Tuesday, March 19, 2013

... manila bulletin: major depression and suicide, treatment and therapy ... (life coach, counselor, psychotherapist, clinical psychologist, psychiatrist, osteopath, quezon city, manila, philippines)

Major Depression:  Are you Bluer than Blue?

Know the tell-tale signs of a major depression
By: Randy Dellosa, MD
Published: March 12, 2013

All of us, at one time or another, get the blues. 
When we experience a disappointment, a 
frustration, or a loss, it is only natural that we 
feel low and down in the dumps. After some 
time passes, we are able to recover from the 
sad thoughts or feelings and we are able to 
set them aside in order to focus on our tasks 
at hand. 

The difference between normal sadness and 
major depression is that normal sadness is 
often fleeting and can be shrugged off easily. 
Major depression, on the other hand, is 
characterized by a lingering emotional 
heaviness and by symptoms which can 
disturb the routines of daily living. 

The symptoms of major depression include 
the following: 

@ changes in the sleep pattern, 

changes in appetite, 

decreased energy level, 

decreased self-confidence and self-worth, 

pessimistic mindset full of worries, fears, 
and concerns, 

poor concentration, 

loss of motivation and zest for living, 

lingering feelings of sadness and irritability, 

possibly even thoughts of death or suicide. 

Major depression is caused by a serotonin 
imbalance in the brain. Serotonin is a brain 
chemical which is highly associated with 
mood changes. This serotonin imbalance 
in the brain may be triggered by a number 
of factors such as emotional problems, 
psychological trauma, medical conditions 
such as hypothyroidism, medicines such as 
hormonal pills and anti-hypertensives, and 
alcoholism or marijuana use. Moreover, 
there is strong evidence that major 
depression is transmitted through the 

While people can snap out of normal sadness, 
depressed people will not be able to snap out 
of major depression. Again, we have to 
remember that major depression is caused by 
a chemical imbalance in the brain and thus, 
telling depressed people to snap out of their 
depression is like telling diabetic patients to 
snap out of their diabetes.

The good news about major depression is 
treatable and that it is quite easy to treat. The 
treatment package of major depression 
should include anti-depressant medication, 
psychotherapy, stress management 
techniques, and wellness therapies. 

With the right anti-depressant at the right 
dosage, the patient should experience 
significant improvement within two to three 
weeks. Ideally, the patient should not also 
experience any side-effects such as 
headaches, stomach upset, palpitations, 
allergies, loss of appetite, emotional 
numbness, etc.

Psychotherapy is an important part of the 
treatment plan because it is often emotional 
problems or psychological trauma that trigger 
the onset of major depression. Through 
psychotherapy, the patient is given the 
opportunity to ventilate bothersome feelings 
or release pent-up emotions. The patient’s 
caregivers (family members and friends) 
may also need psychotherapy since the 
patient’s negative mood is often contagious. 

With regards to stress management 
techniques and wellness therapies, the 
patient can try acupuncture, massage, 
meditation, qigong, yoga, or other types of 
exercise. Omega-3 fish oil at one capgel two 
to three times a day may also be helpful. 
The herbal supplement St John’s Wort is 
considered an anti-depressant medication
 and should not be combined with synthetic 

If you feel depressed, don’t delay getting 
treatment. Consult a psychiatrist now! Don’t 
waste your life feeling “bluer than blue.” 
What you deserve is to experience and enjoy 
the richness of life in all its bright colors!

Holistic Healing for You by Randy Dellosa, MD
Dr. Randy Dellosa or "Doc Randy," is the life 
coach-psychotherapist of Filipino celebrities. 
He is the first and so far the only Filipino who 
is both a psychiatrist (M.D.) and doctor of 
clinical psychology (Psy.D.)

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