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Depression: Costs and Treatments
by Sarah Kovich, MEd, LPC
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THE ILLNESS
Most of us have down days or blue moods, but when these days or moods persist it may mean there is a larger problem that needs attention. Depression is a serious yet treatable medical illness. It can negatively affect many aspects of a person's life including work, relationships, the way you think and how you act. It is commonly believed that over 17 million Americans each year will be affected by depression. And yet less than half seek out and receive treatment.
WHY?
With depression treatments being 80-90% effective, you would think more people would seek help. However, there could be many reasons why people do not see help. Our culture continues to stigmatize treatment for the non-tangible mental illnesses. It is still difficult to talk about having depression, whereas, talking about diabetes, the flu or other medical illnesses are talked about readily.
We also live in a culture that prides itself on self correction. "pull yourself up by your bootstraps", "shake it off", "get over it" are common themes. When someone has depression, they can not shake it off. Although the illness may remit, the chances are slim and without treatment it will persist, many times to the point of debilitating the person.
THE COST
In this country alone, the cost of depression is estimated at $43 billion annually- in missed work days, medical expenses, and premature death. See our article on the costs to your business for further information and statistics.
THE CAUSES
Several factors may play a role in the onset of depression. Personality- people with low self esteem, who are easily overwhelmed, or are generally pessimistic or see the world as a scary place may be more prone to depression. Biochemistry- a chemical imbalance or deficiency of two chemicals in the brain - serotonin and norepinephrine are thought to result in depressive symptoms Genetics- people who come from families where depression exists have a higher likelihood of becoming depressed Environmental- continuous exposure violence, neglect, abuse, alcohol use, or financial strains may make people who are already prone to depression more vulnerable.
TREATMENT
There are three main types of treatments available for depression. First, psychotherapy or counseling. Talk therapy may be used alone for treatments of mild depression or in conjunction with medication for moderate or severe depressions. Psychotherapy can be with the individual only or may involve family members, particularly those directly impacted by the person's depression. Second, Medication, specifically antidepressant medications are useful for moderate to severe depressions. They help to correct the chemical imbalance or deficiency of the brain believed to contribute to depression. These meds are not addictive, uppers, or sedatives. They usually take 3-8 weeks to begin working and must be prescribed by a doctor. Often a person will be in counseling and working with a doctor simultaneously to have the best opportunity for a successful treatment.
IN SUMMARY
Depression is not normal and always produces disturbance and suffering for the person and those who are closest.The costs are monetary and emotional. If you are experiencing the symptoms of depression, do not wait, seek help. You may contact one of our affiliates or your family practice doctor for assistance.
12820 Hillcrest, Suite 201
Dallas, Texas 75230
phone: (877)-956-6400, fax: 972-385-7777
email:skovich@provisionsconsulting.com
© 1997 Provisions Consulting, Inc. All Rights Reserved.
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