13:49 ET DEPRESSION SCREENING CAN HELP EVERYONE
On that day, you can get a free screening for depression in your local
area. You won't be asked your name and no one will make any judgments
about you. You will be given the opportunity to answer questions on a
printed form and meet individually with a clinician for a brief
screening interview.
As readers know, I stay on the soapbox calling for mental disorders to
be given equal parity with ''physical'' disorders in our healthcare
system and in how society thinks about them. The reason is that mental
disorders are physical disorders, and clinical depression is one of
them.
Depression is a disorder in areas of the brain that process thoughts
and feelings. It may be due to an imbalance of neurotransmitters or to
a flaw in the expression of receptors that the neurotransmitters plug
into. When something goes wrong in these brain areas, it cannot help
but be reflected in a person's thoughts and feelings.
In the case of depression, you may feel helpless, worthless and
hopeless. You may feel like giving up. It's important to realize that
these abnormal feelings are not accurate but are part of the
depression. It is as if your brain is tricking you, but you can't do
anything to stop it. If your brain were working normally, you would not
have these morose feelings, and they will fade away when treatment
begins to take effect.
Depression can also produce symptoms other than those associated with
mood, such as impaired thinking or memory, inability to concentrate,
disturbed sleep patterns, fatigue, change in weight or appetite, and
other bodily symptoms such as headaches or other pains, digestive
problems and sexual dysfunction.
A person with depression can no more cure the condition by an act of
will than can a person with diabetes or heart disease. It takes more
than that. It takes knowing and using the appropriate therapy.
Depression is more common than high blood pressure. It's twice as
common in women as in men. One in eight Americans will be affected by
depression during his lifetime. Suicide occurs in about 15 percent of
untreated serious depressions.
The tendency to get depression may be inherited. Stressful situations
or other environmental factors may trigger it.
A variety of medications are now available to treat depression. They
work gradually to correct the brain chemical imbalance and become
effective after a few weeks.
If you suffer from depression, it's important to realize that all your
thoughts and feelings sift through that gray cloud and come out flawed
on the other end. So until treatment lifts the cloud, don't expect too
much of yourself. Don't try to make important decisions. Don't expect
to snap out of your depression _ people rarely do without treatment.
And remember to try very hard not to accept your negative thinking _
realize that it's part of the depression and will disappear as the
depression lifts.
If you're a friend or family of a depressed person, the most important
thing you can do is help him or her get appropriate treatment. Give
your emotional support. Don't accuse the depressed person of being lazy
or faking illness or expecting him or her to ''snap out of it.''
Reassure the person that with time and treatment, he or she will feel
better. It could be a matter of life or death.
You can call toll-free, (800) 242-2211, to locate the free depression
screening site nearest to you for this coming Thursday. Simply press in
your zip code and a recording tells you the names of local sites and
the phone numbers to call for details.
If you think you might have depression, there's no reason to feel
ashamed. It is not your fault. The sooner you treat depression, the
better, and it just may save your life.
(Richard Harkness is a consultant pharmacist who writes on health care
topics. You can write him at 1224 King Henry Drive, Ocean Springs, MS
39564. His e-mail address is rharkn(at)aol.com. Volume of mail
prohibits individual replies; selected letters will be answered in his
column.)
(c) 1999, The Sun Herald (Biloxi, Miss.).
Visit The Sun Herald Online at http://www.sunherald.com/
Distributed by Knight Ridder/Tribune Information Services.
AP-NY-10-06-99 1304EDT< -0-
By Richard Harkness
Knight Ridder Newspapers
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13:48 ET CONGRESS WADES INTO HMO DEBATE
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