Subscribe
Depression
Can depression recur?
Relapse in patients with depression is a relatively common issue in clinical practice. Large-scale studies have found that even with systematic, standardized treatment with sufficient dosage and duration of antidepressant medications, still 15% of patients do not achieve clinical recovery. Even with persistent standardized treatment, the relapse rate remains at 20%. If treatment is discontinued, the relapse rate can rise to as high as 85%. For patients who have recovered, there is still a 20% chance of relapse within six months. 50% of patients relapse within two years after their first episode. Therefore, the relapse rate is higher in patients over the age of 45. Thus, depression is characterized by a high rate of relapse, yet it is also highly treatable. Therefore, during the course of pharmacological treatment, psychological and physical therapies should be concurrently employed as adjunctive treatments to improve cure rates and reduce the likelihood of relapse.
What causes depression?
The causes of depression are not yet clear, and it may be closely related to multiple factors such as biological, psychological, and social factors. Firstly, from a biological perspective, depression may involve genetics, biochemical factors, and endocrine factors, especially closely related to the secretion of serotonin and norepinephrine. Secondly, psychological factors. The psychological characteristics and personality traits of patients, especially before the onset of depression, are closely related. Particularly, individuals with a depressive disposition are often more likely to develop depression. Thirdly, social environmental factors. Particularly, encountering major negative life events is often an important contributing factor to clinical depressive episodes. Therefore, the onset of depression is not caused by a single factor, but likely the result of multifactorial interactions, ultimately leading to the disease onset.
What to do about insomnia caused by mild depression?
Patients with mild depression who experience insomnia symptoms can partly manage this through self-adjustment. For example, they can improve insomnia through exercise, especially two hours before bedtime, with medium intensity exercises to expend excess energy and ultimately achieve comprehensive muscle relaxation, leading to good sleeping habits. Additionally, in the treatment of mild depression, sedative antidepressants such as paroxetine, fluvoxamine, mirtazapine, and trazodone can be used, sometimes including tricyclic antidepressants like amitriptyline, which have been very satisfactory in their effects. Therefore, clinically, for insomnia in mild depression, both pharmacological treatment and self-adjustment methods can be adopted.
Can postpartum depression breastfeed?
When postpartum depression occurs, it is possible to continue breastfeeding. If the depression is mild and no medication is taken, continuing breastfeeding will not affect the baby's growth and development. However, depression often leads to low spirits, frequent crying, and a reluctance to care for the child, which can affect milk secretion and lead to a reduction in milk supply that may not meet the baby's growth needs. In such cases, it may be necessary to add supplementary food or formula. If postpartum depression is severe and involves medication, these medications may enter the baby's body through the breast milk, which can affect the baby's health. Therefore, if postpartum depression occurs and medication is taken, breastfeeding should be stopped. (Note: The answer is for reference only. Medication should be administered under the guidance of a professional physician, and blind medication should be avoided.)
Causes of Depression
The causes of depression are often unclear and may be closely related to multiple factors such as biological, social, and psychological aspects. From a biological perspective, genetics is a primary factor, especially as indicated by family studies, which have found genetics to play a significant role. Genetic factors typically involve multiple gene loci. Furthermore, neurochemical factors like serotonin and norepinephrine are notably related. Beyond biological factors, psychological elements, particularly in individuals with certain depressive traits or personality characteristics, significantly increase the incidence of developing the condition. Social environmental factors are primarily associated with adverse major life events. After experiencing acute life events, individuals may become susceptible to depressive episodes. Hence, it is observed that depression in patients results from multifactorial influences rather than a single factor, culminating from a complex interplay of these elements.
Will postpartum depression get better?
Postpartum depression can also be recovered to a normal state, usually taking about one to two years. Women are prone to depression after childbirth due to high stress or emotional stimulation. Therefore, it is crucial to focus on relaxing and avoiding excessive tension or stress when experiencing postpartum depression. Additionally, the support and companionship of family members and husbands are necessary to help improve the condition of postpartum depression. It is also important for the new mother to feel secure, to rest adequately, and to enhance nutrition in the diet, including consuming foods rich in protein and vitamins. It is essential to avoid staying up late and to prevent any stimulation, especially in patients who generally have lower psychological resilience.
How long does postpartum depression last?
Postpartum depression can generally be cured within a year in 70% of women. In families where such cases occur, it is important to pay attention, communicate more with the patient, and provide sufficient care and guidance. Additionally, timely psychological and pharmacological treatments should be administered to boost the patient's confidence and self-worth. It is also necessary to use antidepressant medications under a doctor's guidance that do not enter the breast milk, meaning they do not affect breastfeeding.
Is mild depression normal?
Patients with mild depression, although also experiencing symptoms such as low mood, decreased interest, reduced motivation, slow thinking, and reduced volition, may have difficulty falling asleep and frequently wake up during sleep, among other related symptoms. However, patients often retain most of their social functions, causing some disturbance to daily life and work. Through self-adjustment, standardized psychotherapy, and medication, patients often achieve good treatment outcomes. Sometimes, the symptoms of some patients are relatively mild, and they may appear normal outwardly, but their inner experience is indeed pathological. Therefore, it is still necessary to undertake standardized, systematic, and scientific treatment to achieve clinical recovery.
How to relieve postpartum depression
When postpartum depression occurs, the family must provide comprehensive care. For example, it is important to ensure that the new mother gets enough sleep by having family members take care of the baby and handle daily tasks. It is recommended that the mother and baby sleep separately to allow the mother sufficient rest, which can also help alleviate depression. Additionally, choosing a room with plenty of sunlight and ventilating it by opening windows daily can also reduce the symptoms of postpartum depression. More importantly, family members need to communicate psychologically with the new mother, engage in more conversations, and avoid keeping their feelings bottled up.