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KEY       10.5   Know the causes and symptoms of depression.



              High-stress situations
            (financial problems, personal
             loss, relationship issues)                                  Feeling hopeless  Loss of interest
                               Sexual   Illness or                        or worthless  in favorite activities
                              assault    injury                Feeling constantly
             Low self-esteem                                    sad or anxious                   Decreased
             and pessimistic                                                                    energy and
               worldview                     Recovery                                           motivation
                                               from
      10        Chemical      Possible       childbirth        Thoughts of       Symptoms       or oversleeping
                                                                 suicide
                                                                                                  Insomnia
                              Causes
      CHAPTER   in the brain                         DEPRESSION        concentrating        Eating too much
               imbalance
                                                                         Difficulty
                        Genetic
                                                                                    Feeling
                                  medication
                      predisposition  Reaction to                                  frightened  or too little
                                         Let go of                Seek activities
                                       unreasonable               that make you
                                        expectations                feel better

                                  Try to be with       Coping          Let family
                                 others as much       Strategies       and friends
                                   as possible                          help you

                                          Know that                Avoid major life
                                         feeling better  Get counseling  decisions until your
                                          takes time              condition improves



         Source: “Depression.” National Institutes of Health publication 02-3561. Bethesda, MD: National Institutes of Health, 2002.


                                      If you recognize some of these symptoms in yourself, seek help from a professional.
                                   Depression is treatable, but diagnosis requires a medical evaluation. Most student
                                   health centers and campus counseling centers provide both medical and psychological
                                   help as well as referrals. For some people, adequate sleep, a regular exercise program, a
                                   healthy diet, and the passage of time are enough to lessen stress and ease the disorder.
                                   For others, behavioral modification therapy and medication are important.
                                      At its worst, depression can lead to suicide. SAVE (Suicide Awareness Voices of
                                   Education) lists the warning signs of an impending suicide: 14

                                    ■  Statements about hopelessness or worthlessness: “The world would be better with-
                                      out me.”
                                    ■  Loss of interest in people, things, or activities.
                                    ■  Preoccupation with suicide or death.
                                    ■  Visiting or calling family and friends and giving things away.
                                    ■  Sudden sense of happiness or calm. A decision to commit suicide often brings a
                                      sense of relief that convinces others that the person “seemed to be on an upswing.”
                                      If you recognize these symptoms in someone you know, begin talking with the
                                   person about his or her feelings. Then do everything you can to convince the individ-
                                   ual to see a doctor or mental health professional. Don’t keep your concerns a secret;
                                   risk sounding an alarm that may save someone. If you recognize these symptoms in


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