DEPRESSION
One in twenty workers, or 200,000  people suffer from a depressive illness. A depressive illness is serious but can be treated. Depression disrupts work , family and social life. Depression results in more days in bed than ulcers , diabetes , high blood pressure , or arthritis.
 

What is it?
A depressive illness is an overwhelming feeling which dulls thinking , mood and concentration. It saps energy ,interest in food , sex , work and everyday activities. Another common feature is disruption of sleep. We do not have a true understanding as to what causes depression but there is a consensus that chemical agents in the brain or " neurotransmitters" are involved. Without treatment it can last for years or indefinitely.

Three out of four people hide their depression from their employers , supervisors and work colleagues. The reasons for this are complex but not least is still the not inconsiderable stigma attached to mental illness. But thankfully with more public education and awareness this is improving.

Are there different types?
In real life depressive illness often does not fall neatly into the following categories but it can help differentiate between the the types of depressive people.

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Reactive Depression : This follows a major loss such as death of someone close , unexpected financial difficulties or redundancy.

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Personality-based Depression: This happens to people with poor self-image, or to those who rely excessively on others for advice or emotional support , often after a minor loss. It may be part of their make up to be more vulnerable to adverse life events than other people.

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Endogenous Depression : This is a chemical or biological depression which often occurs without apparent cause. Although a traumatic event can trigger this depression , the extent of the mood change cannot be explained the event alone.

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Manic-Depression : This is usually associated with bouts of depression lasting weeks or months alternate with periods of euphoria or mania of similar duration. Stress or loss often triggers manic-depressive episodes.


Symptoms of depression

Persistent sad or empty feeling

Loss of interest in food , sex , work and other activities

Tiredness and feeling sluggish despite rest

Trouble getting to sleep , waking too early or oversleeping

Reduced or increased appetite and weight

Poor concentration and indecisiveness

Feelings of guilt and worthlessness

Chronic aches and pains without a physical cause


Treatment
Depression can be treated. Over 80% of the most severe depressions can be helped quickly. Treatments come in the form of counseling , psychotherapies and medication. The treatment is tailored for the individual patient. It is important to stress that the medication used to treat depression is extremely effective and also non habit forming. I is also important to point out that the medication can take up to 2 to 3 weeks to work. The bulk of depressed patients can be treated successfully by their family doctor.