Depression Archive

The health risks of loneliness and isolation have been known for some time, but more recently research has shown the specific effects in the brain. Finding ways to make connections with other people is the best "medicine" to alleviate the mental and physical effects of loneliness.

In the journals

Some antidepressants may not offer much relief for people who battle both depression and a chronic disease, according to research in the Nov. 21, 2017, Journal of the American Medical Association.

Nearly half of Americans live with a chronic condition, according to the CDC, and many also suffer from depression, including more than half of Parkinson's disease patients, 41% of cancer patients, and more than 25% of those with diabetes.

Here are some signs of an alcohol use disorder — and ways to find the help you need if you suspect you're drinking too much.

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The thought of hangovers and binge drinking may conjure an image of a college-age student or a 20-something out on the town. But increasingly, those terms apply to people who probably look a lot like you.

Alcohol use problems often start innocently enough in older women. A problem may begin with a drink at night to combat insomnia, says Dr. Olivera Bogunovic, assistant professor of psychiatry at Harvard Medical School. But then one drink turns into two, and a 9 p.m. cocktail turns into all-day drinking, she says.

In the journals

A study published online May 17, 2017, by JAMA Psychiatry found that while depression symptoms later in life were associated with dementia, having symptoms in midlife was not. The findings indicate that depression may not be a risk factor for dementia as previously thought, according to the researchers. In the study, about 10,000 people (two-thirds of them men), ages 35 to 55, were recruited and followed for 28 years. Those who reported chronic or recurring depression symptoms at the study's beginning did not show a significant increased risk of developing dementia by the study's end. However, those who reported depression symptoms within the final 11 years of the study were twice as likely to be diagnosed with dementia.

The researchers said that if depression symptoms were a true risk factor for dementia, there would be an association with people who had symptoms earlier in life and not just later. They concluded that depression later in life instead might be an early sign of dementia.

Creative activities can relieve stress, aid communication, and help arrest cognitive decline.

 Image: © Katherine A. Gallagher Integrative Therapies Art Therapy Program at the Mass. General Cancer Center

The title of a recent documentary film, I Remember Better When I Paint, sums up the findings of a growing body of research into the cognitive effects of making art. The movie demonstrates how drawing and painting stimulated memories in people with dementia and enabled them to reconnect with the world. People with dementia aren't the only beneficiaries. Studies have shown that expressing themselves through art can help people with depression, anxiety, or cancer, too. And doing so has been linked to improved memory, reasoning, and resilience in healthy older people.

This ancient practice can be used alone or with conventional therapy to help ease your pain.

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Men looking for an easy and effective means to manage pain should consider acupuncture.

"There are many different types of pain — neuropathic, muscular, degenerative joint — all of which can make management complex," says Hugo Lopez, a licensed acupuncturist with Harvard-affiliated Massachusetts General Hospital Cancer Center. "Sometimes you need to treat not just the physical components, but also the psychological ones, and that is where acupuncture can help, as it addresses both problems."

Don't assume age is to blame for changes in memory, attention, and decision making.

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Depression has a way of sucking the joy and meaning from life. Chronic feelings of hopelessness, apathy, or despair are part of the condition. It may also bring physical symptoms, such as weight loss, sleep disturbance, fatigue, and aches and pains. But depression can be sneaky, causing subtle changes in thinking skills that you may not attribute to the condition. "Very often, one of the first signs of depression in people ages 70 or older is a change in thinking," says Dr. Helen Farrell, a psychiatrist with Harvard-affiliated Beth Israel Deaconess Medical Center.

What's the connection?

Depression may involve the interruption or reduction of chemical messengers in the brain called neurotransmitters, such as serotonin, dopamine, and norepinephrine. These chemical changes may be the cause of your depression (if the brain systems that regulate them go awry), or they may result from other depression triggers, such as the following:

You could argue that the physical and mental changes that occur during menopause aren't really "symptoms." The term is usually associated with a disease, which menopause is not. Also, it is often hard to say which changes are a direct result of a drop in hormone levels and which are natural consequences of aging. Some of the symptoms overlap or have a cascade effect. For example, vaginal dryness may contribute to a lower sex drive, and frequent nighttime hot flashes may be a factor in insomnia.

Hot flashes and vaginal dryness are the two symptoms most frequently linked with menopause. Other symptoms associated with menopause include sleep disturbances, urinary complaints, sexual dysfunction, mood changes, and quality of life. However, these symptoms don't consistently correlate with the hormone changes seen with menopause transition.

For too many women, joyfully anticipated pregnancy and motherhood bring depression as an unexpected accompaniment. Children as well as mothers suffer. Depression during pregnancy may result in poor prenatal care, premature delivery, low birth weight, and, just possibly, depression in the child. Depression after childbirth (postpartum depression) can lead to child neglect, family breakdown, and suicide. A depressed mother may fail to bond emotionally with her newborn, raising the child's risk of later cognitive delays and emotional and behavior problems. Fortunately, if the depression is detected soon enough, help is available for mother and child.

Depression During Pregnancy

Depression in pregnant women is often overlooked, partly because of a widespread misconception that pregnancy somehow provides protection against mood disorders. In reality, almost 25% of cases of postpartum depression in womem start during pregnancy, and depression may peak at that time, according to a study published in the British Medical Journal.

Hurting bodies and suffering minds often require the same treatment.

Pain, especially chronic pain, is an emotional condition as well as a physical sensation. It is a complex experience that affects thought, mood, and behavior and can lead to isolation, immobility, and drug dependence.

In those ways, it resembles depression, and the relationship is intimate. Pain is depressing, and depression causes and intensifies pain. People with chronic pain have three times the average risk of developing psychiatric symptoms — usually mood or anxiety disorders — and depressed patients have three times the average risk of developing chronic pain.