
Causes of Depression
The causes of depression are complex and can include genetic predisposition, biochemical imbalances in neurotransmitters, hormonal changes, seasonal patterns, and situational factors like trauma or significant life changes.
Diagnosis involves a thorough examination and medical history review by a doctor, potentially including a referral to a psychiatrist.
Treatment options include medication, psychotherapy, and lifestyle adjustments, such as exercise and avoiding substance use.
What is depression?
Depression is a disorder affecting mood and general outlook. A loss of interest in activities or feeling sad and down are symptoms that characterize this condition. Even though most people feel sad or down for brief periods, clinical depression is more than just feeling sad.
Depression is a serious medical condition and people usually aren't able to just get over a depressive state. Untreated depression that can cause lasting issues that include:
employment problems
strain on relationships
drug and alcohol abuse
suicidal thoughts or attempts
Many people who receive effective treatment for depression will go on to live healthy and happy lives. For some, depression may be a lifelong challenge that requires treatment on a long-term basis.
Talk to your doctor if you think you are suffering from depression or a major depressive disorder. People of any age and life situation can have depression.
What causes depression?
Depression isn't a simple condition with a known cause. Some people are more susceptible to depressive episodes while others are not. It's important to discuss symptoms with your doctor. There are several possible causes of depression.
Genetic
Depression may be an inherited condition. You may have a higher likelihood of experiencing a depressive disorder at some point in your life if you have a family member with depression. The exact genes involved are not known. It's believed that many genes may play a factor in causing depression.
Biochemical
Some people have noticeable changes in their brains with depression. Even though this potential cause isn't understood, it does suggest depression starts with brain function. Some psychiatrists look at brain chemistry with cases of depression.
Neurotransmitters in the brain — specifically serotonin, dopamine, or norepinephrine — affect feelings of happiness and pleasure and may be out of balance in people with depression. Antidepressants work to balance these neurotransmitters, mainly serotonin. How and why these neurotransmitters get out of balance and what role they play in depressive states isn't fully understood.
Hormonal
Changes in hormone production or functioning could lead to the onset of depressive states. Any changes in hormone states — including menopause, childbirth, thyroid problems, or other disorders — could cause depression.
With postpartum depression, mothers develop symptoms of depression after giving birth. It's normal to be emotional because of the changing hormones, but postpartum depression is a serious condition.
Seasonal
As daylight hours get shorter in the winter, many people develop feelings of lethargy, tiredness, and a loss of interest in everyday activities. This condition was called seasonal affective disorder (SAD). Now it's known as major depressive disorder with seasonal pattern. Your doctor may prescribe medication or a light box to help treat this condition. The condition also usually goes away once the days get longer.
Situational
Trauma, a big change, or struggle in life can trigger a case of depression. Losing a loved one, being fired, having financial troubles, or undergoing a serious change can have a big impact on people.
What are the symptoms of depression?
While the symptoms of depression can vary depending on the severity, there are some standard symptoms to watch for. Depression not only affects your thought and feelings, it can also impact how you act, what you say, and your relationships with others. Common symptoms include:
sadness
tiredness
trouble focusing or concentrating
unhappiness
anger
irritability
frustration
loss of interest in pleasurable or fun activities
sleep issues (too much or too little)
no energy
craving unhealthy foods
anxiety
isolation
restlessness
worrying
trouble thinking clearly or making decisions
poor performance at work or school
dropping out of activities
guilt
suicidal thoughts or tendencies
pain, like headaches or muscle aches
drug or alcohol abuse
Some people also show signs of mania, psychotic episodes, or changes in motor abilities. These can signify other conditions that can cause depression, like bipolar disorder.
If you think someone is at immediate risk of self-harm or hurting another person:
· Call 911 or your local emergency number.
· Stay with the person until help arrives.
· Remove any guns, knives, medications, or other things that may cause harm.
· Listen, but don't judge, argue, threaten, or yell.
If you think someone is considering suicide, get help from a crisis or suicide prevention hotline. Call or text the 988 Suicide and Crisis Lifeline at 988 or use the chat feature at 988Lifeline.org.
What are the risk factors of depression?
Many factors can increase your risk of developing depression at some point in your life. Risk factors include:
being a woman (more women are diagnosed with depression than men)
having low self-esteem
having blood relatives with depression
being gay, lesbian, bisexual, or transgender
having other mental health disorders, like anxiety or bipolar disorder
abusing drugs or alcohol
having a serious or chronic illness
taking certain medications, like sleeping pills
living in a region of the world that has long winter nights and limited sunlight
How is depression diagnosed?
To diagnose depression your doctor will do a full examination and get your medical history. They may refer you to a psychiatrist for a more in-depth evaluation. Since depression can't be tested for using blood tests, your doctor will ask you questions about your thoughts and feelings. Your doctor will be able to diagnose you based on your symptoms and answers.
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