There are actually only a few cases of depression that are actually caused by brain genes. The occurrence of depression in most people is closely related to their growth experience. And speaking of it, not only depression, but also all psychological problems are caused by personality factors, which are caused by insufficient personality (character) development. During the consultation process, I really saw too many friends who were mentally traumatized when they were very young, and these constitute various components of our personality. Especially those parts that constrain our lives and prevent our minds from being free. In this way, we live in the past at some point, and therefore have no ability to choose better coping methods based on the changed environment - that is, lack of a sense of competence. A sense of competence in different environments. Therefore, the ultimate cure is to reshape one's personality.

As for why there are so many depressed friends taking medicine in our country, it is because knowledge about depression and mental health is not popular, and there are very few institutions that specialize in psychological counseling. Friends with depression usually They all go to the hospital, so taking medicine has become the main way to treat depression. In addition, people usually think of treatment only when depression is more severe. They may not pay attention to it at first, or they may not know about it at all. When severe, the biochemical processes of the brain usually change. This is caused by the accumulation of long-term negative emotions in the brain, in a gradual and continuing process of change. For some people, taking medicine can quickly adjust the brain's biochemical processes and return them to normal. Medication only treats the symptoms but not the root cause (unless it is caused entirely by physiological reasons). If the factors in the personality that cause depression are not changed through psychological counseling or self-reflection, it is not surprising that depression will relapse again. The same goes for other psychological problems.

From my personal point of view, to truly get rid of depression and other psychological problems, psychological counseling is the solution. Too many friends have been taking medicine for many years. Not only have the problems not been solved, but the symptoms have become severe. Especially for obsessive-compulsive disorder, it is even worse, leading to the persistence of symptoms and a greater impact on the individual.

I wrote so much today, and it really comes from my thoughts.

With correct and timely treatment, we can say goodbye to depression and other neuroses. Pain is not our life, happiness can actually belong to each of us!

1. Definition of depression

Depression is a group of mood disorders or affective disorders with depression as the main symptom caused by various reasons. It is a group of clinical symptoms centered on the self-experience of depressed mood or state. Depression is an unpleasant state of mind.

The so-called depressive mood refers to a dominant depressive mood or depressive mood experienced over a long period of time.

The concept of primary depression: refers to depression without other mental diseases and clinical diseases in various disciplines before the onset.

2. Characteristic symptoms of depression

(1) Persistent depression or low mood

This kind of depression usually lasts for more than two weeks and is an important manifestation of depressive mood. Characteristic symptoms. It is different from the depression and depression that normal people experience when they encounter setbacks.

1. Characteristics of depression in normal people

(1) There are objective adverse life events, and depression occurs after being stimulated by this life event. The nature of the life event can explain the occurrence of depression.

(2) The duration of depression is generally short-lived, such as hours and days.

(3) Being depressed and depressed does not happen every day, let alone all the time.

(4) Depression can be improved with the comfort and persuasion of family members and friends.

(5) Changing the environment, such as traveling, visiting the park or encountering something happy, can dilute the unpleasant mood or make you happy. Or your mood may improve as life events disappear.

(6) Generally, with the passage of time, unpleasant emotions gradually fade away.

(7) Generally it does not affect work, life, study and social interaction.

(8) No other symptoms of depression, such as cognitive impairment, physical disorder, etc.

2. The depressive characteristics of depression

(1) It can occur in good times without objective adverse life events, leaving family members and friends puzzled. , even the patient himself can't find the reason, feels inexplicable and feels bad and depressed.

(2) Some social and psychological life events may occur before the onset of depression, but such life events have no obvious causal relationship with the occurrence of depression. And the mood does not improve with the elimination of life events.

(3) Low mood. Depression often lasts for weeks or months. Without treatment, it can last for more than a year or several years.

(4) Depression occurs almost every day and is difficult to eliminate without treatment.

(5) General comfort, persuasion, and changing the environment are difficult to improve their depression.

(6) During the period of depression, happy things cannot improve the mood, and the person does not feel happy because of happy things, and feels unhappy.

(7) Depressive mood does not fade as time goes on, but on the contrary becomes more and more serious.

(8) Depression often affects work, study, life and social interaction.

(9) Have other symptoms of depression, such as cognitive impairment, loss of energy and lack of symptoms.

(10) The occurrence of depressive mood in depression has its pathological and biochemical metabolism basis.

(11) The depressed mood of some depression (endogenous depression) has changes in the rhythm of morning and night, and this change has a biochemical metabolic basis. The depression is obvious in the morning and morning, starts to lighten at dusk, and gets lighter at night. For exogenous primary depression, the mood is often better in the morning and worse in the afternoon, especially at night.

3. Subsequent symptoms caused by depression

(1) Decreased self-esteem, self-deprecation, low self-evaluation, denying the achievements you have made, denying your own advantages, see All you see is your own shortcomings.

(2) Inferiority concept: Belief that one is inferior to others in every aspect and that everyone is worse than oneself. I feel incompetent and inferior to others in study, work and life.

(3) Decreased self-confidence: Thinking that you can’t do anything well, or that you don’t have the ability to do a good job in work, study, or social activities. When things happen, you shrink back and would rather push than accept.

(4) Concept of self-blame and self-guilt

(5) Suicidal ideation and behavior: Believing that one has nothing to contribute to society and family while living in the world, and adds burden to people, or is it better to die? OK. Or he may die to apologize for his crime.

(6) In attention disorder, active attention is easy to focus, and it is fixed in the experience of depressed mood and illness concepts, that is, active attention is enhanced, and external things, especially things related to delusional concepts, also cause it Attention, that is, passive attention is enhanced, and because the mood is depressed, the excitement and concentration of attention are also slow, so attention is slow. Attention is focused on the experience of depressive mood and morbid concept experience, which is not easily transferred to work, study and life.

(7) Memory disorders due to low mood can easily lead to memories that cannot be recalled at ordinary times and are not taken seriously, which shows that the memory of distant events is enhanced, especially the memories of unpleasant things, and the past events are "mistakes". ”, “shortcomings”, being useless, doing nothing, but blaming yourself, pitying yourself, being sad, and sighing. It produces lamentations about the past that cannot be looked back on. Because the attention is fixed on the inner experience of depression, the experience of morbid ideas makes it difficult to pay attention to the things that objectively need to be remembered in daily life. In addition, the slow concentration of attention on excitement and the slowness of thinking and association can easily cause the decline of instant memory and near memory. Some may even feel unfamiliar and alienated from familiar people and things.

The above symptoms of cognitive impairment caused by low mood can be regarded as subsequent manifestations of depressive mood or depressive mood.

These secondary symptoms may vary from person to person.

The following is the second characteristic symptom of depression:

(2) Inability to experience emotional experiences

1. Emotional experience cannot be another characteristic symptom of depressive mood. On the one hand, there is no joy and no joyful experience. On the other hand, it may also manifest itself in the inability to have corresponding inner experiences of things that make people sad, angry, and fearful. Although I know the nature of the event intellectually and know that I should have corresponding inner emotional feelings, I don't have the corresponding feelings. I feel like "I have no emotions", "I have changed into a ruthless person", "I am simply a wooden person"...

2. Continuous symptoms of inability to experience emotions

(1) Loss of interest manifests itself as a lack of interest in all entertainment, hobbies and activities.

(2) Reduced passive attention

(3) Social withdrawal manifests as unwillingness to participate in social activities, not interacting with relatives and friends, and appearing withdrawn and withdrawn

(4) Decreased self-esteem and self-confidence, obvious feelings of inferiority and self-blame

(5) Suicidal ideation

(6) Depersonalization due to lack of inner emotional experience, so I feel like a "walking zombie" , "Only an empty body without a soul", "I no longer exist".

(7) Reality disintegration manifests itself in the feeling that objective things are not real and specious.

(3) Inability to express emotions

1. The inability to express emotions is another important characteristic symptom of depression. It can also be the first symptom of depression, appearing in the early stages of a depressive episode. It is manifested in the ability to recognize the nature of joy, joy, sorrow, anger, and fear in objective things, and to have corresponding inner emotional experiences, but cannot express these inner emotional experiences with facial expressions, actions, words, and deeds, especially with facial expressions. That is, a disorder in the expression of emotion or emotion.

2． Subsequent symptoms caused by the inability to express emotions

(1) Social withdrawal: Because the person cannot express emotions, he is unwilling to interact with others for fear of being misunderstood and criticized.

(2) Inferiority concept and low self-evaluation

(3) Self-blame concept

(4) Decreased self-confidence

3. This inability to feel or grieve is an important diagnostic sign of depression and is at the core of the experience of depression.

(4) Lack of energy

1. Lack of energy refers to an individual's lack of mental activity, physical activity, body internal organ function, motivation or vitality, resulting in various symptoms.

2． Symptoms of lack of energy

(1) Cognitive activity decline, such as decrease in sensory perception ability, sensory comprehensive ability, attention, memory, thinking ability, activity ability and effectiveness. Significant decline in work, study, life, social skills and efficiency. A decrease in the ability to excite or uplift emotions.

(2) Inhibition of physical and mental activities or inhibition of movement shows the following symptoms:

a. Decreased physical strength or strength, with prominent symptoms of fatigue and general weakness. Doing a little bit of work, even doing some housework, makes me feel exhausted.

b. Decreased mental activity, highlighted by feeling tired and panicked after even a slight amount of mental activity, and decreased work and study efficiency.

c. Poor initiative and enthusiasm. No matter work, study, life, or social activities, there is a lack of initiative and enthusiasm. They become passive, passive, procrastinating, lazy, and lack enthusiasm, energy and vitality.

d. Live a lazy life and are too lazy to pay attention to daily personal appearance, clothing, daily diet, personal hygiene, etc.

f. Decreased motivation and desire.

There are also some other symptoms. Because they are not very common, and in order to avoid misunderstandings by some friends, they may scare themselves and worry too much about their own problems, so I will not provide this information.

Because it is more appropriate to go to the hospital for diagnosis and treatment, many other physical diseases can also cause some symptoms of depression.

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