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There are some who sleeps more in the day and spends the whole of the night just keeping to themselves or in a rather lost thought. There is also a usual change in eating pattern and weight. These are not specific symptoms because while some are losing weight others are gaining. Most depressive people, however, gain weight. A relationship exists between eating pattern and weight gain. Loss of appetite seems more like what is expected but it has also been found out that people with depression spend more time inside which means they will burn less amount of energy and also find a kind of succor in eating.

Most patient with depression complains of waking up tired. Thoughts of suicide or death: Majority of people living with depression will think of dying or committing suicide. There is also a feeling of worthlessness among depressive people. In diagnosing a person with the major depressive disorder, at least five of the following must be present for 2 weeks and must include one of diminished interest or change in mood. Persistent Depressive Disorder This was formerly called Dysthymia. It is a form of low-grade depression but usually lasts longer than lasting around 2 years and above the Major depressive disorder. It present with lesser symptoms over a longer period of time, which is the reason why it was dubbed the mild chronic depression.

There is also a form of persistent depressive disorder seen in children called Persistent pediatric depressive disorder which involve a child or an adolescent presenting with a continuous irritative or depressed mood for at least a year. The symptoms seen in them often include lack of hope and feeling of hopelessness. Bipolar disorder Bipolar disorder, formerly called manic-depression, present with an episodic form of depression. Patient with bipolar usually has a manic and depressive period. The manic episode is an abnormally elevated mood where the patient is extremely happy during while low mood and extreme sadness set in during the depressive stage. The period of high can be divided into mania which shows overt symptoms of grandeur and hypomania a less dramatic stage compared to mania.

Bipolar disorder is usually a lifelong condition but can be managed effectively with drug compliance. Postpartum depression Postpartum depression must be differentiated from postpartum blues. It is a feeling of unabating sadness and low mood that begins shortly after delivery. Some go on to have hallucinations and delusions which is called postpartum psychosis. Others Other types of depression include Premenstrual dysphoria a disorder in which patients have a more significant low mood associated premestrual symptoms , seasonal affective disorder where patient have depressive symptoms in the colder part of the year , and atypical depression.

Causes of depression It is not known exactly what causes depression, there are however different life events that have been seen to predispose individuals to depression. The genetic link to depression have not been fully elucidated, there are, however, cases of depression running in family. It is thought that there might be some form of genetic disposition but this has not been sufficiently supported with available data. Past history of physical, emotional or sexual abuse often predispose the individual to depression. These have been studied sufficiently and people with abuse have been shown to be more prone to depression. Death or loss: A number of people have been seen to have progressed from grief due to the loss of a loved one to depression.

Life events: There have also been cases of people becoming depressed due to lack of jobs or any other thing happiness is associated with. Signs and symptoms The symptoms of depression have generally been mentioned with the different types of depression mentioned above; especially the major depressive disorder. Others include the feeling of restlessness, irritability, and difficulty in concentration. Patient with depression can have difficulty in maintaining concentration which is partly due to their lack of interest in the environment; which makes them withdraw from anything going on around them including their own body.

Additionally, a patient with depression might not pay enough attention to their body which will be noticed in their appearance. They might even go around untidy with dishelved hair. Treatment Management of depression involves cooperative management between different departments. Behavioral modifications and oral medications have been shown to yield tremendous benefit. Stopping this medication suddenly could cause you to have unpleasant side effects. Endep may take up to 30 days to control symptoms of depression.

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Usually a low dose of Endep is given at a certain period and will gradually increase depending on the tolerance and improvement of the patient. Initial dosage usually starts at 75 milligrams up to 159 milligrams a day which is divided in smaller doses. For confined patients in hospitals, doctors usually administer 100 to 200 milligrams a day. Elderly patients are usually provided with low dosage since they are not capable of the tolerance because of their age. Doctors usually reduce the dosage as the patient improves. Ask your health care provider any questions you may have about how to use Endep. Keep Endep out of the reach of children.

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