid. All of that has caused massive depression in my life and I’ve lived with depression for over 20 years. It is a daily struggle. Some days you are up, some days you are down. Then you have the periods where you go down and stay down for an extended time, and it feels like you’ll never be up again. I wish anyone who is suffering can find peace.

  12. I guess you could say my life is the perfect recipe for depression. My parents went through a nasty divorce when I was barely in school. A few years later, I lose my mom in a drunk driving accident. The years follow with various substances, failed relationships, and some serious trauma. Fast forward, I have an awesome fiance and two beautiful boys, who I adore more than anything else in the world. They both came at the perfect time. But, some days, I feel like I am not good enough to be their parent. I wish I was more patient. I wish I didn’t raise my voice. I wish I was a better parent. I wish. I wish.. I wish…

  13. Some days I don’t even know how I can get out of bed. I wear the same clothes for days, sometimes weeks. My hair is a tangled mess, it’s so bad it’s matted. It’s embarrassing, I refuse to go out in public unless it’s absolutely necessary. I’m ashamed to visit the doctor and dentist now. I am so isolated from friends, I don’t care. My life right now is so different from what it used to be, but like I said, I don’t care. I don’t have the energy to do anything. I have no concept of time. Days have turns into weeks, then weeks into months. Life is passing me by and I feel like Rip Van Winkle. Some days I wish I could go to sleep and never wake up.

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