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The biggest hurdle to diagnosing and treating depression is
recognizing that someone is suffering from it. Unfortunately, approximately half
of the people who experience depression never get diagnosed or treated for their
illness. And not getting treatment can be life threatening -- more than 10
percent of
people battling depression commit suicide.
How is depression diagnosed?
The diagnosis of depression begins with a physical exam by a
doctor. There are certain viruses, medicines, and illnesses that can cause
depression-like symptoms. The doctor will want to know when your symptoms began,
how long they have lasted, and how severe they are. He or she will ask whether
you have had similar symptoms before and about past treatments you may have
received. Your family history is important, as is any history of drug or alcohol
use. Although there is no clinical test that a mental health expert can use to diagnose
depression, there are certain features that he or she will look for in order to
make the proper diagnosis.
If a physical cause for the depression is not identified, your
doctor should consider referring you to a psychiatrist or psychologist for a
psychological evaluation. The psychologist or psychiatrist will determine the
best course of treatment, which may include antidepressants, psychotherapy or a
combination of both. Electroconvulsive therapy is a standard treatment option
for patients who do not respond to antidepressant medication.
How do I know when to seek help?
- When depression is negatively affecting your life—such
as causing difficulties with relationships, work issues or family disputes—and
there isn't a clear solution to these problems, then you should seek help to
prevent things from getting worse, especially if these feelings persist for
any length of time.
- If you or someone you know is having suicidal thoughts or
feelings, seek help immediately.
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