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Depression

What Is Depression?

Depression affects the entire body both physically and psychologically. Symptoms vary from person to person, but may include lack of sleep, negative moods, lack of self esteem, changes in behavior such as poor performance at school or work,  thinking, and physical well-being. Depression is more than just an occasional blue mood. Symptoms of depression can last for weeks at a time, months or even years.  Without treatment, a person with depression cannot simply "get over" it on their own, but may continue to suffer for years. However, most people can significantly improve their condition with appropriate help. One of the main challenges in seeking help is having the person realize it is not a sign of personal weakness to do so.

Causes

It has been discovered that people with depression have chemical imbalances in the brain suggesting that it is a medical illness, without psychological causes. However, all psychological problems have some physical manifestations, and all physical illnesses have psychological components as well. It has been shown that the chemical imbalances that occur during depression usually disappear when a person completes psychotherapy for depression, without taking any medications to correct the imbalance. This suggests that the imbalance is the body's physical response to psychological depression, rather than the other way around.

Bipolar and Severe Major Depression seem to run in families, suggesting a biological connection. Studies of families where various members develop bipolar disorder, have found that those with bipolar disorder have a somewhat different genetic makeup than those who are not diagnosed. However, not everybody with the genetic makeup that causes this vulnerability to bipolar disorder develops the disorder. Additional factors, such as stress and other psychological factors are involved as well. Major depression also seems to run more frequently in some families, but without clear biological causes. Additionally, it can also occur in people who have no family history of depression. So, while there may be some biological factors that contribute to depression, a variety of psychological factors also play a role in vulnerability to severe forms of depression.

Mild, Moderate and Reactive forms of depression are more likely to be caused by psychological factors alone, without biological factors. Reactive depression is usually diagnosed as an adjustment disorder during treatment. 

People prone to depression have certain personality traits, such as having low self-esteem, looking at the world with pessimism, or being easily overwhelmed by stress. Psychologists believe learned behaviors are also significant in the development of depression, as well as other psychological problems.  People learn both adaptive and maladaptive ways of managing stress and responding to life problems within their family, educational, social and work environments. These environmental factors influence psychological development, and the way people try to resolve problems when they occur. Learned behaviors may also be a contributor for why psychological problems appear to occur more often in family members, from generation to generation.  If a child grows up in a pessimistic environment, in which discouragement is common and encouragement is rare, that child will develop a vulnerability to depression as well.

Environmental factors can also contribute to depression. For example, a serious loss, chronic illness, relationship problems, work stress, family crisis, financial setback, or any unwelcome life change can trigger a depressive episode. Very often, it is a combination of biological, psychological, and environmental factors are involved in the development of depressive disorders.

Other Resources:

bullet
Help Center
bullet National Institute of Health - Depression
bullet Encyclopedia.org - Encyclopedia of Psychology (depression)

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