You're not lazy, you're just depressed
2021-12-07
"I finally summoned up the courage to go to the hospital and diagnosed with depression." At this year's talk show conference, talk show actor rock admitted that he was suffering from depression and shared his feelings of depression. He said: "the biggest trouble depression brings to me is that it makes me lose my ability to move. Sometimes I can only lie down and don't want to do anything. It looks like I'm lazy. But you know, there is a difference between laziness and depression. When lazy people lie down, they have a smile on their face; while depressed people don't have a smile on their face." Is it laziness or illness? "Lack of interest and decreased energy and physical strength are the core symptoms of depression. People who get sick will lack motivation and don't like to do what they used to do," said Jiang Sisi, an attending physician in the clinical psychology department of the Sixth Hospital of Peking University, "Patients say it's' boring and boring from the heart '. When it's serious, they don't want to do anything,' brush their teeth and wash their face with patience ', and it's difficult for people who haven't experienced it. This kind of behavior of not wanting to do anything is very much like what people often call' laziness', so many patients and their families will ask, is it laziness or illness?" As a psychiatrist, Jiang Sisi thinks that rock's description of the difference between "depression" and "laziness" is very accurate: "Lazy people are happy when they lie down, because being lazy and motionless is what they want. Depressed people, although lying down and motionless, are not happy at all. They often stage a struggle between 'I should get up and do something' and 'I really don't want to move', and even attack themselves' lazy 'and' useless'." "Laziness, as a trait, should be relatively stable from childhood to most; depression, as a disease, is a person's state for a period of time. Therefore, if you were diligent and love to work, you became lazy and didn't like to do anything for a period of time, you should consider whether you got sick," Jiang Sisi said. Is it an ideological problem, a cultural phenomenon, or a disease? "Depression is not an exaggerated phenomenon. It is not 'thinking is wrong', nor is it 'lazy'. Depression is a real disease with biological basis and disease entity," Jiang Sisi said. According to Jiang Sisi, the etiology of depression as a disease is still under study. At present, it is clear that depression is associated with genetic, environmental factors, personality traits, and changes in brain neurotransmitters. It should be pointed out that not everyone has the ability to recognize their depression, and many people have been depressed for a long time without being aware of it. This Some people usually don't care much about their emotions and don't understand their emotional changes, so they will always feel that their emotions are OK until they have poor sleep quality, slow thinking, loss of mobility, and even suicidal thoughts. After seeing a doctor, they find that their emotions are wrong. Therefore, it is very important to be aware of your emotions and understand your physical and mental status in time. Jiang Sisi believes that emotions are an internal signal of the body and reflect what is happening in the physical and mental system. For example, when a person feels afraid, "fear" This emotion is an important internal signal, which means that something terrible may be happening. Similarly, depression is also a signal, which means that a person's current physical and mental state, a certain life mode, neurotransmitters in the brain, or interpersonal relations with the people around him need to be adjusted. Is it a transient depression or depression? How to distinguish between depression and depression? Jiang Sisi said, first of all, depression is a kind of mood. Depression is not only depression, but also the general name of a group of syndromes with depression as the core. The core symptom of depression is depression, accompanied by thinking disorder, decreased will activity, cognitive impairment, and some physical symptoms. Second, depression usually occurs when people encounter setbacks and disappointments. It is a physiological emotional expression when people encounter negative events, and the mood will recover in the past. However, serious depression will persist, especially in the absence of special incentives, it may be "depression" . if a person is always depressed from time to time for no reason, even if the degree is not very serious, it is necessary to sound the alarm and attract attention. Third, depression is short-lived. It comes and goes like a gust of wind, and depression will last for at least two weeks. Depressed patients are like being captured by depression. If they don't seek help and make serious adjustment, the depressed mood will not disappear by itself, or even become more and more serious. "Taking your seat according to the number" -- self identification of depressive symptoms Jiang Sisi pointed out that depression contains a series of symptoms, and many manifestations may suggest the existence of depression. For example, depression is a characteristic symptom of depression, mainly manifested in significant and lasting depression and pessimism. Patients with mild depression often complain of depression, lack of pleasure, lack of interest and lack of motivation "Depressed" or "unhappy"; patients with major depression can feel pessimistic and desperate, live like years, and feel miserable. Patients often tell that "living is meaningless" or "life is not fun". Depression patients will also become pessimistic and negative, manifested as low self-evaluation, thinking that everything is bad for themselves. They are the most unfortunate person and no good things will happen to themselves. Jiang Sisi stressed that low self-evaluation is one of the most common manifestations of depression, but it is difficult for patients to identify themselves. "When a person is depressed, he will be very inclined to belittle himself and think he is worthless, and even some people will have a strong attack on himself. If patients believe these low evaluations, they will be even lower. It is difficult for patients with depression to jump out of their thinking, so they must seek help from others." Patients with severe depression will also have psychotic symptoms, such as delusions or hallucinations; some patients will have the concept of self blame and self sin, and think that their existence has brought trouble to the people around them. This kind of trouble is unforgivable. They think that they are sorry for their family, friends and colleagues, and then have the concept of suicide; some patients will also have expanded suicidal behavior - that is, out of respect for their relatives Sympathy, pity or difficulty in giving up family affection, kill their relatives and then commit suicide - for example, there are reports in the news that mothers with postpartum depression commit suicide with their children in their arms. Easily overlooked depressive symptoms: cognitive impairment and somatic symptoms The complexity of depressive symptoms is far more than that. Jiang Sisi pointed out that depression will also bring damage to cognitive function, such as decreased recent memory, enhanced negative memory, decreased attention, prolonged reaction time, decreased abstract thinking ability, learning ability and language fluency. In addition, eye hand coordination, spatial perception and thinking flexibility will also be damaged 。 Jiang Sisi observed that some students suffering from depression began not to realize the change of their mood, or attributed the change of mood to rebellion and did not care. They often first found that they were not as smart as before, did not pay attention and had poor memory, so they began to blame themselves, blamed themselves for not studying hard, easily distracted, and forced themselves to study hard With the proper treatment, the patients suffered a lot and took many detours, and some patients also suffered a decline in their academic performance. Jiang Sisi reminded that the decline of memory function, attention and abstract thinking ability are common symptoms of depression. If these symptoms occur, we should consider whether there is the possibility of suffering from depression. In terms of taking drugs, many people have cognitive misunderstandings and think that "drugs are three poisons". They are worried that taking antidepressant drugs will make the brain stupid. In fact, it is depression itself that affects the brain's thinking function, not drugs. Taking drugs can often improve the brain's thinking function and cognitive function. In addition, depression is often manifested by a series of specific physical symptoms, such as sleep disorder, anorexia, weight loss, autonomic nerve dysfunction symptoms, fatigue, pain (any part of the body), constipation, amenorrhea, decreased sexual desire, impotence, etc. especially children, adolescents and the elderly, when depression starts, it often starts with physical discomfort. Jiang Sisi said that clinical findings show that the incidence of depression in children, adolescents and the elderly is very similar, "For example, children always have stomach discomfort, and the digestive department can't find a problem. Later, it is diagnosed as suffering from depression; the elderly suddenly lose weight or have physical pain, but no problem is found in various examinations. Finally, it is found that it is the physical symptoms caused by depression." Jiang Sisi said that although people have more and more discussions on depression, depression is still an underestimated disease. Many people have problems, but they don't see a doctor, so they don't get the help they deserve. "Self identification of depression is very important," Jiang Sisi stressed. "If you find that you have the above listed depressive symptoms, especially multiple symptoms at the same time, you should put a question mark in your heart and ask yourself if you have depression." She also reminded that the self identification of depression is not the same as the diagnosis of depression. The diagnosis of depression must be carried out in a regular hospital. "Not all people who come to the hospital will be diagnosed with depression, and they will encounter patients in clinic. After evaluation, it is found that they do not develop depression. These patients can also better understand their own situation through evaluation and get some suggestions to adjust their emotions," Jiang Sisi said. People diagnosed with depression should actively receive systematic and scientific treatment. "Depression is a treatable disease, and many patients can benefit from medication and psychotherapy. I hope you can go to a regular hospital for help in time when you find that you may have depression." Jiang Sisi said. (outlook new era)
Edit：Yuanqi Tang Responsible editor：Xiao Yu
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