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Major Depression (Clinical Depression)

Feeling sad and helpless? It's possible you have major depression, also known as clinical depression. People with major depression feel a profound and constant sense of hopelessness and despair.

With major depression, you may have symptoms that make it difficult to work, study, sleep, eat, and enjoy friends and activities. Some people have clinical depression only once in their life. Others may have it several times in a lifetime.

Alternative Therapies for Depression

There is no evidence that any alternative treatment is effective for treating moderate to severe depression. For some people, however, they may be used as an addition to other treatments -- providing relaxation, relief from depressive symptoms, and helping you cope with some of the causes of depression such as grief, anxiety, changing roles, and even physical pain. If you have depression and are considering using an alternative form of therapy, it is important to seek the advice of your healthcare provider.

What is Alternative Therapy?
A health treatment that is not classified as standard western medical practice is referred to as "alternative" or "complementary." Alternative therapy encompasses a variety of disciplines that include everything from diet and exercise to mental conditioning and lifestyle changes. Examples of alternative therapies include acupuncture, guided imagery, chiropractic treatments, yoga, hypnosis, biofeedback, aromatherapy, relaxation, herbal remedies, massage, and many others.

What is major or clinical depression?

Most people feel sad or low at some point in life. But clinical depression is marked by a depressed mood most of the day, particularly in the morning. In addition, according to the DSM-IV -- a manual used to diagnose mental health conditions -- you may have other symptoms with major depression. Those symptoms might include:

  • Fatigue or loss of energy almost every day
  • Feelings of worthlessness or guilt almost every day
  • Impaired concentration, indecisiveness
  • Insomnia or hypersomnia (excessive sleeping) almost every day
  • Markedly diminished interest or pleasure in almost all activities nearly every day (called anhedonia, this symptom can be indicated by reports from significant others.)
  • Psychomotor agitation or retardation (restlessness or being slowed down)
  • Recurring thoughts of death or suicide (not just fearing death)
  • Significant weight loss or gain (a change of more than 5% of body weight in a month)

To distinguish your condition as major depression, one of your symptoms must be either depressed mood or loss of interest. Also, the symptoms must be present for most of the day every day or nearly every day for at least two weeks.

Who is at risk for major depression?

Major depression affects about 6.7% of the U.S. population over age 18, according to the National Institute of Mental Health. Overall, between 20% and 25% may suffer an episode of major depression at some point during their lifetime.

Major depression affects adults, teens, children, and the elderly alike. Major depression frequently goes undiagnosed and untreated in children and the elderly.

Are women at higher risk for depression?

About twice as many women as men have major depression. It's thought that hormonal changes in women during puberty, menstruation, pregnancy, miscarriage, and menopause may increase the risk of major depression.

Among other factors that increase the risk of major or clinical depression are increased responsibilities at home or at work. Juggling kids, careers, commitments, and caring for an aging parent may increase the risk of major depression. Raising a child alone will also increase the risk.

What are signs of major depression in men?

Depression in men is significantly underreported. Men who suffer from clinical depression are less likely to seek help or even talk about their experience.

Signs of depression in men may include irritability, anger, or drug and alcohol abuse. Repressing their feelings can result in violent behavior directed both inwardly and outwardly. It can also result in an increase in illness, suicide, and homicide.

WebMD Medical Reference

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