Detecting depression in teens can be much more difficult than detecting it in adults. For one thing, as they proceed through puberty, they’re already likely prone to mood swings and a degree of gloom. It can be hard to distinguish these normal experiences from things like anxiety panic disorders and other problems stemming from depression. For all you know, the real problem may be that their face has broken out and a few acne treatments could make their misery go away. Yet there’s the real possibility of serious depression as well.
How can you discern whether your teen simply feels “blue” occasionally, or has full-blown depression and might need medical attention? If your teen’s gloomy moods aren’t balanced out by more positive things like good friends, interests and hobbies, or a generally good school experience, then these may be warning signs.
Depression in teens can manifest in lack of self-esteem, isolation and lack of concentration. And of course, if there is any talk of suicide, or any of these symptoms last for more than three weeks, you may need to find a depression treatment center.
Treatments can be varied, though having discussions with a therapist may be the best place to start. They’ll try to discover if you’re dealing with an anxiety disorder or if there’s a coming together of external influences that have created a perfect storm in your teen’s life, or a combination of the two. The best treatments may include a combination of psychotherapy and antidepressants.
If the depression is connected to disorders like anorexia or bulimia, then the teenager may benefit from some time in a mental health treatment center that would be better equipped to deal with all of the issues he or she is facing. They can also supervise the effects of antidepressants, which sometimes increase suicidal tendencies in teens rather than decreasing them.
Depression in teens is usually very treatable, especially when it’s diagnosed early. This doesn’t entirely prevent about 50% of them from having further depression problems in their adult life, yet effective treatment does result in the other 50% of teens being free from any further depressive episodes. Even for those who may experience it again, having received the best treatments and counseling as teenagers will equip them to manage it much more successfully as adults.
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Depression therapy for menopausal and peri-menopausal women can either be very useful, or in certain cases it might turn out to be somewhat misguided. This is because of a few misconceptions that have made the rounds for many years about what actually happens during this time in a woman’s life.
Menopause treatment is not at all the same thing as treatment for depression. Most mood fluctuations during this time simply relate to hormone changes, and may be managed with diet or hormone therapy, except in severe cases. This means that the drug products that work for depression, while they may bring some relief to menopausal women, might not address the real causes of depressive symptoms.
One of the facts that any menopause treatment has to take into account, is that estrogen tends to be a factor in mood enhancement, while progesterone is more of a mood de-stabilizer. Current treatments for the symptoms that accompany the transition into menopause usually involve hormone replacement therapy (HRT). And yet, if the woman has had post partum depression treatment in the past, or has a history of depressive episodes, then HRT can actually worsen the risk of menopause-related depression.
That would mean that such women might consider seeking alternative treatments to alleviate menopausal symptoms, to try to avoid increasing their depression risk even further. And while there are vitamins and supplements that can help, sometimes the best treatments will simply be to exercise and eat properly.
Making sure they eat a diet containing plenty of natural estrogens may improve a woman’s mood just as well as drugs, in many cases. A few examples of these foods would be lentils, beans, apples, broccoli, beets, tomatoes, squash and olives. And there are many more. All of this is part of the natural treatment of menopause in general, but depressive symptoms that go along with menopause are as likely to be relieved as other symptoms.
However, if a woman continues to have difficulty, and she really does need comprehensive menopause treatment like HRT, even if it might make the depression worse, then a doctor can recommend other standard methods of depression therapy be added to the hormone treatments. This would primarily include the prescription of antidepressants, along with the hormone treatments themselves. If a woman is severely depressed during this time of her life, it’s well worth exploring all possible health treatments to ensure that her transition through menopause is not a miserable experience.
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One disorder that the psychiatric profession finds hard to diagnose and treat, is delusional disorder. Diagnosis is difficult because delusions are considered “non-bizarre,” meaning the patient’s beliefs might theoretically be plausible, and they often function in the world. The person may not believe they have a problem, and since the most common form of the illness creates paranoia, they often refuse to find a therapist at all. Even if they do, the doctor can’t prescribe any drug products, since the delusion usually convinces the person that someone is “out to get them”. Hospitalization, too, would only reinforce that belief.
While paranoia is the most common manifestation, there are other types of delusional disorders as well, such as believing one is the secret love interest of a famous person, being convinced one has extraordinary abilities or is very important, worrying about physical problems or disfigurements that don’t exist, or believing that one’s romantic partner is unfaithful. Mental health treatment is often refused because of these convictions, which are impervious to any sort of disproof. The patient is convinced they are correct; meaning there is nothing to treat.
Medically, only a few current treatments have an effect on this disorder; therefore, the primary type of treatment will be psychosocial. And the best treatments will be indirect, with the therapist perhaps offering depression and anxiety panic treatments instead, since those may also be symptoms of the disorder.
The worst thing a therapist can do for a paranoid, suspicious patient is confront them directly about their delusions. They need time to build up some trust, and only then would the doctor begin gently challenging a few of the patient’s beliefs. Drugs would only be used if the patient’s delusional disorder was becoming dangerous or the condition was making them too agitated.
Therapists who are ready to use slightly different treatments, rather than adopt the more usual drugs or typical psychotherapy approaches, may gain the patient’s trust enough to begin exploring any doubts the person expresses about their own beliefs. The two of them can work in partnership, gradually discovering real-world explanations for those beliefs. If the therapist treads carefully and uses tactfully, then the two together may work through the delusional disorder and affect a cure.
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