Is depression hereditary?

Written by Pang Ji Cheng
Psychiatry and Psychology
Updated on February 01, 2025
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Depression has a certain hereditary tendency. Studies involving large samples have found that if first-degree relatives of patients with depression have the disorder, the incidence of the disease in their offspring is significantly higher than in the general population. Additionally, studies on twins have shown that the concordance rate of depression in monozygotic twins is significantly higher than in dizygotic twins. Research in genetic studies has revealed that depression is a polygenic disorder. Therefore, it is possible for offspring of parents with depression not to inherit the disease. The onset of depression is often influenced by genetic factors, biochemical factors, and various social and psychological factors. Thus, the genetic probability of developing depression is generally higher than in the general population.

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Written by Pang Ji Cheng
Psychiatry and Psychology
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Do patients with mild depression need to be hospitalized?

Patients with mild depression can choose inpatient treatment or outpatient treatment. The main decision depends on the communication between the patient, their family, and medical professionals. Patients with mild depression have relatively mild depressive symptoms, so psychological therapy is primarily used, with pharmacotherapy and physical therapy serving as supplementary treatments. Psychological therapy mainly employs cognitive-behavioral therapy to improve the patient’s unreasonable beliefs and alleviate emotional stress. This includes identifying automatic thoughts, recognizing the irrationality of cognition, and employing reality testing, ultimately aiming to improve the patient's symptoms. Pharmacological treatment primarily uses serotonin reuptake inhibitors, and patients can adhere to a regular medication schedule at home during outpatient treatment periods. Physical therapy consists mainly of transcranial magnetic stimulation, which can be administered either as an outpatient or inpatient treatment. The final treatment choice should involve comprehensive communication with the patient's family and physicians to make an informed decision.

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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
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Can someone with mild depression go to work?

Patients with mild depression can go to work. Those with mild depression may exhibit lighter symptoms such as mood decline, fatigue, and decreased interest. Often, patients may have difficulty sleeping; however, their social functions or most other functions are generally unaffected, with only minor impacts on their work and social activities. If patients are functionally capable of handling their jobs, depressive symptoms can be improved through behavioral training. Therefore, in clinical practice, patients with mild depression are encouraged to continue working, which further activates their energy and motivation, enhancing their positivity and initiative, and improving treatment outcomes. Additionally, psychotherapy and pharmacotherapy can also achieve good therapeutic effects for patients with mild depression. Systematic and standard treatments should be continued to ultimately reach clinical recovery.

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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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How long does postpartum depression last?

Postpartum depression can generally be cured within a year in 70% of women. In families where such cases occur, it is important to pay attention, communicate more with the patient, and provide sufficient care and guidance. Additionally, timely psychological and pharmacological treatments should be administered to boost the patient's confidence and self-worth. It is also necessary to use antidepressant medications under a doctor's guidance that do not enter the breast milk, meaning they do not affect breastfeeding.