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Pang Ji Cheng
Psychiatry and Psychology
About me
Engaged in mental health work for nearly 10 years, and have undergone further training at the Shandong Provincial Mental Health Center. Honored with the title of Skillful Mental Health Worker in Shandong Province.
Proficient in diseases
Schizophrenia, anxiety disorder, depression, postpartum depression, obsessive-compulsive disorder, hypochondria, bipolar disorder, mania, postpartum psychosis, phobia.
Voices
What medication is used for depression?
The medications commonly used for depression in clinical settings are selective serotonin reuptake inhibitors, primarily used to increase serotonin levels in the patient's brain to improve depressive symptoms. Representative drugs in clinical use include paroxetine, sertraline, fluoxetine, fluvoxamine, citalopram, and escitalopram. There are also medications that inhibit the reuptake of both serotonin and norepinephrine, such as venlafaxine and duloxetine. Additionally, there's a type of antidepressant that acts on norepinephrine and is specifically serotonergic, with mirtazapine being the main drug. These medications are considered modern antidepressants and have a relatively significant clinical efficacy. Of course, there are also traditional tricyclic and tetracyclic antidepressants, which are not recommended as first-line treatments in clinical settings due to their more adverse reactions. (Please follow a doctor's guidance regarding the use of specific medications.)
Can mild depression cause dizziness?
Patients with mild depression may also experience symptoms of dizziness. These patients often come to see a doctor primarily for physical symptoms, manifesting discomforts such as dizziness, headaches, nausea, palpitations, chest tightness, heart palpitations, vomiting, sweating, and difficulty breathing, among other related symptoms. These are also symptoms of autonomic dysfunction, which are relatively common. Thus, the emotional and cognitive symptoms in these patients are often mild, while the physical symptoms are comparatively severe. Particularly, disturbances in sleep, fatigue, and diminished appetite are amongst the more prominently severe symptoms. When patients seek medical help, they often present with the aforementioned symptoms as their main complaints, and if not carefully questioned, misdiagnosis can easily occur. Therefore, for physical symptoms of depression, it is important to observe carefully as the physical manifestations are closely related to emotional changes. Attention should be given to observe and administer antidepressant therapy, which can achieve good therapeutic effects.
Treatment of Depression
The treatment of depression in clinical settings primarily utilizes pharmacotherapy, psychotherapy, and physical therapy. Pharmacotherapy, as the first-line treatment for depression, mainly relies on selective serotonin reuptake inhibitors such as paroxetine, fluoxetine, sertraline, escitalopram, venlafaxine, and duloxetine. Adequate dosages and treatment duration with a systematic approach are essential when using pharmacotherapy. Secondly, psychotherapy. The main psychotherapeutic approaches include cognitive-behavioral therapy, psychoanalytic therapy, and interpersonal therapy, which aim to improve the patient's irrational cognitions and rebuild their cognitive framework. Thirdly, physical therapy. In clinical practice, physical therapy mainly encompasses electroconvulsive therapy and transcranial magnetic stimulation, both of which can yield significant therapeutic outcomes. (Specific medications should be used under the guidance of a physician.)
What are the symptoms of depression?
The clinical manifestations of depression include core symptoms primarily characterized by low mood, reduced interest, and lack of emotion. Patients often display an inability to feel joy, experiencing a persistent sadness and a noticeable decrease in interest and pleasure in activities they previously enjoyed. The psychological symptoms are dominated by anxiety, slowed thinking, and cognitive symptoms, with patients exhibiting irritability, tension, worry, and often slow thought association, dull thinking, impaired short-term memory, reduced attention, and significantly diminished learning, comprehension, and judgment abilities. The physical symptoms include sleep disturbances, eating disorders, and loss of energy, with common issues like difficulty falling asleep, light sleep, early waking, poor appetite, weight loss, feeling listless, fatigue, and an overwhelming sense of exhaustion in their daily lives.
What is the depressive mood of depression like?
Patients with depression primarily exhibit symptoms of low mood. They often experience persistent sadness and pessimism. Patients might find it difficult to feel happy, appear gloomy, and are unable to experience joy, particularly in activities that they used to find interesting. In severe cases, they might feel hopeless, in despair, and have thoughts of death, leading to an overwhelming sense that each day is unbearably long. Furthermore, patients might feel that life isn't worth living and that their existence has no meaning, which can lead to thoughts or actions of suicide or self-harm. In this emotional state, their self-evaluation is also typically low; they might feel utterly worthless, viewing themselves as a burden on their family and a parasite in society. Thus, feelings of worthlessness, helplessness, despair, and self-blame are significantly more pronounced.
How to alleviate mild depression?
Mild depression can be managed clinically through self-adjustment and psychotherapy. Self-adjustment includes exercise, shifting focus, or verbal expression. Exercise is a very effective and quick way to alleviate depression by stimulating the brain to release endorphins, which have anti-anxiety and anti-depressant effects. Additionally, diverting attention to activities of particular interest can enhance pleasure and motivate improvements. Furthermore, expressing one's depressive feelings through speech can also alleviate symptoms of mild depression. Moreover, psychotherapy mainly involves cognitive-behavioral therapy, which aims to continuously improve or correct irrational cognitive patterns and rebuild the cognitive system to effectively treat depression. This is a common approach in treating depression; medication adjustments, such as the use of new antidepressants, are also viable options. (Please follow professional medical advice before using any medication and do not self-medicate.)
How is depression treated?
Depression treatment in clinical settings includes self-adjustment, psychotherapy, medication, and physical therapy. Patients with mild depression can base their treatment on self-adjustment, which includes exercising, distracting attention, talking to others, etc. Psychotherapy, especially cognitive behavioral therapy, is recommended as the first choice of treatment. It helps patients identify automatic thoughts and reconstruct the cognitive irrationality system among other methods. Furthermore, patients with moderate to severe depression are primarily treated with medication, particularly with serotonin reuptake inhibitors such as paroxetine, sertraline, and fluoxetine, which are commonly used in clinical settings. Additionally, physical therapy mainly involves non-convulsive electroshock and transcranial magnetic stimulation as major treatment methods. (Specific medications should be used under the guidance of a physician.)
How to diagnose mild depression?
For the clinical examination of mild depression, it is first necessary to thoroughly understand the patient’s onset, development, evolution, and treatment of depression. Furthermore, detailed communication must be conducted with the patient concerning consciousness, sensations, perceptions, thinking, attention, emotional willpower, self-control, and other aspects. It is important to comprehend the patient's overall mental and psychological condition, then combine this with the results of corresponding scales or exclude other conditions through diagnostic auxiliary examinations to make a comprehensive judgment. Particularly, the content of the psychiatric examination for the patient is an important aspect in determining mild depression. By integrating the aforementioned information, it is often possible to clearly diagnose the symptoms of mild depression, which is very meaningful for the subsequent treatment.
What is depression?
Depression, clinically referred to as depressive disorder, is a type of mood disorder. Its primary manifestations are persistent and significant low mood, reduced volition, and slow thinking. It is accompanied by sleep disturbances, eating disorders, low self-esteem, difficulty concentrating, feelings of guilt and self-blame. Patients do not feel pleasure or interest, sometimes feel excessively guilty, and even find life meaningless, leading to thoughts and behaviors of suicide. In severe cases, depression may also present with psychotic symptoms such as hallucinations and delusions. If these symptoms occur daily, are present most of the time, and persist for more than two weeks, significantly affecting work, study, daily life, social interactions, and family functions, then it can be diagnosed as depression. This describes the relevant clinical aspects of depression.
What department do you see for depression?
Depression can be treated clinically by visiting either a psychiatric or psychological department. The main clinical manifestation is a persistent low mood, characterized by an inability to feel joy, gloominess, and typically significant mood variations. Cognitive processes tend to slow down, resulting in sluggish thinking, slow reactions, reduced volitional activities, a passive and listless approach to life, and a lack of hope for the future. Additionally, cognitive impairments such as decreased attention, diminished abstract thinking, learning, and judgment abilities may occur. Some patients may also exhibit physical symptoms, including sleep disturbances, decreased appetite, weight loss, physical pain, and anxiety-related disorders.