Hindi Health Point is a Hindi health care website. It was founded by Dr jith tho. Hindi Health Point covers all aspects of physical and mental health openly and purposefully. Our writers at Hindi Health Point work hard to give all the information by doing research and prepare the content according to their readers' interest and their desire. We highlight the complexities of health information and make it easier to understand.
अवसाद या डिप्रेशन का तात्पर्य मनोविज्ञान के क्षेत्र में मनोभावों संबंधी दुख से होता है। इसे रोग या सिंड्रोम की संज्ञा दी जाती है। अधिकतर यह अवस्था व्यक्ति के प्रेम संबंध को लेकर गंभीर होती है। किसी भी व्यक्ति के जीवन में अपने जीवन साथी के प्रति बहुत अधिक लगाव प्रमुखता या इसका सबसे बड़ा कारण होता है। अवसाद की अवस्था में व्यक्ति स्वयं को लाचार और निराश महसूस करता है। उस व्यक्ति-विशेष के लिए सुख, शांति, सफलता, खुशी यहाँ तक कि संबंध तक बेमानी हो जाते हैं। संबंधों में बेईमानी का परिचायक उसके द्वारा उग्र स्वभाव, गाली गलौज व अत्यधिक शंका करना इसमें शामिल होता है इस दौरान उसे सर्वत्र निराशा, तनाव, अशांति, अरुचि प्रतीत होती है।[1] अवसाद के भौतिक कारण भी अनेक होते हैं। इनमें कुपोषण, आनुवांशिकता, हार्मोन, मौसम, तनाव, बीमारी, नशा, अप्रिय स्थितियों में लंबे समय तक रहना, पीठ में तकलीफ आदि प्रमुख हैं। इनके अतिरिक्त अवसाद के ९० प्रतिशत रोगियों में नींद की समस्या होती है। मनोविश्लेषकों के अनुसार अवसाद के कई कारण हो सकते हैं। यह मूलत: किसी व्यक्ति की सोच की बुनावट या उसके मूल व्यक्तित्व पर निर्भर करता है। अवसाद लाइलाज रोग नहीं है। इसके पीछे जैविक, आनुवांशिक और मनोसामाजिक कारण होते हैं। यही नहीं जैवरासायनिक असंतुलन के कारण भी अवसाद घेर सकता है।[2] इसकी अधिकता के का रण रोगी आत्महत्या तक कर सकते हैं।[3] इसलिए परिजनों को सजग रहना चाहिए और उनके परिवार का कोई सदस्य गुमसुम रहता है, अपना ज्यादातर समय अकेले में बिताता है, निराशावादी बातें करता है तो उसे तुरंत किसी अच्छे मनोचिकित्सक के पास ले जाएं। उसे अकेले में न रहने दें। हँसाने की कोशिश करें।[4]
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Everything You Want to Know About Depression
Medically reviewed by Timothy J. Legg, Ph.D., CRNP — Written by Valencia Higuera — Updated on February 11, 2020
Symptoms
Causes
Test
Types
Treatment
Natural treatment
Prevention
Bipolar
And anxiety
And OCD
With psychosis
Pregnancy
And alcohol
Outlook
What is depression?
Depression is classified as a mood disorder. It may be described as feelings of sadness, loss, or anger that interfere with a person’s everyday activities.
It’s also fairly common. The Centers for Disease Control and Prevention (CDC)Trusted Source estimates that 8.1 percent of American adults ages 20 and over had depression in any given 2-week period from 2013 to 2016.
People experience depression in different ways. It may interfere with your daily work, resulting in lost time and lower productivity. It can also influence relationships and some chronic health conditions.
Conditions that can get worse due to depression include:
arthritis
asthma
cardiovascular disease
cancer
diabetes
obesity
It’s important to realize that feeling down at times is a normal part of life. Sad and upsetting events happen to everyone. But, if you’re feeling down or hopeless on a regular basis, you could be dealing with depression.
Depression is considered a serious medical condition that can get worse without proper treatment. Those who seek treatment often see improvements in symptoms in just a few weeks.
Depression symptoms
Depression can be more than a constant state of sadness or feeling “blue.”
Major depression can cause a variety of symptoms. Some affect your mood, and others affect your body. Symptoms may also be ongoing, or come and go.
The symptoms of depression can be experienced differently among men, women, and children differently.
Men may experience symptoms related to their:
mood, such as anger, aggressiveness, irritability, anxiousness, restlessness
emotional well-being, such as feeling empty, sad, hopeless
behavior, such as loss of interest, no longer finding pleasure in favorite activities, feeling tired easily, thoughts of suicide, drinking excessively, using drugs, engaging in high-risk activities
sexual interest, such as reduced sexual desire, lack of sexual performance
cognitive abilities, such as inability to concentrate, difficulty completing tasks, delayed responses during conversations
sleep patterns, such as insomnia, restless sleep, excessive sleepiness, not sleeping through the night
physical well-being, such as fatigue, pains, headache, digestive problems
Women may experience symptoms related to their:
mood, such as irritability
emotional well-being, such as feeling sad or empty, anxious or hopeless
behavior, such as loss of interest in activities, withdrawing from social engagements, thoughts of suicide
cognitive abilities, such as thinking or talking more slowly
sleep patterns, such as difficulty sleeping through the night, waking early, sleeping too much
physical well-being, such as decreased energy, greater fatigue, changes in appetite, weight changes, aches, pain, headaches, increased cramps
Children may experience symptoms related to their:
mood, such as irritability, anger, mood swings, crying
emotional well-being, such as feelings of incompetence (e.g. “I can’t do anything right”) or despair, crying, intense sadness
behavior, such as getting into trouble at school or refusing to go to school, avoiding friends or siblings, thoughts of death or suicide
cognitive abilities, such as difficulty concentrating, decline in school performance, changes in grades
sleep patterns, such as difficulty sleeping or sleeping too much
physical well-being, such as loss of energy, digestive problems, changes in appetite, weight loss or gain
The symptoms can extend beyond your mind.
These seven physical symptoms of depression prove that depression isn’t just all in your head.
Depression causes
There are several possible causes of depression. They can range from biological to circumstantial.
Common causes include:
Family history. You’re at a higher risk for developing depression if you have a family history of depression or another mood disorder.
Early childhood trauma. Some events affect the way your body reacts to fear and stressful situations.
Brain structure. There’s a greater risk for depression if the frontal lobe of your brain is less active. However, scientists don’t know if this happens before or after the onset of depressive symptoms.
Medical conditions. Certain conditions may put you at higher risk, such as chronic illness, insomnia, chronic pain, or attention-deficit hyperactivity disorder (ADHD).
Drug use. A history of drug or alcohol misuse can affect your risk.
About 21 percent of people who have a substance use problem also experience depression. In addition to these causes, other risk factors for depression include:
low self-esteem or being self-critical
personal history of mental illness
certain medications
stressful events, such as loss of a loved one, economic problems, or a divorce
Many factors can influence feelings of depression, as well as who develops the condition and who doesn’t.
The causes of depression are often tied to other elements of your health.
However, in many cases, healthcare providers are unable to determine what’s causing depression.
Depression test
There isn’t a single test to diagnose depression. But your healthcare provider can make a diagnosis based on your symptoms and a psychological evaluation.
In most cases, they’ll ask a series of questions about your:
moods
appetite
sleep pattern
activity level
thoughts
Because depression can be linked to other health problems, your healthcare provider may also conduct a physical examination and order blood work. Sometimes thyroid problems or a vitamin D deficiency can trigger symptoms of depression.
Don’t ignore symptoms of depression. If your mood doesn’t improve or gets worse, seek medical help. Depression is a serious mental health illness with the potential for complications.
If left untreated, complications can include:
weight gain or loss
physical pain
substance use problems
panic attacks
relationship problems
social isolation
thoughts of suicide
self-harm
Types of depression
Depression can be broken into categories depending on the severity of symptoms. Some people experience mild and temporary episodes, while others experience severe and ongoing depressive episodes.
There are two main types: major depressive disorder and persistent depressive disorder.
Major depressive disorder
Major depressive disorder is the more severe form of depression. It’s characterized by persistent feelings of sadness, hopelessness, and worthlessness that don’t go away on their own.
In order to be diagnosed with clinical depression, you must experience 5 or more of the following symptoms over a 2-week period:
feeling depressed most of the day
loss of interest in most regular activities
significant weight loss or gain
sleeping a lot or not being able to sleep
slowed thinking or movement
fatigue or low energy most days
feelings of worthlessness or guilt
loss of concentration or indecisiveness
recurring thoughts of death or suicide
There are different subtypes of major depressive disorder, which the American Psychiatric Association refers to as “specifiers.”
These include:
atypical features
anxious distress
mixed features
peripartum onset, during pregnancy or right after giving birth
seasonal patterns
melancholic features
psychotic features
catatonia
Persistent depressive disorder
Persistent depressive disorder (PDD) used to be called dysthymia. It’s a milder, but chronic, form of depression.
In order for the diagnosis to be made, symptoms must last for at least 2 years. PDD can affect your life more than major depression because it lasts for a longer period.
It’s common for people with PDD to:
lose interest in normal daily activities
feel hopeless
lack productivity
have low self-esteem
Depression can be treated successfully, but it’s important to stick to your treatment plan.
Read more about why depression treatment is important.
Treatment for depression
Living with depression can be difficult, but treatment can help improve your quality of life. Talk to your healthcare provider about possible options.
The Healthline FindCare tool can provide options in your area if you don’t already have a doctor.
You may successfully manage symptoms with one form of treatment, or you may find that a combination of treatments works best.
It’s common to combine medical treatments and lifestyle therapies, including the following:
Medications
Your healthcare provider may prescribe:
antidepressants
antianxiety
antipsychotic medications
Each type of medication that’s used to treat depression has benefits and potential risks.
Psychotherapy
Speaking with a therapist can help you learn skills to cope with negative feelings. You may also benefit from family or group therapy sessions.
Light therapy
Exposure to doses of white light can help regulate your mood and improve symptoms of depression. Light therapy is commonly used in seasonal affective disorder, which is now called major depressive disorder with seasonal pattern.
Alternative therapies
Ask your healthcare provider about acupuncture or meditation. Some herbal supplements are also used to treat depression, like St. John’s wort, SAMe, and fish oil.
Talk with your healthcare provider before taking a supplement or combining a supplement with prescription medication because some supplements can react with certain medications. Some supplements may also worsen depression or reduce the effectiveness of medication.
Exercise
Aim for 30 minutes of physical activity 3 to 5 days a week. Exercise can increase your body’s production of endorphins, which are hormones that improve your mood.
Avoid alcohol and drugs
Drinking or misusing drugs may make you feel better for a little bit. But in the long run, these substances can make depression and anxiety symptoms worse.
Learn how to say no
Feeling overwhelmed can worsen anxiety and depression symptoms. Setting boundaries in your professional and personal life can help you feel better.
Take care of yourself
You can also improve symptoms of depression by taking care of yourself. This includes getting plenty of sleep, eating a healthy diet, avoiding negative people, and participating in enjoyable activities.
Sometimes depression doesn’t respond to medication. Your healthcare provider may recommend other treatment options if your symptoms don’t improve.
These include electroconvulsive therapy (ECT), or repetitive transcranial magnetic stimulation (rTMS) to treat depression and improve your mood.
Natural treatment for depression
Traditional depression treatment uses a combination of prescription medication and counseling. But there are also alternative or complementary treatments you can try.
It’s important to remember that many of these natural treatments have few studies showing their effects on depression, good or bad.
Likewise, the U.S. Food and Drug Administration (FDA) doesn’t approve many of the dietary supplements on the market in the United States, so you want to make sure you’re buying products from a trustworthy brand.
Talk to your healthcare provider before adding supplements to your treatment plan.
Supplements
Several types of supplements are thought to have some positive effect on depression symptoms.
St. John’s wort
Studies are mixed, but this natural treatment is used in Europe as an antidepressant medication. In the United States, it hasn’t received the same approval.
S-adenosyl-L-methionine (SAMe)
This compound has shown in limited studies to possibly ease symptoms of depression. The effects were best seen in people taking selective serotonin reuptake inhibitors (SSRIs), a type of traditional antidepressant.
5-hydroxytryptophan (5-HTP)
5-HTP may raise serotonin levels in the brain, which could ease symptoms. Your body makes this chemical when you consume tryptophan, a protein building block.
Omega-3 fatty acids
These essential fats are important to neurological development and brain health. Adding omega-3 supplements to your diet may help reduce depression symptoms.
Essential oils
Essential oils are a popular natural remedy for many conditions, but research into their effects on depression is limited.
People with depression may find symptom relief with the following essential oils:
Wild ginger: Inhaling this strong scent may activate serotonin receptors in your brain. This may slow the release of stress-inducing hormones.
Bergamot: This citrusy essential oil has been shown to reduce anxiety in patients awaiting surgery. The same benefit may help individuals who experience anxiety as a result of depression, but there’s no research to support that claim.
Other oils, such as chamomile or rose oil, may have a calming effect when they’re inhaled. Those oils may be beneficial during short-term use.
Vitamins
Vitamins are important to many bodily functions. Research suggests two vitamins are especially useful for easing symptoms of depression:
Vitamin B: B-12 and B-6 are vital to brain health. When your vitamin B levels are low, your risk for developing depression may be higher.
Vitamin D: Sometimes called the sunshine vitamin because exposure to the sun supplies it to your body, Vitamin D is important for brain, heart, and bone health. People who are depressed are more likely to have low levels of this vitamin.
Many herbs, supplements, and vitamins claim to help ease symptoms of depression, but most haven’t shown themselves to be effective in clinical research.
Learn about herbs, vitamins, and supplements that have shown some promise, and ask your healthcare provider if any are right for you.
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Preventing depression
Depression isn’t generally considered to be preventable. It’s hard to recognize what causes it, which means preventing it is more difficult.
But once you’ve experienced a depressive episode, you may be better prepared to prevent a future episode by learning which lifestyle changes and treatments are helpful.
Techniques that may help include:
regular exercise
getting plenty of sleep
maintaining treatments
reducing stress
building strong relationships with others
Other techniques and ideas may also help you prevent depression.
Read the full list of 15 ways you may be able to avoid depression.
Bipolar depression
Bipolar depression occurs in certain types of bipolar disorder, when the person experiences a depressive episode.
People with bipolar disorder may experience significant mood swings. Episodes in bipolar 2, for instance, typically range from manic episodes of high energy to depressive episodes of low energy.
This depends on the type of bipolar disorder you have. A diagnosis of bipolar 1 only has to have the presence of manic episodes, not depression.
Symptoms of depression in people with bipolar disorder may include:
loss of interest or enjoyment from normal activities
feeling sad, worried, anxious, or empty
not having energy or struggling to complete tasks
difficulty with recall or memory
sleeping too much or insomnia
weight gain or weight loss as a result of increased or decreased appetite
contemplating death or suicide
If bipolar disorder is treated, many will experience fewer and less severe symptoms of depression, if they experience depressive episodes.
These 7 treatments may help ease symptoms of bipolar depression.
Depression and anxiety
Depression and anxiety can occur in a person at the same time. In fact, research has shown that over 70 percentTrusted Source of people with depressive disorders also have symptoms of anxiety.
Though they’re thought to be caused by different things, depression and anxiety can produce several similar symptoms, which can include:
irritability
difficulty with memory or concentration
sleep problems
The two conditions also share some common treatments.
Both anxiety and depression can be treated with:
therapy, like cognitive behavioral therapy
medication
alternative therapies, including hypnotherapy
If you think you’re experiencing symptoms of either of these conditions, or both of them, make an appointment to talk with your healthcare provider. You can work with them to identify coexisting symptoms of anxiety and depression and how they can be treated.
Depression and obsessive-compulsive disorder (OCD)
Obsessive-compulsive disorder (OCD) is a type of anxiety disorder. It causes unwanted and repeated thoughts, urges, and fears (obsessions).
These fears cause you to act out repeated behaviors or rituals (compulsions) that you hope will ease the stress caused by the obsessions.
People diagnosed with OCD frequently find themselves in a loop of obsessions and compulsions. If you have these behaviors, you may feel isolated because of them. This can lead to withdrawal from friends and social situations, which can increase your risk for depression.
It’s not uncommon for someone with OCD to also have depression. Having one anxiety disorder can increase your odds for having another. Up to 80 percentTrusted Source of people with OCD also have major depression.
This dual diagnosis is a concern with children, too. Their compulsive behaviors, which may be first developing at a young age, can make them feel unusual. That can lead to withdrawing from friends and can increase the chance of child developing depression.
Depression with psychosis
Some individuals who have been diagnosed with major depression may also have symptoms of another mental disorder called psychosis. When the two conditions occur together, it’s known as depressive psychosis.
Depressive psychosis causes people to see, hear, believe, or smell things that aren’t real. People with the condition may also experience feelings of sadness, hopelessness, and irritability.
The combination of the two conditions is particularly dangerous. That’s because someone with depressive psychosis may experience delusions that cause them to have thoughts of suicide or to take unusual risks.
It’s unclear what causes these two conditions or why they can occur together, but treatment can successfully ease symptoms. Treatments include medications and electroconvulsive therapy (ECT).
Understanding the risk factors and possible causes can help you be aware of early symptoms.
Read more about depressive psychosis, how it’s treated, and what healthcare providers understand about why it occurs.
Depression in pregnancy
Pregnancy is often an exciting time for people. However, it can still be common for a pregnant woman to experience depression.
Symptoms of depression during pregnancy include:
changes in appetite or eating habits
feeling hopeless
anxiety
losing interest in activities and things you previously enjoyed
persistent sadness
troubles concentrating or remembering
sleep problems, including insomnia or sleeping too much
thoughts of death or suicide
Treatment for depression during pregnancy may focus entirely on talk therapy and other natural treatments.
While some women do take antidepressants during their pregnancy, it’s not clear which ones are the safest. Your healthcare provider may encourage you to try an alternative option until after the birth of your baby.
The risks for depression can continue after the baby arrives. Postpartum depression, which is also called major depressive disorder with peripartum onset, is a serious concern for new mothers.
Recognizing the symptoms may help you spot a problem and seek help before it becomes overwhelming.
Depression and alcohol
Research has established a link between alcohol use and depression. People who have depression are more likely to misuse alcohol.
Out of the 20.2 million U.S. adults who experienced a substance use disorder, about 40 percent had a cooccurring mental illness.
According to a 2012 study, 63.8 percentTrusted Source of people who are alcohol dependent have depression.
Drinking alcohol frequently can make symptoms of depression worse, and people who have depression are more likely to misuse alcohol or become dependent on it.
Outlook for depression
Depression can be temporary, or it can be a long-term challenge. Treatment doesn’t always make your depression go away completely.
However, treatment often makes symptoms more manageable. Managing symptoms of depression involves finding the right combination of medications and therapies.
If one treatment doesn’t work, talk with your healthcare provider. They can help you create a different treatment plan that may work better in helping you manage your condition.
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Last medically reviewed on December 3, 2019
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अवसाद
वर्गीकरण एवं बाह्य साधन
Vincent Willem van Gogh 002.jpg
विन्सेन्ट वाइन गोघ की १८९० की पेन्टिंग
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F32., F33.
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डिज़ीज़-डीबी
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मेडलाइन प्लस
003213
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med/532
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D003865
मनोविश्लेषकों के अनुसार प्राकृतिक तौर पर महिलाएं पुरुषों की अपेक्षा अवसाद की शिकार अधिक बनती हैं, लेकिन अवांछित दबावों से वह इसकी शिकार हो सकती हैं। इस कारण प्रायः माना जाता है कि महिलाओं को अवसाद जल्दी आ घेरता है। इसके विपरीत पुरुष अक्सर अपनी अवसाद की अवस्था को स्वीकार करने से संकोच करते हैं। मोटे अनुमान के अनुसार दस पुरुषों में एक जबकि दस महिलाओं में हर पाँच को अवसाद की आशंका रहती है।[2]
अवसाद का संबंध मस्तिष्क के उन्हीं क्षेत्रों द्वारा होता है, जहां से निद्रा चक्र और जागरण की अवस्था नियंत्रित होती है।
अवसाद अक्सर दिमाग के न्यूरोट्रांसमीटर्स की कमी के कारण भी होता है। न्यूरोट्रांसमीटर्स दिमाग में पाए जाने वाले रसायन होते हैं जो दिमाग और शरीर के विभिन्न हिस्सों में तारतम्यता स्थापित करते हैं। इनकी कमी से भी शरीर की संचार व्यवस्था में कमी आती है और व्यक्ति में अवसाद के लक्षण दिखाई देते हैं। इस तरह का अवसाद आनुवांशिक होता है। अवसाद के कारण निर्णय लेने में अड़चन, आलस्य, सामान्य मनोरंजन की चीजों में अरुचि, नींद की कमी, चिड़चिड़ापन या कुंठा व्यक्ति में दिखाई पड़ते हैं। अवसाद के कारणों में इसका एक पूरक चिंता (एंग्ज़ायटी) भी है।[5]
इसके उपचार में योगासन में प्राणायाम बहुत सहायक सिद्ध हुआ है।[1] कई बार अतिरिक्त चिड़चिड़ापन, अहंकार, कटुता या आक्रामकता अथवा नास्तिकता, अनास्था और अपराध अथवा एकांत की प्रवृत्ति पनपने लगती है या फिर व्यक्ति नशे की ओर उन्मुख होने लगता है। ऐसे में जरूरी है कि हम किसी मनोचिकित्सक से संपर्क करें। व्यक्ति को खुशहाल वातावरण दें। उसे अकेला न छोड़ें तथा छिन्द्रान्वेषण कतई न करें। उसकी रुचियों को प्रोत्साहित कर, उसमें आत्मविश्वास जगाएँ और कारण[6] जानने का प्रयत्न करें।[1] अमेरिका के कुछ वैज्ञानिकों ने गहन शोध के बाद यह दावा किया है कि यदि कोई व्यक्ति लगातार सकारात्मक सोच का अभ्यास करता है, तो वह उसके डिप्रेशन या अवसाद की स्थिति का एकमात्र इलाज हो सकता है। अमेरिकन एकेडमी ऑफ फैमेली फिजिशियन का कहना है कि लोगों को नकारात्मक नहीं सोचना चाहिए। न ही विफलता के भय को लेकर चिंतित होते रहना चाहिए। इनकी बजाय हमेशा सकारात्मक सोच दिमाग में रखना चाहिए जो होगा अच्छा होगा।[7] घर में अन्य सदस्यों को अवसाद की बीमारी होने से भी यह परेशानी महिलाओं को जल्दी पकड़ती है क्योंकि घर से लगाव पुरुषों के मुकाबले उन्हें ज्यादा होता है। इसके चलते कभी-कभी उनमें आत्महत्या की इच्छा जोर मारने लगती है। इसलिए पुरुषों के मुकाबले महिलाओं का अवसाद ज्यादा खतरनाक होता है। हालाँकि मंदी और कॉम्पटीशन के दौर में डिप्रेशन अब युवाओं को भी अपना शिकार बनाने लगा है इसलिए कोशिश यह रखनी चाहिए कि आप खुशनुमा पलों की तलाश करें और सकारात्मक सोच रखें।[2] इससे बचने के उपायों में व्यस्त रहकर मस्त रहना, अपने लिए समय निकालना, संतुलित आहार सेवन, अपने लिए समय निकालना और सामाजिक मेलजोल बढ़ाना मूल उपाय हैं। . अवसाद के इलाज के लिए साइकेडेलिक मनोचिकित्सा का अध्ययन किया जा रहा है.[8][9][10]
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