Why is depression the best treated psychiatric psychological disorder and the most difficult to treat?

In fact, in clinical treatment, depression is arguably the most effectively treated psychiatric disorder, but it is also the most difficult disease to treat. The terrible thing about it is that it is prone to repeat and indefinite relapses, slowly devouring the patient's determination to persist in treatment and life.

In recent years, the mental illness "depression" has become almost a "household name" and the most common "fashionable" disease of mental civilization. The World Health Organization (WHO) has even listed it, along with cardiovascular disease and cancer, as one of the three most prevalent and most important human diseases in the next century that need to be taught and prevented, vividly branding this illness with the phantom of mental illness and helplessly not knowing when it will befall them on the hearts of the general public.

Depression has both primary biologic factors and secondary stressors such as psychosocial and life events.

Regardless of the reasons for its formation, once it has quietly stuck to a person, not only strong adhesion, recoil, and rebound force is often arrogant, but in a short period is enough to make a person's life confused, with heartache. But the paradox is that patients often do not let people notice the tangible injuries.

In other words, the surrounding people can not understand why the person is so in pain, therefore, the most common clinical depression patients are heard to say: "there is no way anyone will understand how much I am suffering.

Individuality is an important relapse factor

The real problem is that while most first episodes of depression are often mild and easy to ignore, they can be alleviated through mindfulness and distraction. As a result, many people with depression do not initially think that they are depressed and certainly do not have the opportunity to develop a sense of illness and receive immediate treatment.

As a result, depression begins to lurk quietly, appearing more and more frequently and slowly beginning to affect the patient's school, work, and daily life.

About 80% of mild depression will lead to the relapsing type of major depression, in which you feel stressful situations, or when there is no disturbance at all, it will sweep over you, again and again, making you live in a long-term nightmare that you do not know when it will gnaw at your mind again, and the unwarranted fear of several relapses that cannot be fought, will of course seriously erode a person's mental function and consume his or her resilient personality. Therefore, the relapsing type of major depression can be said to be one of the greatest disasters for human beings.

There is also a consensus in psychiatry - depression is recognized as the most effective category of mental illness among nearly 30 major categories and 410 subcategories of psychiatric disorders, but infamously, it is also the one with the highest relapse rate. Patients with depression often find it extremely difficult to accept this fact, i.e., most have difficulty establishing a true "sense of illness" and lose the opportunity for ongoing treatment. So the next depression comes with a vengeance and renders their colorful life in black and white like a splash of ink. This is not to underestimate a person's ability to pursue health and have the determination to adjust their mind, but because the "self-constant regulator" in their brain, which controls their emotional function, is no longer functioning.

So, you may have the opportunity to see the most determined, strongest people in the world, who have tried so hard to get rid of their recurring depression, but to no avail - they have motivated themselves to try harder to adjust their mood, to work more (or less), to take a vacation, to pray, to retire, or anything else that would normally help. The only thing they can do at this point is to get treatment from a physician.

Repeated relapses of depression may result in the following problems.

The more relapses there are, the greater the chance of relapse.

2. The interval between relapses becomes shorter and shorter.

3. The quality of life is deteriorating.

4. Gradual loss of occupational, social, and family functioning.

The response to antidepressant medication becomes less effective.

To date, a large and sufficient body of research evidence has been accumulated to show that not only genetic disorders and genetic factors manipulate more than half of the causes of depression, but also that depression is now known to be the psychiatric disorder with the highest biological transmission rate, and is a "brain disease" among psychiatric disorders, rather than just an "It has nothing to do with shame or right, let alone the worldly stigma of weakness, weakness of will or maladjustment.

Because of these biological physical factors, depressed patients are prone to induce and add up under the mechanism of environmental factors, life events, and psychosocial influences, with the progressive formation of many neurochemical, neuroendocrine, neurophysiological, and neuroimmune imbalances of depressed functions, thus creating many physical that co-occur with the depression phenomenon and also make the person more painful and lingering The symptoms of depression include physical discomfort, severe insomnia, mental retardation and degeneration, and suicidal thoughts that are so frightening that they do not want to live any longer.

Continuous treatment is the way to prevent

Since depression has a strong constitution and personality traits as its core pathogenesis and is compounded by stress factors, it is conceivable that not only are these physiological factors not optional for the person to decide but also the external mechanisms are highly unpredictable.

Therefore, accepting one's physical state, courageously seeking treatment, and learning how to live peacefully with it, together with complementary and supportive therapies to change cognition and evaluation, and adjusting one's outlook on life, will minimize the possibility of relapse, and the damage to one's mental personality will gradually disappear into thin air.

On the contrary, if one is still trapped in the distorted perception of "the heart is still waiting for the heart to heal", hiding in the corner and licking one's wounds, delaying or refusing to seek medical treatment, one will never be able to relieve the basic symptoms and improve one's health, nor will one be able to return to the original emotional balance, which will eventually lead to a great increase in the chance of depression relapse and the greatest depletion of one's spiritual personality. This kind of depression demon not only causes a second injury to the person concerned but also is the culprit of depression relapse.

It would be ideal and valuable to do preventive work at all levels to prevent the relapse of this pestering disease, including improving parent-child relationships and social disorders, enhancing self-esteem and self-confidence, and strengthening everyone's stress coping and emotion management skills, as well as providing warm and loving supportive situations for high-risk groups with depressive tendencies, but sometimes the results are still uncertain or weak.

Therefore, it is important to enhance mental health education for the whole population, to continuously disseminate relevant knowledge and information, and to improve the ability of medical personnel at all levels in the differential diagnosis and professional treatment of depression, so that all people are aware that depression is a "disease" that cannot be driven away by self-will efforts and life adjustments alone but must be complemented by medication, psychotherapy, and cognitive-behavioral therapy. Psychotherapy and cognitive-behavioral therapy are necessary.

In addition, during the treatment of depression, you must not arbitrarily reduce or stop the medication and interrupt the process of psychotherapy, to get out of its shadow and not let it become the end of the mood.