00:00 OP 00:57 Causes of depression 02:25 Guidelines for visiting a psychiatrist 07:03 Other points to be aware of Today, I will talk about the theme of "Guidelines for when you suspect depression and visit a psychiatrist". It is said that one in ten people will experience a "depressive episode". Depression is a major illness, but it is not uncommon for people to not visit a doctor and let it get worse, even leading to accidents. In this article, I will roughly explain what depression is and the guidelines for visiting a psychiatrist. ■Causes of depression What causes depression? It is said that depression is caused by two factors: genetic problems and mental stress (load). Therefore, if the proportion of stress is high, it can be said that anyone can develop depression. On the other hand, if the proportion of genes is high, it can develop even if the load is not so high. It is a disease that can develop at any age. After the onset of the disease, it is said that after experiencing a depressive episode for about 3 to 6 months, the person will return to normal. The idea is that using medication will shorten this period. Also, relapses are very common, so using medication also serves the purpose of extending the time until relapse. I say 3-6 months, but of course there are many cases where it lasts longer. Even if depression improves, it does not mean that you can return to normal immediately, and some people need rehabilitation. This is the kind of illness it is. ■Guidelines for when to see a doctor What kind of condition should you see a doctor in? If you have several symptoms of depression, it is a good idea to see a doctor once. <For adults> - No fun, decreased concentration, decreased energy No fun no matter what you do, you can't concentrate and make more mistakes, you can't keep thinking, your physical strength drops drastically, you don't have energy. - No confidence, decreased self-esteem, feelings of guilt You think you are no good, you think you are a bad person who has done something bad, people around you must hate you, and so on. - Pessimistic about the future They say things like the world will not get better, Japan will sink, there will be no recovery from the recession, and the future of humanity is bleak. - Food, sleep, (regarding death) You can't eat, you can't sleep, you wake up many times during the day, you wake up early in the morning. I often think about dying, I make plans, I watch videos and websites about suicide. ・Delusions, talking less, working 100 hours of overtime These are symptoms that the person himself does not notice easily. The person himself is not aware of delusions. The three major delusions of depression are "hypochondrial delusion", "guilt delusion", and "poverty delusion". "Hypochondriac delusion" is the delusion that there is some kind of illness in your body. You think that you have cancer, that your family is hiding it, etc. You go to various hospitals to visit them, and think that your doctor and family are keeping quiet from you. "Guilt delusion" is when you think that you are the worst person in the world, or you regret the bad things you did in the past, or the shoplifting you did as a child, and start crying in the middle of the night. "Poverty delusion" is when you are scared that you don't have any money. If there is nothing in your wallet, it's like saying "I have no money, I have no money" when you look at the ATM. (In reality, you have money) Another symptom that is easy for people around you to understand is that you become extremely quiet. As a guideline for measuring fatigue, if the overtime hours per month exceed 100 hours, it is the line of death from overwork. There are many other possible situations, such as power harassment and sexual harassment. If you are troubled by these symptoms or situations, it may be a good idea to consult a psychiatrist. <For children> - Self-harm, bulimia In children, it is difficult to tell, so you should be careful of self-harm. Pulling out hair, hitting one's stomach, cutting one's wrists, cutting one's arms, etc. Symptoms of eating disorders such as bulimia are also dangerous. - Deteriorating grades A sudden deterioration in grades and being unable to attend class are also signs of illness. In children, there are similar illnesses other than depression that can be diagnose as schizophrenia, complex PTSD, and abuse, so other illnesses may be suspected rather than simple depression. However, if you have the symptoms listed above, it is a good idea to see a doctor. ■Other points to be careful of - Amount of alcohol It is still dangerous if the amount of alcohol consumed increases dramatically. It is not good to think that you can't sleep without drinking, that you only feel better while drinking, or that it's okay because you're using alcohol to distract yourself. People around them should take them to the doctor. - Suicide plans If you see a suicide plan, consider going to the hospital immediately. - Manic episodes? When visiting the hospital, it is best for the family and the patient to check for "manic episodes." Has the patient had a period of being too energetic for about a week or a month in the past? This is important. If you experience a period of being energetic and happy, and then you get depressed again, then you repeat this cycle, then you should suspect bipolar disorder, not depression. Bipolar disorder and depression are similar in the same classification of "mood disorders," but the medication used is different. If antidepressants are used on people with bipolar disorder, some people become too energetic and go into a manic state, which can lead to more fights or spending too much money (such as buying an apartment). This has a large social impact, so you must check this. - Cooperation from the family? It is also important to get the cooperation of the family. If the family says, "It's just spoiling," or "You shouldn't receive treatment," the patient will not go to the hospital even if they think they should. This is especially true for children, especially university students. Adjustments in this area are also important. Anyway, if you have these symptoms, I think it's better to see a doctor. Depression is also a combination of genes and stress, so it's a normal illness. This time, I talked about the guidelines for suspecting depression and visiting a psychiatrist. ------------- I will explain about depression. One in 10 people? Or is it overdiagnosis? • Part 2, Chapter 1, Section 2 I will explain about depression. #Mental Health Encyclopedia ------------- [Membership] Become a member of this channel to access the benefits: / @masudatherapy You cannot become a member from a smartphone app. Please apply from a PC or browser, sorry... • Learn in 1 minute! How to register for membership [What is the Ch where psychiatrists explain mental illnesses? ] A wide range of explanations about psychiatric treatment are provided in an easy-to-understand manner for the general public. The use of psychoanalytic and philosophical terms in the video is entirely Masuda's own, and some parts may differ from general (professional) definitions. I just chose the words that I happened to find easiest to explain, so I would appreciate it if you don't take it too academically. Director of Waseda Mental Clinic, Masuda Yusuke [Self-introduction] Masuda Yusuke graduated from the National Defense Medical College. After working in the Japan Ground Self-Defense Forces, the National Defense Medical College Hospital, and the Kunpu-kai Yamada Hospital, he opened his own clinic in Tokyo in 2018. His specialty is work-related depression and adult developmental disorders. However, he is a bit of an eccentric local doctor who "sees anything." His hobbies are Shonen Jump and comedy. He would like to go camping and skiing. He has been abstaining from alcohol since June 5, 2020. 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