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## Depression

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## What is Depression ?

An estimated 300 million people worldwide or 4.4% of the world’s population are thought to be affected by depression.

However, the majority of cases of depression go undetected.

According to a survey, depression continues to be the most prevalent mental health issue globally, affecting 1 in 4 persons.

#### Why does depression happen?

According to scientific studies, a shortage in the brain chemical serotonin (5-HT) is a major contributor to depression.

If serotonin levels are low, the brain’s “happy hormone” has been linked to depression symptoms. Although depression can and does affect people of all ages, factors that increase the risk of developing depression include poverty, unemployment, life events such as the death of a loved one or a breakup in a relationship, a family history of depression or other mental illnesses, physical illness, and issues caused by alcohol and drug abuse.

#### Symptoms to look for:

## Emotional Symptoms:

- Feelings of worthlessness and persistent depression
- Negative attitude and lack of motivation
- Belief that nothing will work out and fear of future failure
- Frequent crying, irritability, and unexplained upset
- Postpartum depression symptoms: irritability, inability to bond with the baby, excessive worry

## Physical Symptoms:

- Loss of energy and constant exhaustion
- Difficulty concentrating and forgetfulness
- Poor hygiene and disinterest in appearance
- Sleep disturbances, night terrors, and recurring awakenings
- Morning fatigue and persistent drowsiness
- Unexplained headaches, cramps, aches, pains, or digestive issues

## Behavioral Symptoms:

- No desire to do anything, including socializing or working
- Overeating or loss of appetite
- Young people may show irritability, isolation, lack of interest in learning, and frequent physical complaints like headaches or stomach-aches

#### Treatment of Depression:

Treatment for depression is available, and it needed to begin as soon as feasible. Treatment that is started early is more successful. Psychotherapy and medication are typically used to treat depression. Electroconvulsive therapy (ECT) is a potential treatment option if these methods are not successful in reducing the symptoms. If existing therapies don’t work, more brain stimulation therapies might be tried.

#### Antidepressant Medications

A single episode of depression goes away within a few months or a year even if there is no treatment. But during this period the patient’s quality of life is greatly reduced and the chances of committing suicide are increased. That is why timely and thorough treatment of depression is necessary considering the risk of suicide.

some of the commonly used tricyclic antidepressants.

These medications fall into three categories.

- Tricyclic antidepressants: doxepin, clomipramine, imipramine, nortriptyline are some of the commonly used tricyclic antidepressants. Typically, these medications are taken three hours prior to bedtime with an evening meal.
- Medications classified as selective serotonin reuptake inhibitors include fluoxetine, sertraline, fluvoxamine, and others. These medications take two to four weeks to start working on depression. These medications are typically administered in the morning.
- Medications that impact the neurotransmitters noradrenaline and serotonin are mirtazapine and venlafaxine.

#### Counselling For Depression

There are various forms of psychotherapy that are advised for depressed individuals. Depending on their symptoms, various patients receive different kinds of therapy. Depression may take some time to recover with counselling alone. Therefore, doctors typically advise combined therapy, medication, and psychotherapy. Teens are suffering from stress, relationship problems, and pressures related to their education these days, and counselling has shown to be far more helpful in these age groups. Receiving appropriate counselling could occasionally keep you from developing depression. Certain treatments are,

- The treatment of cognitive behaviour (CBT).
- Therapy that is interpersonal (IPT).
- Psychodynamic Counselling.
- Therapy focused on solving problemss

Our team of psychologists at ISHA is committed to providing CBT and depression counselling.

#### How to beat Depression?

##### Changes in Lifestyle

Being gloomy and helpless is a result of depression. Because of this, making a few small lifestyle adjustments to lift your spirits can help you beat depression.

##### Work out

According to research, engaging in regular physical activity can improve your mood when you’re healing from depression.

Early in the morning, when the air is clear and full of oxygen, walking, running, or cycling outside raises serotonin levels in the brain, which helps treat depression.

Exercises at the gym that focus on strength training also aid in the relief of depressive symptoms.

##### Sufficient Sleep

Sleep is necessary for both mental and physical well-being.

A healthy sleep schedule includes going to bed before 11 pm and waking up before 8 am.

##### Yoga

A study found that doing yoga twice a week for 60 minutes over the course of 12 weeks significantly reduced anxiety and depressive symptoms while also increasing self-confidence. Regularly performing Surya Namaskar in the morning gives the body vitality and energy for fifteen minutes. Surya namaskar is is very beneficial for people who experience symptoms like lethargy, extreme fatigue, and boredom at work.

##### Meditating

The patient can better control their emotions by practicing meditation. Furthermore, meditation helps get rid of depressed and negative ideas.

By raising awareness of the brain, meditation helps keep depression from returning.

Deep Breathing Exercise, or Anulom-Vilom, is one type of meditation. While you breathe, concentrate on your blessings in life. Keep track of your heart rate and breathing.

# How We Can Help!

Taking the first step towards mental health wellness is crucial. Contact us today to schedule an appointment and start your journey to better mental health. We are here to help you every step of the way.

Contact Us

## What Our Patients Say about us

Here's what our satisfied patients have to say about Samvedana Minds LLP and our experts. We are dedicated to seeing our patients smile. For privacy reasons, names have been changed.

"Dr. Pradip in Rajkot is an excellent psychiatrist. His compassionate and professional care, along with a well-maintained clinic, make for a highly positive experience. Highly recommended!"

Priya Patel

[Name has been changed]

"My wife was suffering from depression for few months back . Someone recommended dr pradip. Sir has good counseling skill and gave minimum medicine. Now she is better and out of depression."

Haresh Mehta

[Name has been changed]

"Dr. Dalsaniya Saheb tackled my erectile dysfunction and low sexual desire with a holistic approach, focusing on therapy rather than just medication. His blend of therapy and couple counseling was incredibly effective. I strongly suggest his services!"

Amit Kumar Shah

[Name has been changed]

"Good hospital with great staff and outstanding care and also He is good at counseling, gives only necessary medicine, and listens well. Highly recommended and Yes Definitely worth considering!"

Nilesh Parmar

[Name has been changed]

"Dr. Pradip sir is really nice and caring. He listens well and genuinely cares about his patients. I definitely recommend him!"

Jalpa Patel

[Name has been changed]

"I had headaches for a year and saw many doctors, but Dr. Pradip in Rajkot helped me feel better in just one month."

Vrunda Joshi

[Name has been changed]

## Frequently Asked Questions

- ### Who is psychiatrist, and what do they do ?

  Psychiatrists are specialists in mental health who use various techniques to diagnose, treat, and support individuals with mental illnesses. They can prescribe medications, unlike other mental health professionals who mainly offer talk therapies and support.

- ### When should you consult a psychiatrist?

  If any negative mood state, anxiety, insomnia, appetite change, emotional disturbance, substance dependence, or any other symptom affecting thought, mood, or sleep persists for more than two weeks, you should consult a psychiatrist. Conversely, any symptoms causing acute distress should not be ignored and should be discussed with your doctor.

- ### Are psychiatric medicines addictive ?

  It's a myth that psychiatrists prescribe medicines to make patients sleep throughout the day and that these medicines will cause dependence that patients can never overcome. Barring a few exceptions, most psychiatric medications are non-sedative. Irregular treatments, self-modulation of doses, and irregular lifestyles can hamper your treatment. Psychiatric medications taken under the supervision of a psychiatrist are not addictive.

- ### Is lifelong medication necessary once I initiate treatment?

  Treatment duration is influenced by various factors, including your diagnosis, the seriousness of your condition, how long you've experienced symptoms, any other medical conditions you have, and how consistently you adhere to treatment plans. It's important not to stigmatize psychiatric illnesses and to actively seek the help you need.

- ### Is it wise to seek professional advice from a psychiatrist regarding sexual concerns?

  Seeking help from a psychiatrist for sex-related issues is important because over 75% of such problems stem from psychological stress, performance anxiety, or fear of failure. Only a qualified psychiatrist can provide proper treatment, unlike unqualified practitioners or self-proclaimed experts. It's crucial to opt for scientific solutions rather than falling prey to quacks, fake hakims, or babas.

- ### What treatments options do psychiatrist offers ?

  Psychiatrists offer a range of treatment options including pharmacotherapy, psychotherapy, cognitive-behavioral therapy (CBT), dialectical behavior therapy (DBT), as well as other empirically supported therapies. They may also recommend support networks, coping strategies, and lifestyle adjustments. In some cases, treatments such as Deep Transcranial Magnetic Stimulation Therapy, biofeedback therapy, and Virtual Reality Therapy might be suggested as well.

- ### Why choose Dr. Pradip Dalsaniya as psychiatrist?

  Dr. Pradip Dalsaniya stands out as one of the youngest consultant psychiatrists in Rajkot, holding an M.D. degree in psychiatry. With over a decade of experience across various regions of Gujarat, he has effectively addressed numerous chronic and challenging psychiatric cases. Dr. Dalsaniya is renowned for his exceptional counseling abilities, humility, enthusiasm, and attentive listening skills.

- ### Is gaming or using smartphone too much, an issue?

  Social media, online games, gambling, texting – a smartphone has put up on our fingers too many options to explore. Commonly screen time should not be more than 1 hour/Day.

  Our use of smartphone is an addictive behaviour & in generations to come this will be for sure a bigger addicted to this than any substance.

- ### Is marriage in a person with mental illness possible?

  There are more than 300 psychiatric diagnosis. As per the severity, available treatment and good rehabilitation of patient they can lead a normal life. Most of the psychiatric illness have no issues in marriage. But if you are suffering from any such illness or your chosen partner is found to be suffering, contact your nearby psychiatrist to understand the viability.

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