Depression Help

Most important in the treatment is the right attitude of those who are in contact with the patient, also an accurate diagnosis. Some patients need to be in hospital, others can be treated as out- patients. If the cause is organic then attention must be given to the treatment of the physical illness.

TYPES OF TREATMENT:

1. PSYCHOTHERAPY:

This is communication between the trained person and the depressed person. It may be individual or group therapy. In group therapy several patients are invited to form a group. The group may be of in patients or of out patients, but they are get to know one another. As with other groups all should participate, but there should not be any forcing, and it may take time for a withdrawn or depressed patient to begin a talk.

1. TRANQUILISER DRUGS:

These relieve symptoms but don’t cure the illness. They help to make the patient more co-operative so that he can benefit from psychotherapy including group therapy.

1. ELECTRIC SHOCK THERAPY:

This also relieves the symptoms and makes the patient easier to approach for psychotherapy.

1. OCCUPATIONAL THERAPY:

This provides activities and work either in the hospital or in the home.

1. RECREATIONAL THERAPY:

Provides indoor and out-door recreation for the mentally ill. The staff joins with the patients in these activities so that they are helped to adjust to the living with others.

1. INTEGRATION WITH GENERAL HEALTH SERVICIES:

Another trend is to admit patients with mental illness in general hospitals. Many hospitals now have a psychiatric department or at least a psychiatric O.P clinic.

Half –way houses are home like institutions which provide after care and protection. Efforts are made to help the depressed to its original life and provide supervised employment such as sheltered workshops. These houses offer a vital service in helping these persons to regain a place in society. Regular visits by trained persons for informal discussions with the family where a mentally ill person is living, is another promising trend. If the behavior of the patient again becomes abnormal, get the family to take him to the doctor without delay.

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Some people feel massive intricacy in deciding what to do and resolving their depression problems. Accede to their tribulations and lack of solution continually hassle them. It is not because their problems cannot be resolved. It happens with them only because they don’t know how to resolve their problems, they are not able to see the vital issues and what is actually provoking their problems, or because they stick to the same approach to solve their problems, or they feel surrounded themselves by hurdles from all sides.

Lots of people suffer from doubt, and sometimes they are so powerful that it makes them doubt even for the most apparent facts and deductible consequences and they presume that it will happen exactly as they predict based on their past experiences.

Some people are not capable of thinking and looking for the solutions they do have. They find even the minimal obstacles into their way. They already think that nothing can be done to resolve their problems. They are not able to look for another solution; all the things appear impossible.

These people require help, but they don’t know how to seek help and even when they get it, they despise it entirely thinking that it will not work for them. Their negative approach affects their lives constantly and the accretion of unsolved problems stimulates deeper disappointments. They easily drop all their courage and remain in a terrible psychic condition, without understanding that what is the cause for their suffering.

Worse events take place when they make an effort to seek help, but that help is not sufficient for their case. They are tortured by the way of medicine that cannot cure their unhappiness, and by the way treatments that don’t match to their needs. This adds to their depression instead of releasing them from the hopeless condition they are in.

But if this could be realized to them that how much inferring their dreams would help, they wouldn’t suffer a lot without any hope of finding happiness and peace in their lives. Although, only a small number of people understand how dream interpreting can solve all our existential and psychic problems because this field is quite overlooked by many people and too distorted by many psychiatric therapist.

The true psychotherapy and the true solution for any problem can be found out only from the proper interpretation of the dream symbols.

Dream interpretation can help a person to resolve any problem since the unconscious that creates the dreams functions similar to a doctor who exactly knows each patient’s problem and the correct solution for each case. Besides that, the messages of the dreams expose how each person can build up the psychological functions that are in an atrophic condition in their mind. This improvement helps them see and understand all the perception of reality they couldn’t notice before. They become more logical and, therefore, become better able to guess, feel, think and capture the true sense of life.

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The patient on whom the focus of the emergency is laid may be

1. Planning to take his own life- suicidal
2. Very excited and violent- the over active patient
3. Very dull and depressed- the under-active patient
4. A person who has too much alcohol

General principles of management that has to be followed

1. Protect the patient from harming himself and others
2. Be gentle and behave with full authority with patient
3. Make sure that one of the family member is responsible for the patient
4. As soon as possible refer the health centre or hospital

THE SUICIDAL PATIENT

The patient should be protected from his planned behavior at any cost. Sharp instruments and poisons should be kept out of his reach. The patient can be allowed to move here and there but under proper supervision and control until he is taken to the health centre or hospital.

THE OVER-ACTIVE PATIENT

He may be confused and aggressive. He is not able to control himself, but if he is made to control forcefully than he becomes brat. Stopping him forcefully should be the last option. Instead, try to

1. Handle the patient in a quite, calm manner.
2. The patient should be protected from harming himself and others, by being firm but gentle.
3. His attention should be diverted from time to time. Offer him something to eat or drink.
4. Prevent noise and also the place around the depressed should not be crowded but at least one of the family members is always with him.

THE UNDER-ACTIVE PATIENT

The patient has adopted an abnormal behavior. He is not able to go to toilet and also spoiled his clothes.

1. Talk to the patient and continue in the same tone if he doesn’t respond.
2. Give him food to eat and feed him if necessary.

THE PATIENT WHO HAS TOO MUCH ALCOHOL

The patient may be confused, restless and having false beliefs. He may be abusive and may become violent. He may injure himself without any reason or may be suicidal. In order to bring him back to his normal behavior he should be calmed and make sure that he is consistently supervised.

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1. WITHDRAWAL PATTERNS:

Withdrawal may begin in early childhood or be noticed in a school child. The child is shy, nervous of strangers and too unsure of himself to show what he can do. He may be a day dreamer, not join in games and not make friends. The reason may be in a feeling of insecurity, of being not wanted, or lack of approval in early childhood.

Withdrawal may be only temporary, as in an adult who turns down an invitation because he is afraid of a closer relationship.

One form of withdrawal is that after some time they again retreat to a child level behavior.

More serious withdrawal signs are:

1. Sitting alone, day dreaming, indifferent to surroundings.
2. The patient may not move for hours.
3. There may be sudden change to excited behavior, acting silly, but he is an unreal world.

1. AGGRESSIVE PATTERNS:

Aggression is a common reaction in inter-personal relationships. Hostility and aggression goes together and are common to all of us. Children are very aggressive towards each other. They bite, kick, pull hair and hit.

The aggressive person often

1. Wants to dominate others,
2. Responds to opposition with hostility,
3. Is the one to start a quarrel,
4. Tries to harm those he feels are his enemies

1. ANXIETY PATTERNS:

Anxiety may be experienced in the conscious, pre-conscious, or unconscious mind. Anxiety is a very uncomfortable feeling. There may be feeling of fear or any unpleasant situation that may happen. There may also be vomiting, diarrhea and urinary frequency. Some people become over-active, while others are unresponsive, not moving. He is unable to make decisions.

1. DEPRESSIVE PATTERNS:

Depression is a state of unhappiness, gloom and grief. A mood of depression is normal when there is some external cause such as loss of loved one. It often occurs in those with physical illness, especially when it is for a long time or the person is handicapped.

In mild depression, the person

1. Feels sad, and that nothing in life gives pleasure,
2. Has no energy, feels not too well, but not physically ill,
3. Cannot stop worrying,
4. Feels ill and often very sad,
5. Has lost his self esteem,
6. may commit suicide,
7. Loses weight.

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