How to explain mild depression

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on September 20, 2024
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During the guidance process for patients with mild depression, cognitive behavioral therapy can be used. Cognitively speaking, the patient's low mood is caused by negative cognitions about themselves, the world, and the future, which we call the cognitive triad. They feel incompetent, worthless, and disliked in regards to themselves. They perceive the world as incapable or negative. Regarding the future, they feel unable to succeed and see themselves as failures, among other expressions. Therefore, the patient exhibits irrational and distorted cognitions. By observing these irrational cognitive patterns, we guide the patient to look for evidence, seek alternative explanations, make predictions, judgments, and responses, and resolve internal conflicts of thoughts through reality check methods, ultimately alleviating low moods. Additionally, behavioral methods, such as organizing a good life schedule and engaging in interesting activities, can also be used to enhance the patient's sense of pleasure and control, thereby improving their mood and ultimately achieving therapeutic effects.

Other Voices

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Can mild depression cause fantasies?

In clinical settings regarding patients with mild depression, hallucinatory symptoms generally do not occur. It is commonly believed in clinical practice that patients with moderate to severe depression might experience hallucinations. However, according to the new mental illness diagnostic standard, IC11, it is considered that patients with mild depression may also exhibit symptoms of delusions and hallucinations. Therefore, the presence of hallucinations and delusions in patients should be assessed based on the severity of the condition. Typically, the occurrences of hallucinations and delusions indicate a higher severity of depression, generally moderate to severe. If diagnosed with psychotic depression, the clinical approach should involve the combined treatment using antidepressants and antipsychotic medications to address both the psychotic and depressive symptoms effectively.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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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.)

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Written by Yue Hua
Obstetrics and Gynecology
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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.

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Written by Du Rui Xia
Obstetrics
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What is postpartum depression?

Postpartum depression is a psychological disorder affecting emotions, psychology, and the body, caused by a decline in physical constitution and poor mental state due to societal perspectives and excessive stress after childbirth. Mothers may experience anxiety, sadness, emotional indifference, weakness, a tendency to cry easily, and a loss of confidence and interest in life. These symptoms generally persist throughout the entire postpartum period. Mild cases of postpartum depression can be alleviated through daily life adjustments. More severe cases, however, require treatment at a formal medical institution, and it is crucial for family members to pay attention to psychological communication with the patient.