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Depression is a very common psychiatric disorder, but some people still do not realize that it is a condition that requires treatment from a psychiatrist because they believe the patient is just overthinking. They often comfort with words like “Don’t think too much”, which does not help improve the sad mood at all. This is because the sadness is severe enough to cause changes in brain chemicals (Neurotransmitters). Therefore, treatment should be sought, which will include antidepressant medication prescribed by a psychiatrist.
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<h2 style="color: #008080">Triggers that cause depression</h2>
Symptoms of depression may occur due to triggers such as stress or life pressures, whether it is illness, loss, failing exams, heartbreak, infidelity, etc. However, it is also common for patients to develop depression on their own without any emotional impact.
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<h2 style="color: #008080">Warning signs that if lasting more than 2 weeks… you should see a doctor</h2>
<table class="table th td" width="100%">
<tbody>
<tr>
<td style="text-align: center" valign="top">Mood</td>
<td valign="top">
<ul>
<li style="list-style-type: none">
<ul>
<li>Not cheerful, not joyful, loss of interest</li>
<li>Depressed, gloomy, bored, hopeless about life</li>
<li>Irritable, easily annoyed, sensitive to words</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="text-align: center" valign="top">Thoughts</td>
<td valign="top">
<ul>
<li style="list-style-type: none">
<ul>
<li>Inability to concentrate on work, worsened memory</li>
<li>Seeing the world negatively, no good qualities in oneself, lack of self-confidence</li>
<li>Feeling guilty (unreasonably), feeling worthless</li>
<li>Thinking about harming oneself or not wanting to live anymore</li>
</ul>
</li>
</ul>
</td>
</tr>
<tr>
<td style="text-align: center" valign="top">Physical symptoms</td>
<td valign="top">
<ul>
<li style="list-style-type: none">
<ul>
<li>Fatigue, lack of energy, slow movements</li>
<li>Headaches, muscle pains</li>
<li>Difficulty sleeping, restless sleep, waking up in the middle of the night (unable to fall back asleep)</li>
<li>Loss of interest in activities once enjoyed, lack of enthusiasm</li>
</ul>
</li>
</ul>
</td>
</tr>
</tbody>
</table>
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Depression is not just sadness caused by “adjustment problems” to stress. Sadness usually gradually improves over time. If the patient has these symptoms continuously for more than 2 weeks, with impaired functioning and relationships with others… depression should be considered “depression”.
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<h2 style="color: #008080">Depression is treatable</h2>
Currently, depression treatment is very effective using antidepressant medications, which come in various types. We find that each patient responds differently to each type of medication. Doctors will start with a low dose and then consider increasing the dose to an effective level, which usually takes about 4-6 weeks. If there is no effect, the doctor will consider changing the medication. Therefore, patients should continue treatment consistently.
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In addition to medication, psychiatrists will provide therapy with “Cognitive-Behavioral Therapy” to help patients develop a positive outlook on themselves and the outside world, see solutions to problems, and realize their potential to face life’s challenges, as well as adjust their lifestyle to create joy and happiness in life.
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In cases of very severe depression, such as a high risk of self-harm or with comorbid psychiatric symptoms like paranoia, auditory hallucinations, or delusions, psychiatrists will admit the patient to the hospital with close family supervision to prevent possible harm.
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If symptoms improve after taking medication, patients should not stop medication on their own as it may cause relapse. Doctors will consider continuing medication (at the lowest effective dose) for years until it is safe to stop.
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<h2>Recommendations for living with a depressed patient</h2>
<ul>
<li>Listen and give the patient the opportunity to express their distress, understand and accept without criticism or blame</li>
<li>Encourage the patient to participate in enjoyable activities or travel to natural places</li>
<li>Ensure the patient takes medication regularly on time</li>
<li>Report to the doctor immediately if the patient shows thoughts of self-harm</li>
</ul>

Depression is a psychiatric disorder that is often misunderstood as just stress.. no need to see a psychiatrist, leading to frequent news of depressed patients harming themselves. In fact, this disease can be treated if the symptoms and causes are recognized in time.

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Depressed, easily irritated, restless sleep – signs of “depression” that need urgent treatment!

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