History UsefulNotes / Depression

3rd Apr '16 3:48:12 PM roothorick
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** ''Bipolar I and II'' are unusual cases, in that they are depressive illnesses, but as opposed to major "unipolar" depression where the "bad" times are all lows, bipolar (formerly called manic-depression) is such lows interspersed with periods of another illness called mania, which is the "polar" opposite of depression. In Bipolar I, the manic periods are extreme and almost stereotypical, sometimes leading to psychosis (total loss of connection to reality and acting out on said delusions or hallucinations). In Bipolar II, the manic periods are mild to moderate and comparable to someone ''constantly'' while in the manic phase acting as if what a "normal" person would be like after a couple Adderall or a line of cocaine, in that they are not so manic as to be disconnected from reality entirely or hallucinating, but definitely "high" or "sped up."

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** ''Bipolar ''[[UsefulNotes/BipolarDisorder Bipolar]] I and II'' are unusual cases, in that they are depressive illnesses, but as opposed to major "unipolar" depression where the "bad" times are all lows, bipolar (formerly called manic-depression) is such lows interspersed with periods of another illness called mania, which is the "polar" opposite of depression. In Bipolar I, the manic periods are extreme and almost stereotypical, sometimes leading to psychosis (total loss of connection to reality and acting out on said delusions or hallucinations). In Bipolar II, the manic periods are mild to moderate and comparable to someone ''constantly'' while in the manic phase acting as if what a "normal" person would be like after a couple Adderall or a line of cocaine, in that they are not so manic as to be disconnected from reality entirely or hallucinating, but definitely "high" or "sped up."
3rd Jun '15 7:47:42 PM Traveler
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** ''Alternative medications'' are possible in cases involving hormonal causes - thyroid hormones or sex hormones. Another alternative form of medication is the prescribed and monitored use of cannabis, psilocybin, MDMA, or even opiates - ''very'' experimental at the time and illegal outside of official studies or prescriptions, but some results have been reported in depressions that have been otherwise resistant to traditional antidepressants. [[/folder]]

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** ''Alternative medications'' are possible in cases involving hormonal causes - thyroid hormones or sex hormones. Another alternative form of medication is the prescribed and monitored use of cannabis, psilocybin, MDMA, or even opiates - ''very'' experimental at the time and illegal outside of official studies or prescriptions, but some results have been reported in depressions that have been otherwise resistant to traditional antidepressants. Often drugs are used that have no visible connection to depression- seizure meds, so on- that occasionally have mood stabilization as a side effect.
[[/folder]]
18th May '15 9:11:14 PM Angeldeb82
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* '''[[EvilIsDeathlyCold Feeling cold in inappropriate weather, or the coldness persisting in adequate warmth]].''' (Little-known/overlooked.) This may be the reason for the stereotypical depictions of a black-clad "emo" teen, as dark colors absorb and retain heat better than light clothes. It also is one of the most frequently-overlooked symptoms, as wearing sweaters is not unusual in certain climates and even the person in question may not realize that this is a symptom.

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* '''[[EvilIsDeathlyCold Feeling cold in inappropriate weather, or the coldness persisting in adequate warmth]].''' warmth.]]''' (Little-known/overlooked.) This may be the reason for the stereotypical depictions of a black-clad "emo" teen, as dark colors absorb and retain heat better than light clothes. It also is one of the most frequently-overlooked symptoms, as wearing sweaters is not unusual in certain climates and even the person in question may not realize that this is a symptom.



** In a similar vein, there are types of depression that are dependent on [[{{UsefulNotes/Trigger}} triggers]]. These are generally associated with PTSD, complex PTSD, and complicated grief (though sometimes a trigger can switch a BPII or cyclothymia sufferer to a depressive cycle). Sufferers of these types of depression are often very likely to be dismissed, mocked, or considered to be lying because they often seem like mentally healthy people unless they are in a situation where the trigger is unavoidable. This may prove a major problem for those whose triggers involve things in traditional workplace or family situations - they can be considered "lazy" for not working certain types of jobs or [[MandatoryMotherhood inferior for not wanting a traditional family situation]], and the scorn and disgust this earns destroys self-worth and can make the depression spread from the triggers to a far more generalized depressive condition.

to:

** In a similar vein, there are types of depression that are dependent on [[{{UsefulNotes/Trigger}} triggers]].{{UsefulNotes/trigger}}s. These are generally associated with PTSD, complex PTSD, and complicated grief (though sometimes a trigger can switch a BPII or cyclothymia sufferer to a depressive cycle). Sufferers of these types of depression are often very likely to be dismissed, mocked, or considered to be lying because they often seem like mentally healthy people unless they are in a situation where the trigger is unavoidable. This may prove a major problem for those whose triggers involve things in traditional workplace or family situations - they can be considered "lazy" for not working certain types of jobs or [[MandatoryMotherhood inferior for not wanting a traditional family situation]], and the scorn and disgust this earns destroys self-worth and can make the depression spread from the triggers to a far more generalized depressive condition.



*** This can be a double problem for some FTM {{transgender}} people - being in the wrong body alone is depressing, and the hormonal fluctuations that serve both to cause chemical imbalances themselves and as a reminder of what is causing them. This can sometimes be almost a mental form of AndIMustScream - for those who've never experienced it, imagine being at the mercy of mood swings and cycles that can be uncontrollable and change on a biweekly to monthly basis... and which are predictable but unstoppable.

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*** This can be a double problem for some FTM {{transgender}} UsefulNotes/{{transgender}} people - being in the wrong body alone is depressing, and the hormonal fluctuations that serve both to cause chemical imbalances themselves and as a reminder of what is causing them. This can sometimes be almost a mental form of AndIMustScream - for those who've never experienced it, imagine being at the mercy of mood swings and cycles that can be uncontrollable and change on a biweekly to monthly basis... and which are predictable but unstoppable.



** ''Talk therapy'' is the biggest one and most important. In fact, some studies have shown talk therapy (especially of the cognitive-behavioral model, but any will do) to be as if not more effective than medication in prolonged remission of depression. If you are moderately to severely depressed, you need to be doing talk therapy along with your medication with an understanding counsellor with whom you have a good rapport. If you are mildly to moderately depressed, doing talk therapy alone without medication may be most advisable because it has no side effects and will not, generally, make matters worse before they get better.

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** ''Talk therapy'' is the biggest one and most important. In fact, some studies have shown talk therapy (especially of the cognitive-behavioral model, but any will do) to be as if not more effective than medication in prolonged remission of depression. If you are moderately to severely depressed, you need to be doing talk therapy along with your medication with an understanding counsellor counselor with whom you have a good rapport. If you are mildly to moderately depressed, doing talk therapy alone without medication may be most advisable because it has no side effects and will not, generally, make matters worse before they get better.
6th Apr '14 7:39:51 AM Clevomon
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Added DiffLines:

** Autistic spectrum disorder, particularly among women, because so much mental resources gets put into trying to cope with impaired social skills (either by emulating others or trying to manage the consequences of not) that it exhausts mentally and leads to a feeling of alienation.
24th Nov '13 9:10:17 PM JIKTV
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** In a similar vein, there are types of depression that are dependent on [[{{UsefulNotes/Trigger}} triggers]]. These are generally associated with PTSD, complex PTSD, and complicated grief (though sometimes a trigger can switch a BPII or cyclothymia sufferer to a depressive cycle). Sufferers of these types of depression are often very likely to be dismissed, mocked, or considered to be lying because they often seem like mentally healthy people unless they are in a situation where the trigger is unavoidable. This may prove a major problem for those whose triggers involve things in traditional workplace or family situations - they can be considered "lazy" for not working certain types of jobs or [[ChildfreeIsNotAllowed inferior for not wanting a traditional family situation]], and the scorn and disgust this earns destroys self-worth and can make the depression spread from the triggers to a far more generalized depressive condition.

to:

** In a similar vein, there are types of depression that are dependent on [[{{UsefulNotes/Trigger}} triggers]]. These are generally associated with PTSD, complex PTSD, and complicated grief (though sometimes a trigger can switch a BPII or cyclothymia sufferer to a depressive cycle). Sufferers of these types of depression are often very likely to be dismissed, mocked, or considered to be lying because they often seem like mentally healthy people unless they are in a situation where the trigger is unavoidable. This may prove a major problem for those whose triggers involve things in traditional workplace or family situations - they can be considered "lazy" for not working certain types of jobs or [[ChildfreeIsNotAllowed [[MandatoryMotherhood inferior for not wanting a traditional family situation]], and the scorn and disgust this earns destroys self-worth and can make the depression spread from the triggers to a far more generalized depressive condition.
7th Jul '13 12:54:30 PM HMSaph
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* "Depressed people must be sad all the time, if you're ever happy, you're not really depresed." This is one of the big ones (big enough that it's even led to lawsuits in a few cases, specifically related to insurance, workers compensation, and the like.) The reality of depression is that sufferers do have good days as well as bad, and maybe even good weeks or months as well as bad. Or good minutes or hours in the middle of bad days etc.

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* "Depressed people must be sad all the time, if you're ever happy, you're not really depresed.depressed." This is one of the big ones (big enough that it's even led to lawsuits in a few cases, specifically related to insurance, workers compensation, and the like.) The reality of depression is that sufferers do have good days as well as bad, and maybe even good weeks or months as well as bad. Or good minutes or hours in the middle of bad days etc.
7th Jul '13 12:54:02 PM HMSaph
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* "Depressed people must be sad all the time, if you're ever happy, you're not really depressed." This is one of the big ones (big enough that it's even led to lawsuits in a few cases, specifically related to insurance, workers compensation, and the like.) The reality of depression is that sufferers do have good days as well as bad, and maybe even good weeks or months as well as bad. Or good minutes or hours in the middle of bad days etc.

to:

* "Depressed people must be sad all the time, if you're ever happy, you're not really depressed.depresed." This is one of the big ones (big enough that it's even led to lawsuits in a few cases, specifically related to insurance, workers compensation, and the like.) The reality of depression is that sufferers do have good days as well as bad, and maybe even good weeks or months as well as bad. Or good minutes or hours in the middle of bad days etc.
7th Jul '13 12:53:06 PM HMSaph
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18th Mar '13 2:13:06 PM RevolutionStone
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*** As a side note on opiates, some research is showing at least one form of depression possibly exists where the depression is caused by lack of endogenous opioid production/failure of the body to respond to its own levels of endorphins (e.g. the endorphin system is screwed up) as opposed to lack of serotonin, in which case opiates ''could'' be a proper medication. That said, this is ''not'' a reason to abuse opiates for depression relief, because the only things that indicate this variant are either preexisting drive for/near-instant addiction to opiates and/or the failure of serotonin-related medication interventions.

to:

*** As a side note on opiates, some research is showing at least one form of depression possibly exists where the depression is caused by lack of endogenous opioid production/failure of the body to respond to its own levels of endorphins (e.g. the endorphin system is screwed up) as opposed to lack of serotonin, in which case opiates ''could'' be a proper medication. That said, this is ''not'' a reason to abuse opiates for depression relief, because the only things that indicate this variant are either preexisting drive for/near-instant addiction to opiates and/or the failure of serotonin-related medication interventions. That said, if you ''do'' have the combination of opiate craving and failure of SSRI and SNRI type drugs (and ''especially'' if chronic pain/fatigue/anxiety are severe parts of the depression), trying suboxone or a low-dose time-released long-acting opiate, under a doctor's supervision, may well be a good idea.
18th Mar '13 2:05:50 PM RevolutionStone
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Added DiffLines:

*** As a side note on opiates, some research is showing at least one form of depression possibly exists where the depression is caused by lack of endogenous opioid production/failure of the body to respond to its own levels of endorphins (e.g. the endorphin system is screwed up) as opposed to lack of serotonin, in which case opiates ''could'' be a proper medication. That said, this is ''not'' a reason to abuse opiates for depression relief, because the only things that indicate this variant are either preexisting drive for/near-instant addiction to opiates and/or the failure of serotonin-related medication interventions.
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