Clinical Depression, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions
By Kenneth Kee
()
About this ebook
Clinical Depression is a medical mood disorder that produces persistent feelings of sadness, persistent loss, emptiness, sadness and loss of interest or frustration that may interfere with everyday life for at least 2 weeks or longer.
Also called major depressive disorder or unipolar depression, it affects how the patient feels, think and behave and can result in a range of emotional and physical disorders.
The patient may have trouble doing normal day-to-day activities, and sometimes the patient may feel as if life is not worth living.
More than just a bout of the blues, depression is not a flaw and the patient cannot simply break out of it.
Clinical Depression may necessitate long-term treatment.
There are 3 main forms of Depression:
1. Major depression (also clinical depression) is typically featured by a combination of symptoms that last for at least two weeks in a row, such as miserable and ill-tempered mood that get in the way with the ability to work, sleep, eat, and enjoy activities which used to give enjoyment.
There may be problems in sleeping or eating.
2. Dysthymia is a less serious illness but normally longer-lasting form of depression than major depression (2 years or more).
It affects long-term manifestations that do not stop but at the same time stop the affected person from functioning properly or feeling good.
People with dysthymia can also have events of major depression.
This combination of these two forms of depression is often termed as double-depression.
3. Bipolar disorder (manic depression) includes a set of mood swing disorders that were previously called manic-depressive illness or manic depression.
Bipolar disorders have cycles of mood swings that consist of at least one event of mania or hypomania and events of depression as well.
People with depression seem to have physical alterations in their brains.
Neurotransmitters are normally happening brain chemicals that tend play a part in depression
Hormone alterations can occur with pregnancy and during the weeks or months following delivery (postpartum) and from thyroid disorders, menopause
The symptoms are:
1. Loss of sex drive,
2. Sexual problems,
3. Infertility,
4. Uncontrollable weight gain and
5. Feeling low,
6. Depressed and
7. Even suicidal.
The important treatments for depression are:
1. Medicines called antidepressants
2. Talk therapy, called psychotherapy
Electroconvulsive therapy (ECT) and Transcranial magnetic stimulation (TMS) may be used if medicines and talk therapy do not work.
Every one has been sad or moody at one time or other for a short period in his or her life time.
Great leaders such as Winston Churchill have suffered depression.
Even writing this book about depression made me depressed.
A person with Depression may be described as feeling:
1. Persistent sad,
2. Empty,
3. Unhappy,
4. Miserable
5. The blues
6. Down in the dumps.
One of my patients whenever she has depressive episodes also hides in her room and covers her blanket over herself.
She cries and feels sad whenever she is depressed.
She has no appetite for food.
TABLE OF CONTENT
Introduction
Chapter 1 Clinical Depression
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Diagnosis
Chapter 5 Treatment
Chapter 6 Prognosis
Chapter 7 Bipolar Disorder
Chapter 8 Panic Attack
Epilogue
Kenneth Kee
Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"
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Clinical Depression, A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions - Kenneth Kee
Clinical Depression,
A
Simple
Guide
To
The Condition,
Diagnosis,
Treatment
And
Related Conditions
By
Dr Kenneth Kee
M.B.,B.S. (Singapore)
Ph.D (Healthcare Administration)
Copyright Kenneth Kee 2016 Smashwords Edition
Published by Kenneth Kee at Smashwords.com
Dedication
This book is dedicated
To my wife Dorothy
And my children
Carolyn, Grace
And Kelvin
This book describes the Clinical Depression, Diagnosis and Treatment and Related Diseases which is seen in some of my patients in my Family Clinic.
(What You Need to Treat Clinical Depression)
This eBook is licensed for the personal enjoyment only. This eBook may not be re-sold or given away to other people. If you would like to share this book with another person, please purchase an additional copy for each reader.
If you’re reading this book and did not purchase it, or it was not purchased for your use only, then please return to Smashwords.com and purchase your own copy.
Thank you for respecting the hard work of this author.
Introduction
I have been writing medical articles for my blog http://kennethkee.blogspot.com (A Simple Guide to Medical Condition) for the benefit of my patients since 2007.
My purpose in writing these simple guides was for the health education of my patients.
Health Education was also my dissertation for my Ph.D (Healthcare Administration).
I then wrote an autobiolographical account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.com.
This autobiolographical account A Family Doctor’s Tale
was combined with my early A Simple Guide to Medical Conditions
into a new Wordpress Blog A Family Doctor’s Tale
on http://kenkee481.wordpress.com.
From which many free articles from the blog was taken and put together into 700 amazon kindle books and some into Smashwords.com eBooks.
Some people have complained that the simple guides are too simple.
For their information they are made simple in order to educate the patients.
The later books go into more details of medical conditions.
The first chapter is always from my earlier blogs which unfortunately tends to have typos and spelling mistakes.
Since 2013, I have tried to improve my spelling and writing.
As I tried to bring you the latest information about a condition or illness by reading the latest journals both online and offline, I find that I am learning more and improving on my own medical knowledge in diagnosis and treatment for my patients.
Just by writing all these simple guides I find that I have learned a lot from your reviews (good or bad), criticism and advice.
I am sorry for the repetitions in these simple guides as the second chapters onwards have new information as compared to my first chapter taken from my blog.
I also find repetition definitely help me and maybe some readers to remember the facts in the books more easily.
I apologize if these repetitions are irritating to some readers.
Chapter 1
Clinical Depression
Every one has been sad or moody at one time or other for a short period in his or her life time.
Great leaders such as Winston Churchill have suffered depression.
Even writing this book about depression made me depressed.
A person with Depression may be described as feeling:
1. Persistent sad,
2. Empty,
3. Unhappy,
4. Miserable
5. The blues
6. Down in the dumps.
One of my patients whenever she has depressive episodes also hides in her room and covers her blanket over herself.
She cries and feels sad whenever she is depressed.
She has no appetite for food.
What is Clinical Depression?
Clinical Depression is a medical mood disorder that produces persistent feelings of sadness, persistent loss, emptiness, anger sadness and loss of interest or frustration that may interfere with everyday life for at least 2 weeks or longer.
Also called major depressive disorder or unipolar depression, it affects how the patient feels, think and behave and can result in a range of emotional and physical disorders.
The patient may have trouble doing normal day-to-day activities, and sometimes the patient may feel as if life is not worth living.
More than just a bout of the blues, depression is not a flaw and the patient cannot simply break out of it.
Clinical Depression may necessitate long-term treatment.
But do not get disheartened.
Most people with depression are in good health with medicines, psychological counseling or both
Types of Clinical Depression
There are 3 main forms of Depression:
1. Major depression (also clinical depression)
Major depression is typically featured by a combination of symptoms that last for at least two weeks in a row, such as miserable and ill-tempered mood that get in the way with the ability to work, sleep, eat, and enjoy activities which used to give enjoyment.
There may be problems in sleeping or eating.
2. Dysthymia
Dysthymia is a less serious illness but normally longer-lasting form of depression than major depression (2 years or more).
It affects long-term manifestations that do not stop but at the same time stop the affected person from functioning properly or feeling good.
People with dysthymia can also have events of major depression.
This combination of these two forms of depression is often termed as double-depression.
3. Bipolar disorder (manic depression)
Another form of depression is bipolar disorder
This includes a set of mood swing disorders that were previously called manic-depressive illness or manic depression.
These disorders may be hereditary.
It is not as frequent as the other forms of depressive disorders.
Bipolar disorders have cycles of mood swings that consist of at least one event of mania or hypomania and events of depression as well.
Bipolar disorders are ongoing and persistent.
Occasionally, the mood swings are quick and striking.
More frequently they are slow but sure.
During the depression event, the person can have several or every one of the symptoms of a depressive disorder.
In the manic cycle, mania frequently involves thinking, judgment, and social behavior in ways that induce serious problems and humiliation.
Symptoms induced by major depression can differ from person to person.
To elucidate the type of depression the patient have, the doctor may add one or more specific sign.
A specific sign indicates that the patient has depression with definite features, such as:
1. Anxious distress
Depression with abnormal restiveness or worry about possible episodes or loss of control
2. Mixed features
Concurrent depression and mania, which has high self-esteem, talking too much and augmented energy
3. Melancholic features
Serious depression with lack of reaction to something that used to bring enjoyment and linked with early morning wakening, worsened temper in the morning, major alterations in appetite, and feelings of guilt, agitation or lethargy.
4. Atypical features
Depression that involves the capability to be cheered by happy episodes, improved appetite, too much need for sleep, sensitivity to rejection, and a heavy sensation in arms or legs
5. Psychotic features
Depression together with delusions or hallucinations, which may be personal insufficiency or other negative themes
6. Catatonia
Depression that has movement actions that includes either unmanageable and aimless movement or fixed and nonflexible posture
7. Peri-partum onset
Depression that happens during pregnancy or in the weeks or months following delivery (postpartum)
8. Seasonal pattern
Depression linked to alterations in seasons and decreased exposure to sunlight
Other disorders that produce depression symptoms are:
Numerous other disorders, such as those below have depression as a symptom.
It is essential to get a correct diagnosis, so the patient can get appropriate treatment.
9. Bipolar I and II disorders
These mood disorders are temper swings that vary from highs to lows.
It is occasionally complex to differentiate between bipolar disorder and depression.
10. Cyclothymic disorder
Cyclothymic disorder has highs and lows that are not severe than those of bipolar disorder.
11. Disruptive mood dysregulation disorder
This mood disorder in children has persistent and serious irritability and fury with frequent intense temper outbursts.
This disorder normally forms into depressive disorder or anxiety disorder during the teen years or adulthood.
12. Persistent depressive disorder
Occasionally called dysthymia, this is a less serious but more persistent form of depression.
While it is generally not disabling, this continual depressive disorder can prevent the patient from working normally in the daily routine and from living life to its fullest.
13. Premenstrual dysphoric disorder
This has depression symptoms linked with hormone alterations that start a week before and get better within a few days after the beginning of the menses, and are negligible or gone after end of the period.
13. Other depression disorders
This is