Depression is not only related to neuroanatomy, neuroendocrinology and neurophysiology, but the most important reason may be hyperactivity of hypothalamus, pituitary and adrenal axis. Moreover, usually due to the low norepinephrine, the pain threshold decreases, so many patients with depression have obvious pain.
How to diagnose depression? Symptoms of the diagnostic criteria for depression must exist almost every day, or can be observed. There is a depressed mood almost every day or most of the day. The most common complaint of patients is often insomnia or fatigue. If the accompanying depressive symptoms are not thoroughly studied, it is easy to miss the diagnosis.
The course of the disease lasted more than two weeks. During this period, children and teenagers may be depressed or lose interest in almost all activities, and they may have different anger instead of sadness. In individual cases, in addition to simple additional symptoms, there may be loss of appetite, weight loss, sleep disorder, changes in mental activity, lack of energy, feeling that they have no sense of value or guilt, concentration or decision-making difficulties, or repeated thinking of death or suicide.
Anxiety and depression are like a pair of good friends, but they seldom do good things for them. Depression and anxiety often go hand in hand, and they will have adverse effects on the body, such as sleep disorder, loss of appetite, weight loss, and decreased body resistance to pain. We all know that depression can lead to suicide. In fact, anxiety can also lead to suicide.
Sleep disorders can be manifested as difficulty in sleeping or waking up early. Some people may increase their sleep time during the day, leading to sleep disorders.
Some patients may be complicated with physical diseases, such as cancer, stroke, myocardial infarction and diabetes. It is more difficult to assess the onset of major depression in pregnant individuals. This situation may be complicated with depression, such as irritability, lack of guilt or sense of worthlessness, which is related to his long-term suffering from the disease.
Many times, for severe depression and anxiety, simple drug treatment has little effect, so at this time, modified electroconvulsive therapy can be given priority. This is a kind of physical therapy, which induces people to have seizures under anesthesia, and then changes brain neurotransmitters, thus improving symptoms. This kind of treatment takes effect quickly and is the first choice for individuals with suicidal tendencies.
I hope my answer is helpful to you, please pay attention and continue to update relevant knowledge in the future.
Let's talk mainly about depression. For the treatment of depression, some experts have made a comparison between psychotherapy and drug treatment, and found that the two effects are similar. The combination of psychotherapy and drug therapy is more effective in treating chronic depression.
However, the biggest problem in the treatment of depression is the high recurrence rate. Therefore, in order to prevent recurrence, it is necessary to maintain certain treatment, which is mainly drug treatment. This is the fundamental reason why you need to take medicine.
Some side effects will disappear within a few weeks after taking the medicine. Therefore, even if there are side effects, we must adhere to the doctor's advice, and the curative effect of the medicine will appear. At present, with the development of medicine, the side effects of many antidepressants are mostly small. Patients have a wide range of choices, and doctors will prescribe different prescriptions for patients to minimize the side effects of drugs. For drug treatment, patients with depression generally have to try several different drugs to find an effective drug with tolerable side effects, and those who find an effective drug that suits them will have a feeling of being reborn. The dosage and type of medication should be carried out according to the doctor's guidance and cannot be increased or decreased by itself. Some antidepressants take a month or two to see the effect, and it takes a long time. Don't give up just because it doesn't work.
To treat depression, whether to choose the combination of psychotherapy and drug therapy or simply drug therapy or psychotherapy depends on the severity of the patient's condition, the frequency of recurrence and my own characteristics. Learn some psychology and help others help themselves!
The answer is obviously no.
Depression and anxiety don't have to be treated with drugs, but should be analyzed in combination with their own conditions.
Depression first look at depression. Depression is a kind of internet craze, because people are prone to "depression", so everyone may suffer from depression, really. Depression is a kind of professional medical diagnosis with special diagnostic criteria, characterized by obvious and persistent depression, and it is the main type of mood disorder.
Common manifestations are depression, decreased interest, pessimism, slow thinking, lack of initiative, easy to blame, inferiority, poor diet and sleep, anxiety and so on. In severe cases, suicidal thoughts and behaviors may occur. We can't ignore the fact that depression is a disease with high suicide rate, and the incidence rate is increasing gradually every year.
If you feel depressed, slow thinking, decreased attention and consciousness, and don't like to talk or move, you should pay attention. Depression is related to genetic factors, physical factors and social psychological factors. The reasons are comprehensive, which may be caused by many factors, but often not a single factor. Non-drug therapy, psychotherapy and physical therapy were used for patients with mild symptoms. Antidepressants can only be used when the symptoms are serious.
Anxiety disorder, also known as anxiety neurosis, is a neurotic disorder with high incidence in psychiatric department. There are many treatments for anxiety disorder, so we should choose the treatment plan according to our own situation.
Psychotherapy. Psychological treatment of anxiety disorder is mainly to change mood and self-reinforcement. To alleviate the contradictions and conflicts between various psychological phenomena, so as to achieve the purpose of psychotherapy.
The main methods to treat anxiety by using the driving force reduction model are various techniques to reduce anxiety, and the most commonly used method is systematic desensitization exposure to treat anxiety. It was widely used in the 1980s. This method of treating anxiety disorder is mainly to expose patients to various imaginary anxiety situations, and then instruct patients what to do and what not to do.
Handling of family interpersonal relationship. The treatment of anxiety disorder is mainly to study isolated individual behavior. The treatment of this kind of anxiety disorder is to train family members to become psychological counselors for patients, or to become assistants for comfort treatment. Improve and strengthen patients' self-awareness.
A good life comes from the beginning of health, the beginning of health, and the professional media of health science. Do depression and anxiety have to take medicine? Depression and anxiety are very common psychological diseases in clinic. If these mental diseases are divided into light, medium and heavy according to their severity, the serious ones indicate a high degree of anxiety. By the way, severe depression must be caused by long-term high anxiety. When people are in a state of high anxiety, consciousness may be vague. They don't listen or even understand what others say, so they need to take some anti-anxiety drugs to relieve their anxiety and symptoms.
Drugs play a role in suppressing emotions, so it feels effective after taking drugs, but drugs can't change people's cognitive thinking, so taking drugs is a way to treat the symptoms rather than the root cause. Real rehabilitation needs to change the cognitive thinking mode of the patient's brain.
Generally speaking, patients with moderate or severe depression and anxiety can relieve their symptoms by taking medicine. When the symptoms are mild and the mood is stable, you can communicate with people more, find a professional psychological counselor for counseling, actively cooperate in the counseling process, change some unreasonable ideas, actively practice, and change negative automatic thinking. In this process, they can gradually reduce their drugs, slowly learn to adjust their emotions, and then stop taking drugs.
As the saying goes, heart disease needs a psychotherapist. Depression, anxiety, obsessive-compulsive disorder, hypochondria, phobia, insomnia and students' learning disabilities are all psychological problems. These mental diseases can only be solved by changing unreasonable cognition, establishing new thinking mode and strengthening one's heart.
Whether depression and anxiety need medication depends on many aspects, the most important of which is the severity of the disease. Ordinary people also have anxiety and depression, but why not take medicine? Because with the passing of stress events or time, people's emotions will naturally return to normal, but if they meet the diagnostic criteria of "illness" and "illness", generally speaking, except for some mild patients, most of them can't adjust themselves (such as distraction, psychological communication, work and entertainment treatment, etc.). ) to achieve the purpose of improvement. What should we do at this time? Doctors and drugs are two very important helpers, and it is very effective to ask doctors to prescribe drugs for treatment in hospitals. Finally, answer the question of the subject directly. It is very necessary to take medicine.
First of all, we should understand the causes of depression and anxiety from several aspects:
1. Biological factors: For example, the levels of happy hormones such as dopamine, endorphin and serotonin in the body are reduced, leading to emotional disorders.
2. Social environmental factors: such as environment, education and experience have shaped personality, and patients with depression or anxiety have been negatively impacted, making them have poor adaptability to the environment and weak ability to resist stress.
3. Personality and psychological factors: Patients with anxiety or depression are introverted, shy, inferior, timid, sensitive, cautious and pursuing perfection.
Depression and anxiety are the results of the comprehensive effects of the above aspects. At present, mild patients can be properly psychologically counseled, participate in social activities and exercise, and study or work normally. It is very necessary for patients with moderate or above to take medicine. Drugs are the most effective method to treat various neurosis at present, mainly antidepressants and anxiolytics.
You'd better follow the doctor's advice. The doctor thinks you can stop. The quality of medicines is much better now than before.
If you are a patient with severe depression, you must take medicine. Because patients with severe depression have lost control and action ability. I used to be a patient with severe depression. I know that the critically ill patients have been in bed for more than a month. I can't get up at all. My whole body aches except my hair and nails, but my hair is almost gone, my nails are gone, my stomach is burning, I feel flustered and sometimes I sweat, and I don't know where to put my hands and feet. I have no appetite yet. Actually, I don't just have an appetite. I feel sick at the sight of food. I can't even eat millet porridge for a day or drink a bowl. I can't sleep all day, sometimes for days. The pain is beyond description now. I just want to end my life as soon as possible and not suffer in the world. I can't stop thinking about it.
I have also been to major hospitals for examination, and there is no substantial lesion. I've also seen a psychiatrist. They all advised me not to think unhappy things, but to think more beautiful things. But at that time, my brain was disobedient and I focused on bad things, which really got out of control. I did take a lot of medicine, but it didn't work, and then I had to wait until I died. When I was desperate, I met a noble man. I went to a Chinese medicine clinic as this man said. I took seven pairs of Chinese medicine first, and my stomach didn't feel burning, and my heart didn't panic so much. I continued to take fourteen pairs of Chinese medicines, and I can still eat them. After eating, I got physical strength, basically moved and fell asleep. Later, I drank the oral liquid prescribed by this doctor, and gradually got better, so I can participate in some activities. This process takes about five months!
So I said that severe depression will not be good without taking medicine. Not only take medicine, but also prescribe the right medicine to get better. If psychological adjustment alone can be good, it is not a serious depression.
Also, I think as long as you have depression, you should take medicine in time, so that you can get better soon. Of course, you need to cooperate with proper exercise, and you also need the comfort of family and friendship.
Dear, whether to take medicine for psychological problems or not, online question and answer is not advisable, so listen to the doctor more!
Whether depression and anxiety need medication depends on the specific situation of patients with depression and anxiety. The severity of depression and anxiety is divided into mild, moderate and severe. The appearance of these two diseases is basically complementary, the symptoms are similar, and the treatment drugs are not much different.
Patients should follow the doctor's advice whether they take medicine or not. If it is a mild symptom, you don't need to take medicine. Mild depression and anxiety can participate in outdoor sports. Regular running can exercise your body to some extent, both mentally and physically. If conditions permit, you can also see a psychologist.
Moderate and severe depression or anxiety require medication. Sometimes even doctors need to change drugs. I am a patient with depression and anxiety. When I first started taking medicine, it was inappropriate. At that time, I suffered from insomnia every day because of depression and anxiety. The doctor prescribed trazodone, but because of the serious condition, trazodone had little effect on my treatment, so it was later changed to mirtazapine. Mirtazapine is effective for patients with depression and anxiety.
Patients with depression and anxiety can be treated, and therapeutic drugs are not addictive!