Identify depression need to see four points antidepressant treatment can not be urgent

People's Daily Health Client, Health Times co-sponsored, JD.com Health Co-sponsored, Lingbei China-supported "Mental Health People's Well-being - 2020 World Mental Health Day Green Ribbon Theme Science Event" invited experts in the field of mental illness to visit the People's Daily Health Client, bringing the most authoritative knowledge of mental illness science to netizens.
experts interviewed: Wang Gaohua, President of the Psychiatry Branch of the Chinese Physicians Association and Director of the Institute of Neuropsychiatrics of Hubei Province: Clinical Diagnosis and Treatment of Depression and Research in Psychophysics.
" likens a person to a wall, whether the wall collapses, the first depends on whether the wall itself has cracks, that is, whether the patient has abnormal brain tissue and structure, genetic factors.
, cracks in the wall do not necessarily collapse, but when the outside world hits strongly, the wall may collapse.
some patients with depression are due to the work life encountered a larger change, in the psychological stress response.
, cracks in the walls are also hit, but they do not collapse if they are supported by the outside world.
, the availability of social support is also a factor in whether depression can be a factor.
Professor Wang Gaohua, president of the Psychiatry Branch of the Chinese Physicians Association and director of the Institute of Neuropsychiatrics in Hubei Province, told the Health Times that depression is one of the most common mental disorders affecting human health.
Gaohua, president of the Psychiatry Branch of the Chinese Physicians Association and director of the Institute of Neuropsychiatrics in Hubei Province, is not depressed to see the mood of these four people change with the environment, which is a normal phenomenon.
So depression is not the same as depression, when we face sad events, in the face of failure, or some uncontrollable factors, we will have depression, this is a real emotional response, this response does not equal depression.
" to determine whether he suffers from depression, anxiety and depression and other symptoms is only the first level, but also to observe his severity, whether it affects normal study and work life, social function is impaired or lost.
, if only a few days of unhappy, can not be classified as depression, symptoms should last at least two weeks or more.
, other diseases, such as thyroid problems, heart muscle damage, drug use hormones, and so on, should be ruled out.
only if all four of them met the criteria did we diagnose him as possibly depressed.
Wang reminded, "We should pay attention to the identification of depression, early detection and diagnosis as early as possible treatment."
but at the same time, we need to prevent the expansion of depression diagnosis.
there are some institutions with online psychological measurement table, how many points reached is depression, which is not scientific.
of depression is a professional problem that requires a doctor's comprehensive judgment.
if the above four points occur, we should go to the hospital as soon as possible to see a doctor for professional assessment.
"antidepressant treatment is an important part of the family" depression-induced factors in one aspect is the social level, lack of social support, high-risk groups are very prone to the abyss of depression.
treatment of mental illness should be patient-centered and family-centered.
involved in the treatment process, the patient's family members can also have a deeper understanding of the depression disease itself.
such as when a child does not want to go to school, it may be caused by depression.
who don't know about depression as a way of doing so can delay diagnosis and treatment and lead to further development of the disease.
" Professor Wang cautions, "In addition, because mental illness includes depression, some patients have lost their self-knowledge, or cognitive ability, when they are more severe."
this situation, it is necessary to rely on family members to carry out appropriate treatment and cooperation, such as drug supervision and cooperation, to prevent negative suicide behavior.
"acute period does not adhere to the treatment is more likely to relapse" depression treatment is a long-term process.
patients need to stick to their medication.
antidepressants don't work very quickly, so patients will stop taking them if they think they're not working.
depression patients do not have adequate, foot treatment, the disease will not only repeat, but also may turn into long-term difficult to cure depression.
, " said Professor Wang Gaohua, sharing his treatment experience.
treatment of depression is divided into acute stage, consolidation period, maintenance period of three stages, antidepressants generally do not start to work 1-2 weeks after treatment, not "immediately."
If you take enough course of antidepressants, the acute period of general treatment time is 6 to 8 weeks, to control symptoms, as far as possible to achieve clinical cure, and then consolidate treatment for 4-6 months, maintenance period of treatment for about 1 year.
patients can not just take the drug feel no effect on the unauthorized suspension of the drug.
more likely to relapse if treatment during the acute phase is not sustained.