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Patricia Ainsworth - Understanding Depression

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Depression has been a scourge of mankind since the dawn of ages. Vivid images from historical and religious texts describe sufferers of the illness we now know as depression. An equal opportunity illness, it exempts no one based on race, sex, creed, religion, social status, or nation of origin. It affects one in five of us and its potentially lethal outcome--suicide--is the third leading cause of death among American teenagers. What is this illness that costs us $44 billion each year? What does it look like? Is it moodiness? Is it the result of a character flaw? Can we just snap out of it? Understanding Depression explores the reality of the illness from the authors twin perspectives as a psychiatrist and as a family member who experienced the tragedy of depression first hand. Using examples from her practice, the author discusses the different types of depression, the kinds of people at risk, and the risk factors of suicide. In understandable terms the book looks at the way the brain works and how the body communicates with it, including recent discoveries about how the process fails in depression. The book mirrors the authors belief that understanding depression is only half the battle. Taking personal responsibility for fighting the beast is equally important. Treatment methods, discussed here, include various forms of psychotherapy, different classes of antidepressant medications, and the controversial subjects of shock treatment and involuntary treatment. Understanding Depression also offers tips for fighting depression day by day. Finally, the book takes a look at the cutting-edge research that holds promise for better management of depression and at new weapons to combat it. Patricia Ainsworth is a psychiatrist in private practice and is an assistant professor (part time) in the department of psychiatry and human behavior at the University of Mississippi Medical Center.

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title Understanding Depression Understanding Health and Sickness Series - photo 1

title:Understanding Depression Understanding Health and Sickness Series
author:Ainsworth, Patricia.
publisher:University Press of Mississippi
isbn10 | asin:1578061695
print isbn13:9781578061693
ebook isbn13:9780585226521
language:English
subjectDepression, Mental, Affective disorders.
publication date:2000
lcc:RC537.A39 2000eb
ddc:616.85/27
subject:Depression, Mental, Affective disorders.
Page i
Understanding Depression
Page ii
Understanding Health and Sickness Series
Miriam Bloom, Ph.D.
General Editor
Page iii
Understanding Depression
Patricia Ainsworth, M.D.
Page iv wwwupressstatemsus Copyright 2000 by University Press of - photo 2
Page iv
www.upress.state.ms.us
Copyright 2000 by University Press of Mississippi
All rights reserved
Manufactured in the United States of America
07 06 05 04 03 02 01 00 4 3 2 1
Picture 3
Library of Congress Cataloging-in-Publication Data
Ainsworth, Patricia, M.D.
Understanding depression / Patricia Ainsworth.
p. cm.(Understanding health and sickness series)
Includes bibliographical references and index.
ISBN 1-57806-168-7 (cloth: alk. paper)ISBN 1-57806-169-5
(pbk.: alk. paper)
1. Depression, Mental. 2. Affective disorders. I. Title.
II. Series.
RC537.A39 2000
616.85'27dc21 99-35416
CIP
British Library Cataloging-in-Publication Data available
Page v
Contents
Acknowledgments
vii
Introduction
ix
1. What Is Depression?
3
2. Who Gets Depressed?
22
3. The Causes of Depression
48
4. What Happens in the Brain
62
5. Treatment
78
6. Helping the Depressive
110
7. Searching for a Cure
123
Appendices
146
Picture 4
A. Sources of Additional Information
146
Picture 5
B. Medications
153
Glossary
157
Index
171

Page vii
Acknowledgments
I am indebted to Dr. John Norton of the University of Mississippi Medical Center for critically reviewing the first draft of this manuscript and to Mrs. Martha A. McLendon for her suggestions concerning improvement of its general readability. Dr. Garth Bissette of the University of Mississippi Medical Center provided time, information, and insight regarding the final chapter on research. Dr. Richard E. Weddle and Owen A. Weddle supplied the original photographs and continuous support for the project. I am also grateful to Dr. Miriam Bloom for her guidance and patience.
Page ix
Introduction
A physician contemplating suicide describes depression: "There's no crispness to the morning. The smell of coffee serves only as a reminder that another long, dreary day has begun. There's no real feeling, no joy, not even much anger, only emptiness. It's difficult to remember feeling any different and getting more difficult to go on feeling this way. Sitting in a dark corner with eyes closed imagining nothingness until there is nothing would be easier. Instead here's the day to face, the responsibilities, the people, the emptiness, but the energy that once fortified the day is no more. Concentration has become a bad joke. Even love is now only a faint echo of itself. A leaden haze obscures the day and folds into a dark tunnel with no hint of light at the end. Where is hope? There is none. Where is happiness? Gone as if it had never been, replaced by tears that must be hidden. Where is relief? Perhaps in death."
Depression is not moodiness. Moodiness is a transient, unpleasant feeling that often occurs in association with some physical or environmental irritant, and it is never debilitating. Depression is to moodiness as a hurricane is to a whirlwind.
Depression is a serious, sometimes chronic, and too often terminal physical illness that clouds the minds of sufferers, robs them of joy and peace, wreaks havoc with their appetites and sleep patterns, and leaves their bodies vulnerable to physical illness and to death, either self-inflicted or as a result of medical illness. One of the most common illnesses found in human beings, depression afflicts 20 percent of the population in the United States and worldwide. Women are two to three times more likely to fall victim to this mood disorder than are men. Depression is an equal opportunity offender, exempting no one on the basis of age, sex, race, religion, sexual orientation, or nation of origin.
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