Treating Major Depressive Disorders

What is Major Depressive Disorder?

Major Depressive Disorder (MDD), commonly known as clinical depression, is more than just a feeling of sadness—it’s a profound mental health condition that affects millions globally, disrupting lives and impacting their overall well-being. Despite its prevalence, many individuals misunderstand the condition. Below, we’ll demystify MDD, offering insights into its causes, symptoms, and available mental health treatment, particularly within Orange County. By shedding light on this debilitating disorder and highlighting the essential resources for support and recovery, we hope to empower you and your loved ones to seek the help you need for a brighter future.

Major Depressive Disorder (MDD), or clinical depression, is a serious mental illness that causes significant emotional, mental, and physical distress. It’s characterized by persistent feelings of sadness, hopelessness, and worthlessness for two weeks or longer, impacting daily activities and quality of life.

Some Types or Features of Major Depressive Disorder:

  1. Melancholic Features: Loss of pleasure in almost all activities, weight loss, insomnia, and slowed movements.
  2. Psychotic Features: Delusions or hallucinations, social withdrawal, paranoia, and disorganized speech.
  3. Peripartum Onset (referred to collectively as “peripartum episode”): Sadness, anxiety, and exhaustion after childbirth, affecting a mother’s ability to care for herself and her baby. Occurring if onset of these symptoms occurs during pregnancy up to 1 month following childbirth. (Note: approximately 50% of these postpartum episodes of MDD begin prior to delivery and approximately 10% of women will experience an episode between conception and birth). 

Causes of Major Depressive Disorder

MDD affects people of all ages and backgrounds and is more common in women. Causes can include:

  • Chemical imbalances in the brain: Major Depressive Disorder is thought to be caused, in part, by an imbalance of certain chemicals in the brain, such as serotonin, dopamine, and norepinephrine. These chemicals play a critical role in regulating mood, and an imbalance can lead to symptoms of depression.
  • Hormonal changes: Hormonal changes, such as those that occur during puberty, pregnancy, postpartum, and menopause, can also contribute to developing Major Depressive Disorder.
  • Chronic stress: Stressful life events like burnout, financial difficulty, loss of a loved one or a job can trigger the onset of depression.
  • Trauma: Trauma, such as physical or emotional abuse, can increase the risk of developing Major Depressive Disorder.
  • Family history of depression: People with a family history of depression have a genetic predisposition and are more likely to develop Major Depressive Disorder than those without a family history.

Symptoms of Major Depressive Disorder.

Having 5 (or more) of the following symptoms present during the same 2-week period, with at least one being anhedonia or depressed mood, is the marked diagnostic criteria for MDD. Symptoms include:

  • Persistent sadness, hopelessness, and worthlessness.
  • Loss of interest: Marked diminished interest or pleasure in all, or almost all of previously enjoyed activities.
  • Changes in appetite and weight: Significant weight loss or gain when not dieting/decrease in appetite nearly every day.
  • Sleep disturbances: Insomnia or hypersomnia, oversleeping nearly every day.
  • Fatigue: Constantly feeling drained.
  • Difficulty concentrating: Indecisiveness and trouble completing tasks.
  • Recurrent thoughts of death, suicide or self-harm: Requires immediate medical attention.

How We Treat Major Depressive Disorder at Neurish Wellness

Major Depressive Disorder can be effectively treated with a combination of medication, psychotherapy, and lifestyle changes like dietary intake, physical activity, and routines. Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs), have proven to be effective in treating depression.The use of SSRIs can be beneficial in increasing levels of serotonin, which regulates mood, while SNRIs improve energy levels by regulating norepinephrine in addition to serotonin.

Various types of therapy are beneficial for managing depression. The following are a few that are available at our luxury depression treatment centers.

  • Cognitive-Behavioral Therapy (CBT): CBT works by helping patients to identify and change negative patterns of thinking and behavior that may be contributing to their depression. Patients learn to adopt more constructive thinking patterns and develop new coping strategies and behavioral skills to help them manage their symptoms more effectively.
  • Interpersonal Therapy (IPT): IPT prioritizes improving interpersonal relationships and communication skills, which are essential for overall mental well-being. Interpersonal therapy helps identify and manage emotions that may arise in relationships and address any communication issues that may affect the quality of interactions with others.
  • Motivational Interviewing (MI): MI is based on the belief that patients are more likely to succeed in making positive changes when they feel motivated and empowered to do so. Through a process of collaborative exploration, patients work with their therapist to identify their values, goals, and priorities and to develop a plan for achieving them.
  • Experiential Therapy: Experiential Therapy is based on the belief that people can achieve significant emotional growth and healing through experiences that are outside of their usual comfort zone. Through a variety of techniques, such as role-playing, guided imagery, and mindfulness exercises, patients are able to explore their emotions and develop new ways of coping with them.

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FAQS About Major Depressive Disorder

What is Major Depressive Disorder (MDD)?

Major Depressive Disorder, also known as clinical depression, is a serious mental illness characterized by persistent feelings of pervasive sadness, hopelessness, and worthlessness lasting two weeks or longer. It affects mood, behavior, and physical health.

How can untreated mental illness affect an individual?

Untreated mental illness can significantly impact daily life, leading to a decline in mental health, physical health, and overall quality of life. It can also increase the risk of substance abuse and other health complications.

What mental health services are available for MDD in Orange County?

In Orange County, various mental health services are available, including medication, psychotherapy, and lifestyle support. These services aim to address individual needs and improve mental health outcomes.

How can I offer support to a family member with Major Depressive Disorder?

Offer support by encouraging them to seek professional help, being patient, and providing a listening ear. Educating yourself about MDD and available resources can also help you better support them.

What are the symptoms of a mental health crisis, and how can I get immediate assistance?

Symptoms of a mental health crisis include severe mood swings, thoughts of self-harm or suicide, and erratic behavior. For immediate assistance, contact emergency services or a mental health crisis hotline.

Can Major Depressive Disorder co-occur with substance use or abuse?

Yes, MDD can co-occur with substance use or abuse, as individuals may turn to substances to cope with their symptoms. Integrated treatment addressing both mental health and substance abuse is essential.

What types of therapy are effective for treating Major Depressive Disorder?

Effective therapies for MDD include Cognitive-Behavioral Therapy (CBT), Interpersonal Therapy (IPT), Motivational Interviewing (MI), and Experiential Therapy. These therapies help manage symptoms and improve mental health.

Are there resources available for homeless individuals with Major Depressive Disorder?

Yes, homeless services and mental health resources are available to support homeless individuals with MDD. These services aim to provide shelter, medical care, and mental health treatment.

How can health care providers support individuals with Major Depressive Disorder?

Health care providers can offer support by diagnosing the condition, prescribing appropriate medications, and referring patients to mental health services and therapy. Continuous monitoring and adjustment of treatment plans are crucial.

What should I do if I suspect a family member is experiencing a mental health crisis?

If you suspect a family member is experiencing a mental health crisis, seek immediate assistance by contacting emergency services or a mental health crisis hotline. Ensure they are not left alone and remove any potential means of self-harm.

What resources are available for managing Major Depressive Disorder?

Resources for managing MDD include mental health services, support groups, educational materials, and online resources. These can help individuals understand their condition and find the necessary support.

How can Orange County residents access mental health services for MDD?

Residents can access mental health services through local health care providers, mental health clinics, and community health organizations. Many services offer personalized care plans to meet individual needs.

What impact can Major Depressive Disorder have on an individual's health?

MDD can affect physical health by causing fatigue, changes in appetite, and sleep disturbances. It can also lead to chronic health issues if left untreated, highlighting the importance of seeking timely mental health care.

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