Depression
Depression is a mood disorder that causes a persistent feeling of sadness and loss of interest. Also called "major depressive disorder" or "clinical depression", it affects how you feel, think and behave and can lead to a variety of emotional and physical problems.
Major depressive disorder (MDD) is an example if a mental health disorder with feeling of:
- sadness
- guilt
- worthlessness
- and hopelessness,
followed by a high chance of suicide. MDD is the most common unipolar affective disorder, with a yearly increase in morbidity and a high risk of mortality, which increases social and economic burdens . Despite substantial advances in treatment of patients with MDD, the rates of recurrence remain high.
Depression:
- Causes by decrease of neurotransmitters (monoamines) (serotonin – norepinephrine - Dopamine). Insufficient of the monoamines – in the post synaptic neuron – the neuron will start to express more receptors to take in more monoamines.
- Decreases the hippocampus and pre-frontal cortex with increased stress.
- Learning complex problems – increases the neurons that are synthesized.
- UP-regulation of neuron receptors due to the low levels of monoamines – TX causes down regulation of post synaptic neurons once and if it re-models.
What does serotonin do? – stable feeling of well-being – not a real high but a stable well-being – state of euphoria – bowel function (mostly found in GI tract and brain) – Mood – contributes to clotting – increases feeling of nausea – increased osteoporosis – associated with sexual functioning. (causes decreased libido).
What does Dopamine do? - PLEASURE – regulated movements – Parkinson disease (has defiance in dopamine) – psychosis with increased levels.
What about norepinephrine – fight or flight response – increased alertness – arousal – retrieval of memory – increased restlessness – increased anxiety
Depression and Anxiety have Increased over Time
◼ Ever having been diagnosed with either anxiety or depression among children aged 6–17 years increased from 5.4% in 2003 to 8% in 2007 and to 8.4% in 2011–2012
◼ Ever having been diagnosed with anxiety increased from 5.5% in 2007 to 6.4% in 2011–2012
◼ Ever having been diagnosed with depression increased from 4.7% in 2007 to 4.9% in 2011-2012
We utilize a holistic approach in our treatment of depression. Once we have determined the primary depressive diagnoses, we then target medications that meet the highest evidence for treatment. Psychotherapy will be incorporated in each session as well as individual sessions. Each provider will use a specific set of psychotherapeutic skills to accomplish the goals you have created.
The Bass Wellness Center of New York with Board Certified Nurse Practitioners in Psychiatry. Providing all NYC mental health services, holistic medicine, Psychotherapy and Telehealth Psychiatric Practice.
To learn more more visit:
OR FOLLOW US ON SOCIAL MEDIA
@BASSWELLNESSCENTER