About depression

The following questions will be asked about your experience in the last 2 weeks. To explore the You and rating scales Symptoms or opinions and feelings about that at any level.

1. I do not mind or paleness (Throughout the day)
2. I feel like crying bitterly.
3. so desperate
4. I was not happy with what I like and do.
5. disappointed in myself And blame what happened
6. I lost confidence in themselves.
7. I want to be alone I deflected.
8. I have no value
9. Lesson
10. simple forgetfulness
11. What was slower than usual.
12. What lingering slow than normal.
13. Easy as fatigue, weakness.
14. Food was bored Eat less,
15. I do not have a dog sleep.

If you answered 'a' from 6 items or more means with depression. Should receive counseling from an expert. Or doctor for treatment.


Depression is a disorder which can occur during the life of the people. Unlike other physical ailments such as diabetes, high blood pressure. Being depressed does not mean that. Who will be the weakest failure or inability. But this is just one illness. Was both a cause such as the loss of a divorce and was frustrated by itself without any reason. Currently, the disease can be cured by medication. Psychological treatment Or a combination of both

According to a study by the World Bank in collaboration with Harvard University's research was that by 2020 depression will be a global health problem, the 2nd from coronary heart disease. The economic and social factors However, the situation in Thailand is a major depressive disorder who were watching the 4th, which is the society must be given priority. Because depression is affecting the economy and society at large.


Causes of depression

If you have a history of illness in relatives. Was added to patients with other members of the house. But it does not mean that It is all here! Factors that motivate people with these risk factors. Likely cause is stress, however, that no one ever had was probably born with this disease. These patients were found to have abnormal levels of chemicals. The brain created In order to balance the emotions

Mental state caused by the raised risk is a factor to another. To depressive disorders as well. People who lack self-confidence, self. And the world that he is in the negative all the time. Or simple stress When faced with the storm Have made him a sick easier.

Also, if you live with a big loss to chronic illness. Relationships with close people unpleasantly. Or require a change in the way that I desire. It may induce depression attack.

Cause to stimulate depression is common. The presence of both genetic risks, coinciding with the state of mind to face the dire situation among the three factors.

There are people who commit suicide as many as 60 percent of patients with depression. By people with this disease When faced with disappointments or problems in life. Whether it's about family, love, or patient education to the idea of ​​suicide than people usually up to 3 times the Survey of Thailand suffered from depression to 5 percent, or more than 3 million people are excluded. The people who know themselves sick. And genetic diseases are transmitted from parents to children as well.

Depression caused by disorders of the brain chemical called Serotonin (Serotonin) is reduced, the patient is feeling sad, frustrated, disgusted, not enjoying life insomnia, waking at night. Frequent nightmares Hence, the ability to work down. This genetic disease is transmitted from parents to children. But that does not mean Patients must always be suicidal. Depending on environmental factors and shock.


Characteristics of people who suffer from depression tend to like scopolamine alone repeated slowly seep keep you insinuate that without him nothing would be nice. And say to them continually. Patients with symptoms, about 2-3 months is the most dangerous. I have a very high suicide suicide. If there is just a little emotional impact. But out of this range, it will return to normal and the symptoms are aggravated when it is not known in advance, some 1-2 years, it will be delayed for some six months, but only if you know you are sick, it can be treated. cured With the psychiatrist and take medications as prescribed.


Depression with suicide in adolescents.

Information gained from the study of mental health. To study the problem of suicide in high school the year 2547.

From the study of the thought of suicide and high school students, vocational. Around Bangkok school children found that 1 in 10 people have suicidal thoughts. As a child Years. A lot of high school students, 15.7 percent more than doubled. Among the causes of suicide are three main factors that depression is caused by genetic and environmental stress. Being abused in childhood Which affect the mind and behavior change. These children will enjoy the challenge. Event risk of pain Emotions difficult to control emotions And substance abuse In particular, pharmaceutical, chemical and volatile.

According to the issues in depth with a group of students in the two groups, a group of students and the economy over the middle. By a recognized Been abused in childhood before. Whether it was beaten for no reason. Or severe physical abuse as children who have a habit of using drugs is the most vulnerable to suicide. Because of the high rate of self-harm emotions. Control of incoming And often, regardless of the consequences when doing it.

Children who have to keep a special eye on children with symptoms like loss of appetite, learning to hold the tears fall with a history of self-harm and drug use. Because these behaviors are indicative of the symptoms of depression. And life issues Opportunity to make serious decisions to the body as possible higher than children with normal appearance. Teachers and parents should take care closely.

A survey of mental health and substance use among adolescents in school year 2547 Department of Mental Health. Ministry of Public Health Meet students and high school years. A depression of 16.41 percent, or about 1 in 6 people with depression by students. Bangkok with depression up to 20.63 percent of the Northeast 17.28 Southern 15.60 percent and 15.15 percent over the central region of 14.14 which is caused by a broken family financial problems and learning.

Depression is often overlooked due.

1. Most patients come to the doctor with symptoms. This is because I do not know how to change the mood and spirit of the tree. The symptoms of the disease.

3. Medical patients each day, often found in patients with physical diseases. So the questions are so focused on the symptoms of the main body. The problem of depression, some patients may have been responding to treatment, according to Art of physical appearance, as some patients come to the doctor with symptoms such as headaches, back pain, and so on.

Thoughts of death Or suicidal ideation is common in patients with major depressive disorder. The retrospective study of suicide, depression was found to be a problem, so in 45-64 percent of patients with depression have all asked about the idea of ​​suicide. To assess the risks that affect the sentencing guidelines to help.

The patient's psychological question.

Patients often have a negative concept. See they have more symptoms, the disease is incurable. Or not a person. To tell you the symptoms and diagnosis of patients, emphasizing that the problem is not rare. Doctors who treat patients in this way is always the disease and the treatment is effective. That has helped many patients.

Patients may notice symptoms such as headaches, palpitations, back pain, numbness, burning, according to which doctors often report that found that regular physical examination. These are the symptoms of patients thought to myself. The study found that patients with physiological changes as the cause of these symptoms are real. Moreover, the concept of the negative, self-interest over the body of the patient, the symptoms are more. When depression improved symptoms are improved. So when patients report these symptoms should listen. Of Understanding And explain the symptoms are often associated with the disease. Improved with treatment

To find relatives of the patients are very important in Thailand. In addition, to assess various factors involved. To ask for feedback on the patient's relatives, Correction of misconceptions, and provide advice to the relatives of patients is very important. Most patients have to rely on relatives or family. And relatives are often the people who brought the patient to the doctor each time.

Drug therapy

The main treatment currently include the use of antidepressant. (Antidepressants), especially during the first patients have a lot to live. Some of the transcripts found to be successful in treating people equally with the drug. Especially in patients with mild symptoms. But will not be discussed here since they focus on medical treatment can be used.

The treatment is divided into three stages according to the disease. The treatment in the acute phase aims to reduce the symptoms of the patient. Maintaining continuity of medication remains connected even if the patient is warm in order to prevent relapse. And in some patients may require long-term treatment to prevent a relapse of the disease.


The treatment of patients with depressive symptoms do not improve within a few days, some drugs have side effects that patients can not stand. It takes several months to heal. Cause the patient to a lack of follow up treatment. The information and instructions, it is important to increase cooperation in the treatment of patients. In particular, the side effects of medication, duration of symptoms improved. The drug is not a sleeping pill and no drug.

Not all antidepressant drug treatment of depression immediately. Generally, you will see results after 1-2 weeks in some cases medication may be longer than this. However, in the meantime, the patient will feel better than other areas of medicine such as better sleep, decreased appetite, anxiety reduction and so on.

Antidepressant may be divided roughly into two major groups, groups with a tricyclic structure and synthetic drugs, which came up during recent years.

Advantages of tricyclic drug is a drug used in the treatment has been long known to the adverse effects of each drug, the performance is confirmed. In the treatment of acute and long-term protection, and cheap.

Effective in the treatment of antidepressant individual is not different. The difference in side effects. This includes new drugs as well. In the selection of medicines, we consider the following factors, respectively.

If a patient who had been sick, and healed before. Medical history was an important Patients usually respond to the drug. And previously used Therefore, the drug should be used as the first character.

New Memo to questions frequently occurred.

Drug treatment of depression tend to act by increasing the level of Serotonin in the brain generally takes about two weeks to see the effects of the drug. So we must not be impatient If grief is far better within 2-3 days, let him take the medicine as prescribed for two weeks, we'll be getting better.

When a patient feels better, to remember what it is. Must eat out because symptoms are getting better. That does not mean I'm fine in the weeks following the onset of the pills are better feeling sad is reduced. Mind is enlightened If symptoms do not improve, we should consult a doctor because it may need to adjust the dose of the medication to be more appropriate.

1. How do you stop the medication

Your doctor will determine whether we should stop the medication when. The important thing to remember is that. If we discontinued prematurely or before Serotonin levels in the brain to return to normal Depression may attack. In general, the doctor will take the medicine for about 4-6 months after the onset of symptoms better. So if we need to stop the medication should consult a doctor first. Generally without any adverse effects from taking the pills for a long time.

2. The prohibition of the drug.

Drugs used to treat depression that. Needs to be done with caution Especially if the patient has other physical ailments. Other drugs or eating it. So, we should let the doctor in charge of the view that we have a disease, and having drug exists.

3. Side effects of drugs

If we take the medicine according to the size and the time the doctor ordered. It's usually not found any side effects, however, some patients may be more sensitive to medications and adverse events, some in the first instance, may include nausea, headache, drowsiness or insomnia, etc., but these symptoms are. disappear within two weeks when the body begins to adapt. In general, side effects are usually mild and can get your own. But if we come up with a lot of discomfort, we should consult a doctor.

4. Do not forget to eat.

Depression drugs will be beneficial to eat every day on a regular basis. So essentially, we must not forget the pills. Another way to help is by poisoning them not to forget where we see a simple (but be careful not to allow children to have) and eat at the time. For example, every day after dinner After brushing or Or before going to bed, etc.

If we forget to take medicine on time. As soon as I got it to eat. And eat the next meal schedule. But if one day we forgot to take medicine, do not increase the size of the next day. Instead, eat in size and at the same time.

5. The Depression again.

Some people may have mild depression only once or twice in a lifetime, but some may have several times. People who have had it many times. Depression is often a time in a long time.

Because depression often have an impact on their lives and relationships of many studies. Your doctor may recommend that you take the medicine for more than 6 months in order to prevent a relapse. So we should follow your doctor's instructions carefully.