What U Should KNow About Depression

In the depression, the risks of relapse are important, especially if the treatment were not correctly followed at the time of the first depressive episode. In half of the cases, the relapse occurs within two year. It can be avoided by a long-term treatment and the regular follow-up of a psychotherapy. It is not enough to go to see a psychiatrist two or three times, then to say itself: “It is good, I made it tower of the question, I do not need any more. ” Generally, the relapses multiply and accelerate: the duration of the intervals between two depressive episodes decreases with time. A person who already made a depressive episode has a chance on two to do another during his life of them. Four patients out of ten do not respect the therapeutic strategy decided with their expert and stop the drugs after less than three months of treatment, without in speaking with their doctor. In the event of relapse, this one appears quickly, generally in the two months which follows the premature stop of the treatment. A lack of information on the interest of a correct follow-up of the treatment and on the frequency of the relapses is certainly responsible partly for this situation. There exist also risk factors which support the relapses. If a person is vulnerable psychiquement and that it does not follow a psychotherapy enabling him to learn how to face the risks of the life, the appearance of a new painful or perturbing event will be able to start a new depressive episode. There still, the women are most badly parcelled out. There is 22% of repetitions among women, against 13% at the men. In addition, the elderly undergo more chronic depressions, and their relapses are more frequent. On the other hand, the emotional and social entourage plays a big role in the prevention of the relapses. The divorced or widowed patients and the people having few social relations make more relapses that those which profit from the support of their entourage. The people having known several episodes of depression can profit from complementary approaches to avoid a repetition: a medicamentous treatment the long course (possibly over several years); certain antidepressants were particularly studied in the prevention of the repetitions (Effexor, Sertraline Génériques, Zoloft); a cognitive therapy to learn how to recognize negative thoughts known as automatic (which appear in manner quasi-reflex vis-a-vis certain situations) and to learn how to them to substitute to them a more positive vision of the things; possibly, if the patient has of it the desire, step of a psychoanalytical type aiming at identifying the fundamental causes and old which contribute to the appearance of the depressive symptoms.
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