Canadian Centre of Integrative Psychology & Healthcare (CCIPH)

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What is Major Depressive Disorder?

Major Depressive Disorder, also known as clinical depression, is a serious mental health condition that affects millions of people worldwide. It is characterized by persistent feelings of sadness, hopelessness, and a lack of interest or pleasure in activities that were once enjoyable. These symptoms can significantly impact a person's daily life, making it difficult for them to work, socialize, and carry out daily tasks.

According to the DSM-5, the diagnostic manual for mental disorders, the criteria for Major Depressive Disorder include:

1.     At least one major depressive episode, which is defined as a period of at least two weeks during which a person experiences depressed mood or loss of interest or pleasure in activities, and at least four additional symptoms such as a change in appetite or sleep, low energy or fatigue, low self-esteem, difficulty concentrating, or suicidal thoughts.

2.     The symptoms cause significant distress or impairment in social, occupational, or other important areas of functioning.

3.     The symptoms are not due to a medical condition, substance abuse, or another mental disorder.

It is important to note that a person must experience at least one major depressive episode to be diagnosed with Major Depressive Disorder, but they may also experience recurrent episodes throughout their lifetime.

Treatment for Major Depressive Disorder typically involves a combination of medication and therapy. Antidepressant medications, such as selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants, are commonly used to help alleviate the symptoms of depression. These medications work by balancing the levels of neurotransmitters in the brain, which play a role in mood regulation.

Cognitive-behavioral therapy (CBT) is a type of therapy that can also be effective in treating Major Depressive Disorder. CBT helps individuals identify and change negative thought patterns and behaviors that contribute to their depression. Other types of therapy, such as interpersonal therapy and psychoanalytic therapy, may also be helpful in addressing the underlying causes of depression and helping individuals improve their relationships and communication skills.

It is important for individuals with Major Depressive Disorder to seek treatment as soon as possible, as untreated depression can lead to serious consequences such as substance abuse, social isolation, and even suicide. It is also important to note that treatment may not be effective for everyone, and it may take some trial and error to find the right combination of medication and therapy that works for an individual.

If you or a loved one is experiencing symptoms of Major Depressive Disorder, it is important to seek help from a mental health professional. Treatment can help improve quality of life and reduce the risk of future episodes. Remember, you are not alone and there is hope for recovery.