MOOD DISORDERS

     In todays' society depression and anxiety are common complaints of a  large number of the population. It is common for youngsters to experience  symptoms of depression and or anxiety and may continue through out the life cycle. In a Major Depression, at least one of the symptoms is either a depressed mood or a loss of interest or pleasure.  According to the DSM-IVTR, the diagnostic tool for mental health disorders, an individual might feel sad or irritable  most of the time, have a lack of interest in participating in activities, have a lack of, or increased  appetite with a weight loss or gain, experience insomnia nearly every day, feel general fatigue, may feel worthless or guilty, have a reduced ability to concentrate, and may have recurrent  thoughts of death, with or without suicidal ideation.* Crying is a common complaint of people suffering with depression. The symptoms are similar to bereavement, after the loss of a loved one, but symptoms  persist for more than 2 months.
     Anxiety Disorders include Panic Attack. According to the DSM-IVDR,  a Panic Attack is described by intense fear or discomfort, in which some of the following symptoms may be felt: palpitations are a common complaint, as is sweating, trembling, shortness of breath and a feeling of choking. Patients with these symptoms often go to the emergency room thinking that they are having a heart attack  while they learn that  chest pains are simply a symptom of anxiety. Nausea or stomach pain, a feeling of lightheaded or dizziness may also be experienced. Frequently one fears they are going crazy or "losing it" and there is also an underlying fear of dying.
      Depression and Anxiety are best treated with a combination of talk therapy: psycho dynamic, cognitive/behavior therapy, meditation and visualization, mindfulness focus, and Acceptance and Commitment Therapy (ACT). Journaling is a highly recommended intervention and there are many wonderful self-help books used in bibliotherapy. A referral to a medical doctor for medication may be suggested in combination with the above mentioned therapies for the ultimate benefit to the patient.
     *Threats of suicide are never to be taken lightly. In the event that you or someone you know is having suicidal thoughts, a plan to carry it out, the ability, is suddenly in an improved mood, may be giving personal possessions away, you should notify your physician, call the Crisis Hot-line (211), dial 911, or go to your nearest emergency room.