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Welcome to Wing of Madness Depression Guide

About Clinical Depression and This Page

Image: Proserpine by Dante Gabriel Rossetti

Proserpine by Dante Gabriel Rossetti

Welcome to one of the oldest depression sites on the Web. Since 1995, Wing of Madness has been providing information and support to people looking for information and support to help them deal with their depression or that of someone they know.

This web page is about clinical depression, also referred to as major depression or major depressive disorder. Here we address not the “down” mood which we all get from time to time and which leads us to say, “I’m depressed,” but the often debilitating illness which affects one in five people, children as well as adults.

Clinical depression has many different facets, and affects not only someone’s mood, but often also their ability to function normally. Many depressed people experience impaired memory, difficulty concentrating, and confused thought processes. Some people experience what seems like unbearable noise or pain in their head which is purely mental (not the product of a headache, etc.). It can become impossible to speak or smile normally. Obviously, clinical depression is much more complicated than “the blues.”

Depressive disorders and companion illnesses come in many different forms and combinations, but three of the most common are major depression, dysthymia (low-level, long-term), and bipolar disorder (manic depression). Since I have suffered from the first two, I tend to concentrate on them more, as I’m very wary about giving information out on a topic that I don’t know thoroughly. If you’re looking for information on bipolar disorder, I recommend McMan’s Depression and Bipolar Web.

If you are looking for information on diagnosing depression, you should start here. You’ll find less “technical” descriptions of depression symptoms in What Does Depression Feel Like?.

Some popular articles on Wing of Madness:
What is Depression (and What is it Not?)
Children and Depression
When Someone You Know is Depressed
What to Do (On and Off the Web) While Waiting for Your Antidepressants to Kick in

 

Using a Light Box for Seasonal Affective Disorder – Therapy – Depression

Most people with winter-onset SAD can benefit from light therapy, but in light therapy, the devil is in the details. A very basic, bottom line description of light therapy is that it consists of light entering the patients retina from a prescribed distance for a prescribed amount of time. But distance and angle of the light, time of day the therapy is performed and amount of light need to be taken into account, tested and possibly tweaked to get the best result for each patient.

Read on.

 

Celiac Disease in Women Linked to Depression Risk

HealthDay News — New research shows that women with celiac disease face a higher risk for also suffering from depression and so-called "disordered eating," regardless of whether they stick to a gluten-free diet."We found that most [study] participants frequently adhered to a gluten-free diet, and this greater compliance with diet was related to increased vitality, lower stress, decreased depressive symptoms and greater overall emotional health," study co-author Josh Smyth, a professor of bio-behavioral health and medicine at Penn State University, said in a university news release."However, even those people who were managing their illness very well reported higher rates of stress, depression and a range of issues clustered around body image, weight and shape when compared to the general population," he added.The study results appear online and in an upcoming issue of Chronic Illness.

via Celiac Disease in Women Linked to Depression Risk.

 

Keep the Holiday Support Going

You may be breathing a sigh of relief now that the holidays are over. There’s no question that there are many aspects of the holiday season that are tough on someone with depression. Things that tax your energy like shopping and cooking, parties and gatherings that require you to attempt a smile and engage in chit-chat, and of course, spending time with friends and family when you’d rather curl up in bed by yourself. All in all, an experience to be endured, and the worst part is that you’re supposed to be enjoying yourself!

And since you’ve heard that the holidays see the highest rate of suicide all year, you may also be confident that you’ve passed the danger zone. Well, not exactly. The thing is, we’re heading into the danger zone for suicides, not away from it. Contrary to popular belief, the holidays are not the time of the year when we see the most suicides. The beginning of the year, after all the festivities and for many people, in the dead of a dark, endless winter, can be the time when they lose hope.

Now, I have no idea how this myth originated that the holiday period sees a spike in suicides. Maybe the irony appeals to a lot of people. And we also don’t know exactly why major holidays seem to put a damper on suicides. One theory is that people put off a suicide attempt until after the holidays because they don’t want their family and friends to always be thinking of the holidays as a time that they lost someone. That’s definitely a possibility, and I’m not going to discount it.

But in addition, it’s believed that suicides go down during major holidays, when people gather, because we’re in contact with our support network of family and friends. So the family who you probably love dearly, but who can absolutely drive you nuts, is literally what keeps you alive. The best thing that you can do for yourself after the holidays is stay in touch with family and friends.

That’s a bit of a problem. Most people with depression prefer to be alone. Depression can make most of us fairly inarticulate, for one thing. It can be really difficult to hold a conversation with someone other than your cat. Also, we know that we’re a downer when we’re depressed. So being with other people, even close friends and family members, can be such a challenge that it doesn’t really seem worth it.

But for your own sanity, you really need to stay in touch and make plans to see people instead of cocooning at home with the remote control.

Also, If you don’t have a therapist, and you’re feeling particularly depressed, this might be the ideal time to start talk therapy. If you do have a therapist, don’t skip appointments because you’re really down – you need them now more than ever.

 

Depression: My Story (VIDEO)

Hi everybody. Cara Santa Maria here. As we’ve been discussing mental health this month, I’ve read some pretty cynical comments on my blog posts about how people with depression should “just get over it.” About how “we all get sad sometimes and it’s hard to deal…what makes you so special?” Well, for anybody watching who feels that way, I have to tell you: depression is a brain illness. It is caused by a combination of genetic, biological, environmental, and psychological factors.

Read on.

 

Light Therapy for Seasonal Affective Disorder

If you have episodes of depression that occur only in the fall, winter and early spring, you may have Seasonal Affective Disorder (SAD). The hallmarks of SAD are excessive sleeping, carbohydrate and sugar cravings, lethargy, difficulty concentrating and depression. Although many of the symptoms are similar to non-seasonal depression, if your symptoms go away with the return of longer days, you probably have SAD, and your doctor is likely to recommend light therapy before any other treatment.

 

Note: Although light therapy may sound like the ultimate do-it-yourself depression treatment, before doing anything, you should get a formal diagnosis of SAD from a doctor, and preferably have them guide your treatment.

Read More

 

Love Hormone May Buffer Kids From Moms Depression

HealthDay News — Children born to mothers with postpartum depression are at increased risk for mental health problems, but a hormone called oxytocin may reduce the risk, according to a new study.Oxytocin, which is produced naturally in the body and has been associated with feelings of love and trust, may help protect kids from the negative effects of maternal depression, the researchers found. A synthetic version of the hormone is available as medication.

via Love Hormone May Buffer Kids From Moms Depression.

 

Spending on Depression Up From 1996 to 2005 –Doctors Lounge

(HealthDay News) — Spending for Florida Medicaid enrollees with depression increased considerably from 1996 to 2005, according to a study published in the December issue of the Archives of General Psychiatry.

Catherine A. Fullerton, M.D., M.P.H., from Harvard Medical School in Boston, and colleagues assessed longitudinal trends in health service utilization, spending, and quality of care for depression, among Florida Medicaid enrollees (aged 18 to 64 years), between July 1, 1996, and June 30, 2006. Mental health care expenditures, including inpatient, outpatient, and medication spending were assessed after adjusting for inflation and case mix, and quality-of-care measured, were evaluated.

via Spending on Depression Up From 1996 to 2005 –Doctors Lounge.

 

Could acute postpartum blues signal bipolar disorder? | Reuters

(Reuters Health) – Women treated for severe psychiatric conditions including major depression shortly after giving birth were more likely to be diagnosed as bipolar later in life compared to those whose first psychiatric episode happened at any other time, in a new study from Denmark.

Researchers said they didn’t know if some postpartum depression or schizophrenia-like episodes were actually misdiagnosed bipolar disorder — or if more women with those initial diagnoses developed bipolar disorder over time.

via Could acute postpartum blues signal bipolar disorder? | Reuters.

 

Best Antidepressant May Depend on Patient: Study

(HealthDay News) — Newer antidepressants seem to be about as effective as one another, a new analysis indicates.

This suggests that the choice of which drug is appropriate for which patient should be made on the basis of such considerations as side effects, cost and patient preference.

“They’re all equally effective,” said Dr. David Schlager, a clinical assistant professor of psychiatry and behavioral science at Texas A&M Health Science Center College of Medicine.

“They’re interchangeable except for side effects,” he added, so psychiatrists do tend to “exploit the side-effect profile” to find suitable medications for individual patients, he added.

According to the background information in the new study, appearing in the Dec. 6 issue of Annals of Internal Medicine, some 27 million people in the United States had taken antidepressants as of 2005.

via Best Antidepressant May Depend on Patient: Study.

 

Risk for Dementia Rises When Diabetes, Depression Meet: Study

(HealthDay News) — When people with type 2 diabetes also struggle with depression, their odds for a third worrisome condition — dementia — goes up markedly, a new study suggests.

Specifically, patients with type 2 diabetes are twice as likely to develop dementia three to five years after being diagnosed with depression compared to nondepressed people with diabetes, researchers found.

“We’ve known for years that diabetes is a risk factor for dementia,” explained study lead author Dr. Wayne Katon, a professor and vice chair of the department of psychiatry and behavioral sciences at the University of Washington’s School of Public Health in Seattle. “In fact, having diabetes itself probably doubles the risk for dementia,” Katon added.

via Risk for Dementia Rises When Diabetes, Depression Meet: Study.