Depression is one of the common and most common diseases among mental illnesses. The incidence rate is high, which seriously affects people's physical and mental health. However, with the development of modern medicine, depression is generally a mental illness with a good prognos

Depression is one of the common and most common diseases among mental illnesses. The incidence rate is high, which seriously affects people's physical and mental health. However, with the development of modern medicine, depression is generally a mental illness with a good prognosis. After treatment, 2/3 of patients can reach clinical cure 50%-70% of patients will have another depression attack, and some of them (about 20%) will enter a chronic process. Why is this?

First of all, we must consider the existence of coexisting diseases. Generally speaking, there are many clinical manifestations of depression, but the main symptoms are quite typical and clear. However, it should be noted that about 75% of patients will coexist with at least one other mental disorder or substance abuse, physical diseases and other diseases in their lives. Common physical diseases include allergies, asthma, chronic pain, migraine, gastrointestinal ulcers, etc. These common diseases aggravate the duration, severity, and risk of recurrence of depression attacks. If the primary body disease is not effectively treated, the symptoms of depression will continue.

In addition, a disease with other mental disorders can be manifested as "depression" and misdiagnosed as depression, such as Alzheimer's disease, early schizophrenia , etc. When their personality remains relatively intact, many patients give people "depression" manifestations such as "less movement, taciturn, loss of interest, stiff movement, and weakened ability". If antidepressant treatment is used alone, the condition will not only be uncontrollable, but may be at risk of worsening.

need to undergo systematic and thorough treatment. Many patients with depression have recurrences of and are not systematically and thoroughly treated. Some patients have improved their symptoms after acute hospitalization, but the consolidation and maintenance period treatments after discharge are not well supervised, or economic factors, or the patients think that they have not recovered, and there is no regulation to take medication on time, and some patients even stop treatment. In fact, the patient's emotional symptoms may still exist, and there is no cure, but it is just hidden. Once treatment is stopped, the ability to resist adverse external stimuli is weakened and the probability of recurrence is greatly increased.

In addition, some patients with depression have a special course of illness. They have only a few days of abnormal mood in the early stage of the disease. Even if they are not treated, the symptoms will automatically disappear, but the disease has not really relieved. In a few days or more, the symptoms will reappear, and the course of the disease is relatively long.

It is best for every patient to have a timely outpatient follow-up examination and take medication regularly and in accordance with the dosage to achieve systematic and thorough treatment. After investigation and research, it was found that patients who received systematic treatment at the beginning and whose symptoms were more thoroughly relieved had fewer chances of recurrence in the future and had a longer remission time. The so-called systemic treatment refers to sufficient course of treatment and sufficient dose of drug treatment. The so-called thorough treatment refers to the treatment of all symptoms and the patient's self-care ability to achieve the therapeutic effect of recent recovery.

After the patient's condition improves, arrange the patient's daily life reasonably to reduce the chance of recurrence. Patients have regular life and reasonable work and rest. On the basis of ensuring full sleep, you can appropriately participate in some activities that are beneficial to physical and mental health, such as jogging, brisk walking, playing goal , etc., quit smoking and drinking, and do not eat too greasy, spicy, salty and other heavy-tasting foods.

For patients who have just been discharged from the hospital in the acute phase, their condition may improve slightly at this time, and it may still be difficult to actively socialize. At this time, the family members should be patient and do not force them. They should improve their social skills step by step. They can first take out the patient's classmates' records, colleagues' photos, and family photos to recall the interesting things in the past; then slowly take the patient out, go for a walk in the park when the weather is clear, and encourage patients to actively say hello and chat with people they know... When you are fine, you can also read books, go online to read news, cultivate your interests, and increase your experiences. I believe that through the joint efforts of the family and the patients, your social skills will gradually improve.

After the condition of depression improves or is already in the stable period, patients often face some major problems in life like normal people, such as work, family, love, marriage, children, parents, future, etc. The various troubles brought by these major problems have caused the patients to have one or another bad emotions, such as anger, helplessness, sorrow, sadness, etc. If the surrounding family and friends can provide care and help, so that the patients can treat and deal with these troubles correctly, the conflict will not intensify; on the contrary, if the patient is isolated at this time and no one cares about or cares about the surrounding people, it may affect the patient's sleep and mood, leading to the recurrence of the disease.

In terms of the prognosis of patients' recovery, there are studies that 30% of them recur within one year; 50% of them will recur, and 70% of them will recur in the future if they have had one depression attack. Almost 100% of them will recur in the future if they have two depression attacks.

If the patient has no psychotic symptoms and has the characteristics of short hospital stay or short depression and good family function, his prognosis may be good. In contrast, combined with psychiatric disorders, substance abuse, young age of onset, long duration of illness until the first diagnosis, and hospitalization, indicates that the patient's prognosis may be poor. The risk of suicide attempts or suicide among patients with depression is significantly higher than that of the general population, with a lifelong suicide risk of depression at 6%, while those with severe illness and hospitalization can have a risk of suicide as high as 15%.

In short, good recovery and reduced prognosis recurrence for patients with depression are not simple medical work. It cannot be done by psychiatric medical staff in the hospital alone. The most important thing is to rely on the cooperation of family, unit, relatives, friends and all aspects of society to do a good job.

(Updated tomorrow: Depression Ten: Endogenous Depression)

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