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Monday, May 7, 2018

Depression by Kelli Cook




      Imagine waking up in the morning and feeling paralyzed with sadness. You feel so empty it hurts to move or even exist.  At school you push away your friends and keep quiet.  The irritability takes over and influences your choices and actions.  How can you go on feeling like this?   You may be thinking, what is wrong with me?   Altogether, these symptoms can be diagnosed as depression.   Over 350 million people worldwide suffer from depression and this number keeps growing (“Depression: Facts, Statistics and You”).  Depression is problematic and can be classified as a mental illness.  Your brain has trouble regulating moods and chemical levels.  This sadness can be caused by a variety of factors such as peer pressure, genetics, and substance abuse.  This mental illness can cause eating disorders, suicidal thoughts, and even suicide.  A depression epidemic is sweeping across the globe and its victims and the medical community are not prepared to take it on.
      Before the 1950’s, depression was not a well-known mental illness.  Some even failed to recognize its existence.  The theory of depression can be dated all the way back to ancient Greece.  A well known ancient philosopher, Hippocrates, created the idea that an imbalance in the four humours, with an excess of black bile put people at risk of developing melancholy.  He thought the imbalance was caused by trauma or other stressful events.  In the beginning of the Dark Ages, doctors began to develop ways to reduce the feelings of melancholy that some people might experience  For example, they believed that walking and vacationing would prevent such illness.  As Hippocrates’ influence began to fade, Christianity shaped the peoples’ views on depression. They thought demons, devils, or witches caused depression (Springer).  Treatments were demonic and humiliating. In the early seventeenth century, it was common for humans with depression to be executed for “being a witch”.  On the other hand, some select physicians reverted back to Hippocrates’ ways of thinking.  In 1621, Robert Burton published his book, “The Anatomy of Melancholy” in which he discusses the causes and the prevention of depression.  In the late 18th and the early 19th centuries, doctors had the common belief that depression was inherited from family members.  They thought that depression was an unchangeable state.  This led certain people to think that people suffering from depression should be locked up or institutionalized.  In the 20th century, psychoanalysis became a common treatment for depression.  A popular psychiatrist named Sigmund Freud created the idea that depression was caused by a loss or symbolic loss like that of a failure to reach a goal or a certain state.  During the 1900’s, physicians came up with many new and some effective treatments.  Medicines such as isoniazid were found to help reduce the symptoms of depression.  Cognitive behavioral therapy and psychodynamic therapy were thought to be the most helpful (Nemade).
     In the United States, the number of people affected by depression is growing.  How does this affect our society?  Sixteen point one million Americans deal with this illness on a daily basis (ADAA.org).  Many people that suffer from melancholy find comfort in staying at home alone or retreating to their bedroom. This anti-social behavior affects society as a whole.  Because of this, there will be a decrease of people out and about and fewer social interactions would be observed.  This behavior could also later on cause social anxiety because a person would have less experience with social situations.  For example, “If you're someone that never really interacted much with others growing up, then you're also going to be someone that feels very uncomfortable in social situations, which over time can lead to anxiety”(“Social Anxiety”). Humans are meant to participate socially and learn from interactions.  Psychological and emotional isolation affects one’s brain chemistry that leads to depression.
     Many social situations feed into the creation of depression.  The environment in which a person lives in everyday life can include specific triggers that cause melancholy.  According to personality research, “Socialization is key to maintaining healthy relationships and feeling well deserved and part of someone's life.  Depression can have an adverse effect on the social capacity of depressed persons, affecting their social functioning and ability to react and deal with stressful situations” (Beattie). Someone who is depressed has low self-esteem and because of this, a person can become more sensitized to people’s opinions and views. As the depression epidemic becomes a bigger problem, an increased number of people are staying inside and are not socializing with others. This provides a sense of isolation across the world.  The more that people feel isolated, the more likely their depression will worsen.
      Social pressures have caused humans to feel more alone and melancholy.  The most common form of modern day social pressure occurs on social media.  Many accounts show how life is “supposed” to be lived.  In reality a person cannot always have the perfect body, travel the world, nor have a perfect lifestyle. These types of posts set the bar high for teenagers and makes them ponder what they are doing wrong.  Another common type of social pressure is peer pressure.  Many people want to fit in so they pretend to be someone they are not.  According to Yale’s article entitled Peer Pressure and Depression in Teenagers “Peer pressure demands that they (teenagers) act in ways with which they are not comfortable, it can cause teens to suffer from low self-esteem, anxiety, and depression”(Yael). Especially in the teenage years, peer pressure is prevalent. There is pressure to fit in and have a group of friends. When a person seems like an outcast, it is important to try to include them so that they do not feel isolated or lonely.
   Depression alters one’s thinking and view on everyday life.  A person like me, who suffers from depression, finds it hard to maintain stable relationships throughout long periods of time. This is due to the drastic mood swings and irritability that comes along with it.  Sometimes it is hard to get out of bed in the morning because you know you are going to have to talk to other people.  It gets to the point where you start pushing all close friends and family members away because the sadness just takes over your thinking ability.  Being isolated like this gives you a sense of comfort and the want to be alone becomes a repeated behavior.  When at school, you withdraw from all social activities and schoolwork, which affects your grades.  Keeping up with everything and everyone seems almost impossible.
      A risk factor of depression in obesity. If a person does not get the right amount of brain nutrients, they will not feel energetic or focused. Along with the depression epidemic, obesity plagues over 36.5% of people across America (“Overweight & Obesity”).  Obesity includes not taking care of oneself nor getting the right type of nutrients in your diet.  Most Americans struggle with getting the nutrients needed for keeping a healthy mind.  According to Mayo Clinic, omega 3s, magnesium, folate, B vitamins, and low glycemic foods have a link to a healthy mental state.  The micronutrients listed play an important role in planning a diet and meals.  In order to maintain a healthy brain, it is necessary to have a nutritious diet filled with whole grains, protein, vegetables, and fresh fruit (Nelson).  Vitamins and proper nutrition have powerful effects on the body and could work better than antidepressants. In recent research, Francis found that “the inventor of the antianxiety drug Valium later discovered that B vitamins could produce exactly the same benefits as Valium, without side effects or addiction” (Francis).  In conclusion, Americans with the assistance of nutritionists and health care professionals must make a change in their diet and lifestyles to help stop the depression epidemic and promote a stable mind.
      Depression can be treated in a variety of ways. It is up to the patient to seek out help and take care of his or herself. Antidepressants are among the most popular treatments. SSRIs, or selective serotonin reuptake inhibitors, is the most common antidepressant drug. Serotonin is a neurotransmitter in the brain, which control moods. In the parts of the brain that regulate moods or emotions, serotonin levels might be off. By blocking the reuptake of this neurotransmitter, it allows serotonin to build up between neurons so that messages can be sent correctly between the cells. Some of the SSRI medications include Prozac, Zoloft, Paxil, Celexa, and Lexapro. Along with SSRIs, other medications can be taken to reduce the symptoms of depression such as atypical antidepressants, Tricyclic antidepressants, and SNRIs. It is necessary to get the right diagnosis so that you can directly start treating that problem (“Depression MDD”).  Depression can be caused by other illnesses such as bipolar disorder, Cyclothymic disorder, and Borderline Personality disorder. If you do not treat the underlying cause, the depression will make its way back into a person's life. For an example, I suffer from Bipolar I disorder. Before I was diagnosed, my depression kept on coming back and I did not know why. After I found out I had this illness, it seemed to make sense because of bipolar’s mood cycles. After I directly treated the Bipolar illness, my depression stopped coming back. Since depression is prevalent, it is important to recognize the symptoms so you can get the help you need.
      Along with medications, Psychotherapy has shown to help people suffering from depression. During psychotherapy, a patient learns how to recognize their moods, feelings, thoughts and behaviors (“Psychotherapy”). According to a study done by Seth Gillihan and other doctoral students, Cognitive Behavioral Therapy is effective.  They conducted a trial to determine what type of treatment was most effective between antidepressants and behavioral therapy. “After 16 weeks of (behavioral therapy) treatment, 58% in each group had experienced significant improvement (and both groups beat placebo). Recent reviews confirm what this study found, including a showing that medication and CBT work equally well in relieving depression.” To determine a effective treatment plan, it is important to see a professional. Typically, they will provide patients with medication and a reference for behavioral therapy.
      An important part of treatment is not to isolate and to accept oneself. Our modern day society can be harsh when it comes to any social activities. If you purposely disclude somebody, it will cause them to have an even lower self-esteem. Self-love and acceptance is a major key in the recovery process. In a 2007 study, scientists studied how perfectionism and depression are linked:
Unconditional self-acceptance mediates the effect of socially prescribed perfectionism on depression, and for a more generic model, in which the core construct of perfectionism can have negative consequences, which lead to low levels of unconditional self-acceptance, and thence to depression. Finally, a distinction was drawn between developmental and operational models of perfectionism (Scott).
It is crucial to realize that not everything is perfect and that people should accept themselves for who you they are without being too critical. If one does not have love for his or herself, it will soon be linked with low self-esteem and then depression.
      Albert Camus was an author and a philosopher. Although Camus did not have a lot of training as a writer, he made important contributions and asked the right questions. Most importantly, he questioned life. Many people describe Camus as an existentialist author. To Camus it was absurd that we are all separated, our lives are meaningless, we are powerless to influence our fate, and we are all going to die and face nothingness” (Naylor). Albert Camus would believe that this depression epidemic is absurd because he thinks that life is already meaningless and repetitive. When someone is depressed, life seems even more meaningless. He would think, how could a mental illness make life seem even more pointless than it already is? In the Myth of Sisyphus, Camus stated that, “I continue to believe that this world has no ultimate meaning.” Camus would think that people with depression fell victim to the absurdity of life. He would be pleased to see that depressed people are asking the same questions he did. Why is life so repetitive? What is the overall meaning and purpose of life?
      People suffering from this mental illness have similar views on life that Albert Camus did. He believed and promoted the estrangement of an individual from his or herself. In his story “The Myth of Sisyphus”, Camus tells a story of man doomed by Hades.  Every day he had to roll an immense round stone up a hill only for it to roll back down. This story makes life seem unvaried and absurd. In the story, Camus quotes, At this point of his effort man stands face to face with the irrational. He feels within him his longing for happiness and for reason. The absurd is born of this confrontation between the human need and the unreasonable silence of the world.” Everyday Sisyphus searched for a meaning in this world but never found one. The Gods thought he was too curious and they just wanted Sisyphus to keep busy. We can relate this to humans. Everyone has goals and ambitions, but we have to complete various meaningless tasks before we get there. When a patient is depressed, it seems to them that all tasks in life have no meaning or purpose. They are just something to keep them busy. Camus had this mindset when it came to life itself. The idea that there is no purpose in life appears in many of his writings and he believed that life is just a series of illogical and incoherent events.
      In conclusion, depression has become an alarming problem. This mental illness can be caused by a variety of factors and can be treated through medications or behavioral therapy. It is important for parents and teachers to create a friendly and non-pressured environment for students and adults. The American society can be harsh at times, which can encourage unhealthy habits such as isolation and low self-esteem. To stop this epidemic, our community, as a whole needs to promote acceptance, encouraging words, and healthy habits. By doing this, the rapidly increasing depression rates would slow to a stop.  It is up to individuals to make these changes. In the long run, America will be a happier and healthier country.













Works Cited
Beattie, Gregory S. “Social Causes of Depression.” Personality Research, Nov. 2005, www.personalityresearch.org/papers/beattie.html.
Camus, Albert. The Myth of Sisyphus. London: H. Hamilton, 1965. Print.
“Depression: Facts, Statistics & You.” Healthline, Healthline Media, www.healthline.com/health/depression/facts-statistics-infographic.
“Depression (Major Depressive Disorder).” Mayo Clinic, Mayo Foundation for Medical Education and Research, 3 Feb. 2018, www.mayoclinic.org/diseases-conditions/depression/diagnosis-treatment/drc-20356013.
“Facts and Statistics.” ADAA, adaa.org/about-adaa/press-room/facts-statistics#.
Francis, Raymond. “The Depression Epidemic.” OAW Health, oawhealth.com/article/the-depression-epidemic/.
Gillihan, Seth J. “What Is the Best Way to Treat Depression?” Psychology Today, Sussex Publishers, www.psychologytoday.com/us/blog/think-act-be/201705/what-is-the-best-way-treat-depression.
Nelson, Jennifer K. “Nutrition and Healthy Eating.” Mayo Clinic, 23 May 2009, www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-blog/food-and-mood/bgp-20056183.
Nelson, Jennifer K.  R.D. “The Food and Mood Connection.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 23 May 2009, www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-blog/food-and-mood/bgp-20056183.
Naylor, Thomas H. “Albert Camus: Life Is Absurd, Rebél, Live, and Try To Die Happy.” Second Vermont Republic, 17 Apr. 2012, vermontrepublic.org/albert-camus-life-is-absurd-rebel-live-and-try-to-die-happy/.
Nemade, Rashmi. “Historical Understandings Of Depression.” Mental Help Historical Understandings of Depression Comments, www.mentalhelp.net/articles/historical-understandings-of-depression/.
“Overweight & Obesity.” Centers for Disease Control and Prevention, Centers for Disease Control and Prevention, 5 Mar. 2018, www.cdc.gov/obesity/data/adult.html.
“Psychotherapy.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 17 Mar. 2016, www.mayoclinic.org/tests-procedures/psychotherapy/about/pac-20384616.
Scott, Joe. “The Effect of Perfectionism and Unconditional Self-Acceptance on Depression.”SpringerLink, Kluwer Academic Publishers-Plenum Publishers, 9 Mar. 2007, link.springer.com/article/10.1007/s10942-006-0032-3.
“Social Anxiety.” What Causes Social Anxiety and Can It Be Cured?, www.calmclinic.com/social-anxiety/causes.
“The Stigma of Depression: History and Context.” SpringerLink, Springer, New York, NY, 1 Jan. 1970, link.springer.com/chapter/10.1007/978-0-387-72713-4_2.
Yael. “Peer Pressure and Depression in Teenagers.” Sage Day, 22 Nov. 2016, www.sageday.com/blog/peer-pressure-and-depression-in-teenagers.

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