Spandana Nursing Home is an exclusive tertiary Psychiatric Centre with liaison of other medical departments which caters to the mental well-being of an individual and the community at large.This centre is tucked in a quite place in Rajajinagar amidst the shade of the trees which has weathered the test of time.Spandana stands for more than five decades and continues to serve with values.
Depression is a serious disorder it tends to come back again & again
It colors all spheres of life not only person feels sad at office or workplace, also with his friends and at home, are not able to enjoy things which they use to previously.
It should be present minimum for 2 weeks to make diagnosis.
Every 1 out of 6 person will have depression in lifetime.
It requires proper treatment and family support.
Education about it helps a long way to live a great life.
Unipolar - Person has only Depression episodes.
Bipolar - Person has both Depression and Mania episodes.
SEX It's two times common in females.
Hormonal causes, childbirth and more social stress in females life.
Sense of helplessness.
40yrs is the usual age of onset
It can start as early as 20yrs or in some cases in childhood also or in old age for the first time.
Child will have 10 to 25% risk if one parent has depression.
Child will have 20 to 55% risk if both parents have depression.
Risk increases with more family members having mood disorders.
More common in Divorced or Separated couples
3 times more common in unemployed people.
Depression is more common with Alcohol, Panic Disorder, OCD (Obsessive Compulsive Disorder, Social Phobia Long term medical conditions like Diabetes ,Blood Pressure,Cancer
Stress: Multiple deaths in family
Loss of life partner
Loss parents at young age before 11 yrs
No lab test is required for making diagnosis.
Its diagnosis is entirely based on symptoms given below
SADNESS OF MOOD:- Person feels like crying for no reason and not feels better even doing that even for hours together, they do it front of strangers also which they themselves feels uncomfortable but still can not control it.
In some cases person wants to cry but is not able to do so. Feels heaviness in head.
ANHEDONIA :- Loss of interest in previously enjoyable activities.
ENERGY:- Weakness or tiredness is the complaint that person feels, loss of vigour without doing anything or even on small efforts compared to his or her capacity.
CONCENTRATION:- Difficulty in concentrating even on things they used to enjoy at work place or at home.
SLEEP:- Poor quality of sleep, not feeling refreshed.
SUICIDE:- Depression is the most common cause of committing suicide
Medication , psychotherapy , phototherapy , electroconvulsive therapy
PSYCHOSOCIAL THERAPY :- If depression symptoms are mild Session length will be 45-60 min twice a week for 3 or more months
Cognitive therapy :- It will focus on negative thoughts of patient
Interpersonal therapy :-It will focus on patients current interpersonal relationships issues like husband-wife , daughter-in-law and mother-in-law boss and employee.
Behaviour therapy :- It focusses on having positive behaviours so patient will receive positive results in life.
Patient improves within 4-8 weeks though they have to take medication for a longer period of time.
First time depression period of treatment 6 months to one year.
Multiple episodes may require lifelong treatment or patient should be symptom free for at least 2-3 yrs to stop medication.
