Reader's question:
I want to ask, should we also stay away from the source of pain when healing depression ? For example, it will be affected by the family environment. Can you rely on your own efforts to try your best and move out to live in it yourself?
Because of the illness, I feel that I have been in a state of slow mind, learning ability, expression ability, and logical thinking ability for a long time, and it is difficult to maintain a normal level.
Until one accidental dosing medicine, I found that both energy and thinking clarity increased significantly. But the feeling of fatigue during dinner and fun with family and the feeling of trying to avoid the crowd is still obvious. I found that the dosing of the medicine did not completely get rid of my symptoms.
At present, I take sertraline hydrochloride (Zoloft), and currently two and a half pills per day (to add three pills without authorization today). Should I add medicine?
Hello, I am a doctor from the psychiatric department:
Welcome your question.
First of all, the recovery process of depression usually requires attention to avoid some stimulus sources .
During the treatment period, I recommend trying to stay away from the adverse social and psychological factors that have a great impact on you. Even if it improves, avoid excessive stimulation to prevent the condition from aggravating.
Secondly, you want to work hard and move out and live on your own. With this idea of actively staying away from the source of stimulation and trying to integrate into society, I think you are brave and willing to actively solve problems.
But you mentioned that you have a slow mind, learning ability, expression ability, and logical thinking ability due to illness. We may need to do further discussion.
If you are in good condition but have not recovered the basic social functions, I suggest you:
can improve cognitive functions through psychological treatment [1]. At the same time, you can choose to join some volunteer organizations and group activities to gradually restore social functions through pro-social behavior.
If you have restored basic social functions, it is recommended that you:
can first find work that can be completed within your ability. Don’t be too anxious to challenge the difficult work. Try to return to society first. The subsequent situation will be relatively stable, and then make plans step by step.
In addition, regarding the issue of dosage, the dosage of two and a half pills of sertraline hydrochloride is not small every day. It is recommended to check the blood drug concentration and consult a professional doctor whether it is necessary to add or reduce the dosage. Do not add or change the medicine without authorization.
Note: The effects of the drug vary from person to person.
should be added and changed under the guidance of a doctor.
, I have summarized some suggestions and methods for depressed friends to restore social functions of . I think it will be helpful to you:
01
What are the stimuli sources that affect depression?
01/Native family factors: Native family may cause psychopsychiatric [2]
The causes of mental and psychological diseases are affected by many aspects: such as genetic factors, social factors, neurobiochemical factors, etc.
If the original family environment and the relationship between family members are not harmonious, such as frequent conflicts between parents, excessively strict parents, lack of communication between parents and children, etc., psychological and mental depression may occur for a long time.
But generally, more serious mental illnesses are caused by innate inheritance, acquired physical and mental development and events encountered in the living environment.
02/ New stimulus factors: Stimulus events may lead to emotional abnormalities [3]
Research proves that after the treatment of depression, it may recur due to changes in the living environment and conflicts in relationships, and is subject to new stimulus factors in learning and work.After
improves, you should try to maintain the stability of your life and environment and avoid conflicts with others. If there is a conflict, you should actively communicate and resolve it.
At the same time, it is necessary to have reasonable arrangements for the study, work and living environment to prevent excessive stress and mental stimulation.
03/Seasonal factors: Seasonal changes are closely related to depression [4]
Due to the uncontrollable airflow and air pressure of nature, depressed friends are more sensitive to environmental seasonal changes than others.
In autumn and winter, all things wither and the scenery is depressed. In this environment, people are also prone to being sad about the scenery.
At this time, depression may worsen, Therefore, when seasons change, you should pay attention to the identification of chronic diseases and recurrence.
02
How to deal with stimulus sources?
01/stay away from stimulus
Depression is a chronic disease with a long course and prone to recurrence. Some may require treatment for months or years before it can slowly improve.
If the symptoms of depression are mild, the current academic or work does not cause great pressure, and the surrounding environment and people, things and things will not have much impact. You can keep participating in collective life and treat it.
On the contrary, if the people, things and things around you are the stimulus that leads to depression, such as excessive academic or career pressure, inadequate relationships with the original family, and failure events will cause internal friction.
At this time, if comprehensive conditions allow , you can consider temporarily taking a break from school or stopping work; leave people, things and things that cause internal friction to help reduce stress.
can better recover from the outside and inside.
02/ Keep sleeping regular
Research shows that compared with teenagers who often sleep 8 hours a night, teenagers who often sleep only 5 hours or less are at a 71% higher risk of depression and 48% higher probability of suicide thoughts.
In addition, compared with teenagers who fall asleep at 10 o'clock or earlier, teenagers who often sleep after 12 o'clock in the evening have a 24% higher probability of depression and 20% higher probability of suicide thoughts. [5]
Ensure sufficient sleep time can prevent and treat depression.
You can take a hot bath before going to bed, drink a cup of hot milk, listen to light music , soothe your mood and develop good habits of regular sleep.
03/ Cultivate interests
Cultivate your own interests and hobbies, such as: exercise, painting, watching movies, etc., which are simple and easy to use. learns to cultivate one's ability to perceive happiness and happiness, which will help us restore social functions.
For example, during the recovery period, you can participate in more aerobic exercise, and gradually increase the amount of exercise from walking, helping us strengthen our physical fitness and relieve tension.
can also watch movies with positive content. Research has proved that film therapy has its uniqueness and effectiveness in solving emotional problems, and can effectively induce positive emotions and offset negative emotions, thereby helping the parties to alleviate the impact of negative emotions. [6]
Of course, it doesn’t matter if you fail to take that step, at least you are eager to make yourself better, and this idea is worth encouraging.
04/ Coupled with psychological treatment
Depression treatment related to the original family relationship can be carried out simultaneously with psychological treatment.
Currently, there are many psychological treatment methods for depression, and you can choose according to your specific situation.
For example, psychodynamic therapy is used to help repair past losses. The family is the smallest collective in our society, but the stability of this collective is crucial to the happiness of our lives.
Long-range dynamic therapy helps to find out the roots of childhood, especially the ambivalence of the loss.
Through psychological treatment, we can better build a relationship with our original family, forming benign communication with our family is also more conducive to the improvement of the condition and reducing the probability of recurrence.
03
Staying normal is the best way to deal with it
During this period, the recurrence of the domestic epidemic and the instability of the overall environment have also made many depressed friends feel strong uneasiness.
These changing social factors do indeed easily affect our emotions. But today I want to tell you: Keeping the normal state of is the best way to deal with it. Why do you say so? We often have this misunderstanding: if you gain weight, you should quickly lose weight, and if you are depressed, you should quickly get better.
always cares about what I can do, and is eager to change immediately, which triggers inner conflicts and anxiety: "I obviously... why... why...?" But the power of "staying normal" is ignored.
is often valuable at this time: still takes medicine on time every day, maintains enough rest, and breathes more fresh air. , as usual, can avoid emotions being unable to be dissolved, avoid adding more stimulus sources, and avoid causing panic and disappointment.
Please say to yourself more: "I can take it slow!"
Reference materials:
[1]Sun Lu, Luo Xinjian. Social functions of patients with depression [J]. China Minkang Medicine, 2003(01):47-49.
[2]Qian Yuhao. The impact of native family education on individual development - based on educational thoughts in Plato's "Ideal Country" [J]. Family Science and Technology, 2021(08):25-28.
[3] You Mingyan, Tan Xi, Zhang Jinpeng, Zhao Mingyang, Zhang Yichunzi, Gao Yue, Wang Junyan, Pan Chang, Kong Junhui. Exploring the feasibility of research on the subthreshold depression emotional stimulation response mechanism based on near-infrared brain imaging technology [J]. World Traditional Chinese Medicine, 2020, 15(10):1501-1504.
[4] Cao Xindong. Why is depressed emotions more common in autumn and winter [J]. Health Guide, 2019, 25(02):34-35.
[5] Can adequate sleep prevent depression? https://m.baidu.com/bh/m/detail/qr_10452270319160816418
[6] Peng Lijun. Exploration and research on film therapy to improve depression in love breakup[D]. Nanning Normal University, 2021.DOI: 10.27037/d.cnki.ggxsc.2021.000504.
