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<- BACK TO MAIN ESL QUESTIONS PAGE…

Depression & Trauma

Definition:
Depression is a loss of mood that lasts for at least two weeks.

Cause:
It is generally the result of a body chemistry imbalance caused by trauma, illness, hormonal changes, substance abuse, lack of light and other causes.

Because of its chemical nature, depression is almost impossible to overcome without intervention. One simply cannot 'snap out of it.'

Depression is debilitating and can be life threatening = 15% of suffers commit suicide. Men tend to commit suicide early while women commit suicide late during depression

10% of pop currently suffer, and 20% will at some point suffer

Women suffer from depressive disorders at twice the rate of men (1 in 4)

By the year 2010, depression will be the 2nd most common health problem in the US (behind heart disease)

 

Depression Symptoms

PHYSICAL

- Lack of energy / fatigue

- Significant changes in appetite or weight

- Sleep disturbances: insomnia or oversleeping

- Memory loss or inability to concentrate

- Headaches, body aches or pains

 

MENTAL

- Prolonged feelings of sadness or feeling down

- Irritability, anger, worry, agitation, anxiety (Bi-Polar)

- Feelings of worthlessness, pessimism or uncaring

- Inability to accomplish work or tasks

- Loss of interest in pleasurable activities / Social withdrawal

- Suicidal thoughts


Bi-Polar Disorder

- Bipolar disorder is also known as manic depression because of extreme swings in mood, thought and behavior. Bipolar is different than major depression in that it is marked by episodes of euphoria or mania. These episodes commonly last from hours to days, but can also last for months.

- Bipolar Disorder afflicts 2% of adults, and possibly another 1% children. It usually starts in adolescence, with males first experiencing a manic episode and females experiencing a depressive one.

 

Panic disorder / Anxiety attack

About 2% of pop will experience one.

Anxiety is felt in separate recurrent bouts (panic attacks):

- Palpitations

- Dizziness

- Feel they are about to die during an attack.

- Depersonalisation and derealisation may accompany the attack.

- a series of panic attacks may precipitate agoraphobia.

 

Phobias

"an excessive and somewhat irrational fear of some object or situation which is usually so disturbing that it leads to avoidance of that object or situation (avoidance behaviour)"

8% of the general public has some kind of phobia.

90% of sufferers are women

 

Agoraphobia

- A fear of the market place, of crowds, of traveling on public transport, and an avoidance of social situations and a marked tendency to stay at home, rarely, if ever, venturing outside. 75% of sufferers are women.


Obsessive-compulsive disorder (OCD)

Obsessive part:

- Intrusive thoughts that come repeatedly into a person's mind have some undesirable quality as far as that person is concerned. (usual the fear that one will do it, not that it will actually happen e.g.: Nonsensical / Violent / Obscene)

- Intrusive thoughts as being like a conversation in their head.

≠ hallucinatory as they are recognised as a product of the sufferer's own mind.

≠ delusional as sufferer knows they are nonsensical

Compulsive part:

- Compulsive acts / rituals may be performed to reduce the anxiety associated with obsessional thoughts or to ward off an attack. Eg:

     * Person who continually fears contamination may wash and re-wash their hands many times a day, even to the point of breaking the skin down.

     * Compulsive acts and rituals are sometimes some undesirable event.

     * Performance of these rituals may interfere with everyday life.

Obsessional personalities are essentially meticulous and perfectionist workers who, if given a deadline will work to it, but who may expend great effort in getting things just right. Their attention to detail may infuriate those around them.

 

Schizophrenia

the most serious of all mental disorders, affecting about 1% of the population in the U.S.

Psychotic symptoms:

     * loss of contact with reality

     * develops an elaborate inner world which is illogical and fantastic

     * unraveling of thinking processes

Why called split personality: split from reality, doesn't react right; also, the self is split into fragments

 


Trauma (questions)

           

How can you help someone who has suffered if you are not a professional counselor?

            When should we seek professional counseling help?
            Can trauma be mental and physical?
            Do you think disasters can help build a community?
            What is the biggest disaster that has ever struck your country?
            Do you know anyone who's ever been in a disaster?
           

What is Post Traumatic Stress Syndrome?

          o What causes it?

          o What are the symptoms?

          o What are some situations that cause PTSD?

          o What are some ways of dealing with it?

           

What are some ways of helping people who are suffering from PTSD?

            What is the most stressful or traumatizing situation you've ever been in?
            What is the most horrible accident you have ever had?
           

Have you ever been in a traumatic situation?

          o How can you avoid it?

          o Why is it difficult to deal with?

          o Why is it important to deal with it?

          o How does it affect your lifestyle?

          o How does it affect the lifestyle of those around you?