第二,加强营养。良好的饮食结构可以使我们身体机能得到很大的提高,抑郁症患者在日常治疗过程中,除了按时吃药以外日常饮食也是非常需要注意的,有些食物对改善抑郁有较大的益处。如深海瑰宝——鱼。鱼体内的成分Omega-3脂肪酸是天然的抵抗抑郁症的瑰宝。常食用海鱼,会明显降低抑郁症的发病、缓解抑郁情绪。还有快乐水果——香蕉、葡萄柚、樱桃等,其中,香蕉有一种可以令人兴奋和提高情绪精神的物质——生物碱,非常有利于增加人体大脑血清素。血清素的增加有助于,神经细胞的传递,提高大脑神经系统,这也是抑郁症的食疗方法之一。心情法宝——大蒜、南瓜。大蒜和南瓜都是帮助人们恢复心情的法宝。常吃大蒜人们就不会感觉劳累和焦虑,对急躁情绪有所缓解。南瓜中的维生素可以帮助人体补充B6和铁,南瓜被称为天然的人体汽油。合理的饮食对人体本身产生积极因素,都是对抗抑郁的好东西,但是我们还是要注意有些食物不适合患者,如酒、浓茶、咖啡、油炸辛辣等食物,尽可能避免食用。

And then the anxiety set in. If you told me that I'd have to be depressed for the next month, I would say, "As long I know it'll be over in November, I can do it." But if you said to me, "You have to have acute anxiety for the next month," I would rather slit my wrist than go through it. It was the feeling all the time like that feeling you have if you're walking and you slip or trip and the ground is rushing up at you, but instead of lasting half a second, the way that does, it lasted for six months. It's a sensation of being afraid all the time but not even knowing what it is that you're afraid of. And it was at that point that I began to think that it was just too painful to be alive, and that the only reason not to kill oneself was so as not to hurt other people.
Abstract DESCRIPTION: Update of the 2009 U.S. Preventive Services Task Force (USPSTF) recommendation on screening for major depressive disorder (MDD) in children and adolescents. METHODS: The USPSTF reviewed the evidence on the benefits and harms of screening; the accuracy of primary care-feasible screening tests; and the benefits and harms of treatment with psychotherapy, medications, and collaborative care models in patients aged 7 to 18 years. POPULATION: This recommendation applies to children and adolescents aged 18 years or younger who do not have a diagnosis of MDD. RECOMMENDATION: The USPSTF recommends screening for MDD in adolescents aged 12 to 18 years. Screening should be implemented with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate follow-up. (B recommendation) The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for MDD in children aged 11 years or younger. (I statement).
And then the anxiety set in. If you told me that I'd have to be depressed for the next month, I would say, "As long I know it'll be over in November, I can do it." But if you said to me, "You have to have acute anxiety for the next month," I would rather slit my wrist than go through it. It was the feeling all the time like that feeling you have if you're walking and you slip or trip and the ground is rushing up at you, but instead of lasting half a second, the way that does, it lasted for six months. It's a sensation of being afraid all the time but not even knowing what it is that you're afraid of. And it was at that point that I began to think that it was just too painful to be alive, and that the only reason not to kill oneself was so as not to hurt other people.

我的情敌 前任,他的第一个女人,有天告诉他,因为我们的事,她得了抑郁症,她和我说不止一次的 我的情敌 前任,他的第一个女人,有天告诉他,因为我们的事,她得了抑郁症,她和我说不止一次的想到为他而自杀,也因此他既不敢同她结婚(之前在一起很多年就是因为性格不合她敏感娇气各种吵 一哭二闹然后就是动剪子跳楼 这是病的话根本很难正常相处),他也不敢和我结婚(父母亲戚都认可我 但是她不能释怀 怕刺激她真做了傻事 我们也会自责不能安稳过日子 ),这个局面已经僵持了快两年了,弄得现在的我也很焦虑 感到无法解脱,我曾想帮助她,还没接触就被她拒绝,她跟他说,不想看到我听到我,只要我消失,她的病就好了。我想问,是不是我放弃牺牲了自己的爱情,让出来,让男朋友去照顾她,陪伴她,她就能真的康复? 我都分不清她是不是真的得了抑郁症还只是一种要挟手段。她说她去医院 经过医生诊断的 还开了好多进口药吃。 人都是有同情心的,她的身世她的经历就像韩剧里的灰姑娘一样可怜,我不想跟这样的一个姑娘争,自己也好压抑,常常夜里睡不好觉,就是那种明明很困,打着哈欠就是躺下来大脑却停不了机的那种感觉。我是没去医院,我这样也会得抑郁症么? ... Cici | 站在门口那么久
我的情敌 前任,他的第一个女人,有天告诉他,因为我们的事,她得了抑郁症,她和我说不止一次的 我的情敌 前任,他的第一个女人,有天告诉他,因为我们的事,她得了抑郁症,她和我说不止一次的想到为他而自杀,也因此他既不敢同她结婚(之前在一起很多年就是因为性格不合她敏感娇气各种吵 一哭二闹然后就是动剪子跳楼 这是病的话根本很难正常相处),他也不敢和我结婚(父母亲戚都认可我 但是她不能释怀 怕刺激她真做了傻事 我们也会自责不能安稳过日子 ),这个局面已经僵持了快两年了,弄得现在的我也很焦虑 感到无法解脱,我曾想帮助她,还没接触就被她拒绝,她跟他说,不想看到我听到我,只要我消失,她的病就好了。我想问,是不是我放弃牺牲了自己的爱情,让出来,让男朋友去照顾她,陪伴她,她就能真的康复? 我都分不清她是不是真的得了抑郁症还只是一种要挟手段。她说她去医院 经过医生诊断的 还开了好多进口药吃。 人都是有同情心的,她的身世她的经历就像韩剧里的灰姑娘一样可怜,我不想跟这样的一个姑娘争,自己也好压抑,常常夜里睡不好觉,就是那种明明很困,打着哈欠就是躺下来大脑却停不了机的那种感觉。我是没去医院,我这样也会得抑郁症么? ... Cici | 站在门口那么久
4.3.3 妊娠期及产后抑郁 妊娠期及产后女性处于激素水平波动期,抑郁症发生率高。此期抑郁症危害较大,对孕产妇、(胎)婴儿以及整个家庭都造成严重影响。我国学者对现有临床资料及诊疗指南进行研究,提出妊娠期及产后抑郁治疗5项基本原则[18]:①综合治疗,包括药物治疗、心理治疗、物理治疗等;②全程治疗,同样分为急性期、巩固期、维持期;③分级治疗,分级治疗的原则基本如前,若为重度抑郁症并伴精神病性症状、极端想法及行为时,务必进行精神专科治疗;④以孕产妇安全为前提;⑤保证(胎)婴儿安全。目前FDA和我国国家食品药品监督管理总局均未正式批准任何一种抗抑郁症药用于妊娠及哺乳期。所有的抗抑郁症药均会渗入乳汁,对发育的远期影响尚不明确,故原则上应尽量避免在哺乳期用药。如病情需要必须在哺乳期用药,建议采取最小有效剂量,必要时可考虑终止哺乳。目前尚无确切证据表明何种抗抑郁症药对孕产妇抑郁更有效,故药物选择主要参考既往用药史及耐受性。SSRIs常作为一线用药选择,其中舍曲林临床应用较多,被证明具有较高安全性,但尚缺乏远期影响资料。
目前我国精神科医师常使用的抑郁症诊断分类系统包括世界卫生组织制定的《国际疾病分类》第十版(International Category of Disease, ICD-10)和美国的《疾病诊断与统计手册》第五版(Diagnostic and Statistical Manual of Mental Disorders, DSM-V),来帮助评估和诊断青少年抑郁症。研究还发现标准化的评估工具(量表和问卷等)可以帮助提高青少年抑郁症的识别率。成功用于诊断和评估青少年抑郁症的量表和问卷很多, 美国预防服务工作组(Preventive Services Task Force of United States, USPTF)推荐使用的青少年抑郁症筛查量表变包括贝克抑郁自评量表(Beck Depression Inventory,BDI),同时我国目前常用筛查量表还包括流调用抑郁量表(Center for Epidemiological Survey-Depression Scale, CES-D)、Kutcher青少年抑郁量表(Kutcher Adolescent Depression Scale,KADS)、儿童抑郁自评量表(Depression Self-Rating Scale for Children,DSRSC)、儿童抑郁量表(Children's Depression Inventory,CDI)、症状自评量表(Self-Reporting Inventory,SCL-90)等。
A revision of the 2008 British Association for Psychopharmacology evidence-based guidelines for treating depressive disorders with antidepressants was undertaken in order to incorporate new evidence and to update the recommendations where appropriate. A consensus meeting involving experts in depressive disorders and their management was held in September 2012. Key areas in treating depression were reviewed and the strength of evidence and clinical implications were considered. The guidelines were then revised after extensive feedback from participants and interested parties. A literature review is provided which identifies the quality of evidence upon which the recommendations are made. These guidelines cover the nature and detection of depressive disorders, acute treatment with antidepressant drugs, choice of drug versus alternative treatment, practical issues in prescribing and management, next-step treatment, relapse prevention, treatment of relapse and stopping treatment. Significant changes since the last guidelines were published in 2008 include the availability of new antidepressant treatment options, improved evidence supporting certain augmentation strategies (drug and non-drug), management of potential long-term side effects, updated guidance for prescribing in elderly and adolescent populations and updated guidance for optimal prescribing. Suggestions for future research priorities are also made.
药物治疗的主要问题在于治疗之后仍然会有不少患者出现残留症状,大约有30%的病人在治疗结束之后仍然有一定程度的认知障碍,自杀几率以及复发几率。有研究发现在短期治疗下,35-50%的患者在药物治疗后康复,也有25-35%的患者在安慰剂的作用下同样康复,因此,可以推测出大约有2/3的抑郁症患者在治疗之后并没有完全康复,仍然有残留的症状。因为如此,就有很多研究探讨将最初的治疗效果最大化的方法,一个方法就是在使用抗抑郁药物的同时配套其他相关药物,比如有一个小型研究发现配合米氮平_百度百科 与氟西汀_百度百科,文拉法辛_百度百科 或安非他酮_百度百科 的效果比单一使用氟西汀_百度百科的效果要好。同时,也有研究发现在治疗初期就用大剂量的药物会有较好的反应效果,但是,这个效果并不是那么显著并且大剂量的药物会导致更严重的停药反应。另外,也有不少研究发现在药物治疗的基础上配合认知行为疗法CBT的话效果更为出众。
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