Where to get a diagnosis for depression?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on February 22, 2025
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The diagnosis of depression often recommends consulting with a psychiatry or psychology department for confirmation. Clinically, depression is categorized as a mental and psychological disorder, primarily characterized by low mood, slow thinking, and reduced willpower. Patients usually lack interest and pleasure, feel fatigued, self-blame, valuelessness, incapability, have low self-esteem, and poor concentration. They often feel that life is meaningless, harboring thoughts or behaviors of self-harm and suicide. They view the future as bleak, sad, helpless, and hopeless. Patients generally exhibit poor eating and sleeping habits, and there is a noticeable decline in sexual function. Therefore, in clinical settings, if the aforementioned symptoms persist for over two weeks and interfere with work, study, daily life, social, and occupational functions, a clear diagnosis is required to develop a treatment plan involving medication, psychotherapy, and physical therapy.

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Causes of Postpartum Depression

The main reasons for postpartum depression occur because, after childbirth, there is a sharp change in hormone levels in women, which often leads to the development of postpartum depression. Additionally, aside from hormonal changes, there are also psychological changes in women after childbirth. Women may struggle with poor adaptation postpartum, as well as a lack of clear role identification and acceptance, leading to contradictory emotions that they find difficult to manage under normal stress. This situation is prone to lead to depression. Moreover, women tend to be physically weaker after childbirth, experiencing fatigue and physical discomfort, which can also affect their emotional state. Furthermore, the lack of care from family members or the husband can make it more likely for postpartum depression to occur.

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Will postpartum depression get better?

Postpartum depression can also be recovered to a normal state, usually taking about one to two years. Women are prone to depression after childbirth due to high stress or emotional stimulation. Therefore, it is crucial to focus on relaxing and avoiding excessive tension or stress when experiencing postpartum depression. Additionally, the support and companionship of family members and husbands are necessary to help improve the condition of postpartum depression. It is also important for the new mother to feel secure, to rest adequately, and to enhance nutrition in the diet, including consuming foods rich in protein and vitamins. It is essential to avoid staying up late and to prevent any stimulation, especially in patients who generally have lower psychological resilience.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Is depression contagious?

Depression is not contagious, but there is a certain genetic predisposition to it. Clinically, depression is closely related to genetic, environmental, physiological, and psychological factors. For families with a history of depression, their offspring are 4-8 times more likely to suffer from depression than the general population. However, this does not mean depression is a hereditary disease. Interaction with individuals suffering from depression may influence others negatively, including feelings of sadness, self-blame, or despair. Nevertheless, depression cannot be transmitted to others. Through systematic and standardized treatment, particularly with the use of new antidepressant medications, depression can be effectively managed.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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What medication is used for depression?

The medications commonly used for depression in clinical settings are selective serotonin reuptake inhibitors, primarily used to increase serotonin levels in the patient's brain to improve depressive symptoms. Representative drugs in clinical use include paroxetine, sertraline, fluoxetine, fluvoxamine, citalopram, and escitalopram. There are also medications that inhibit the reuptake of both serotonin and norepinephrine, such as venlafaxine and duloxetine. Additionally, there's a type of antidepressant that acts on norepinephrine and is specifically serotonergic, with mirtazapine being the main drug. These medications are considered modern antidepressants and have a relatively significant clinical efficacy. Of course, there are also traditional tricyclic and tetracyclic antidepressants, which are not recommended as first-line treatments in clinical settings due to their more adverse reactions. (Please follow a doctor's guidance regarding the use of specific medications.)

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Written by Pang Ji Cheng
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Can people with mild depression drink alcohol?

Patients with mild depression are generally advised not to drink alcohol, especially those who have sleep problems and rely on drinking to solve these issues; they are strongly urged to abstain completely. Patients with mild depression may experience mood swings, slow cognitive responses, and an inability to feel joy. They might have difficulty falling asleep or frequently wake up during sleep. Some patients might attempt to alleviate their symptoms or improve their depressed, suppressed mood through drinking. The adverse consequences of this are an increase in the severity of depression and ultimately the potential development of a substance dependency on alcohol, which negatively impacts the treatment of depression. Therefore, for patients with mild depression, it is clinically advised to forbid or reduce alcohol consumption, with abstinence being the best treatment approach.