Depression: Risks and evaluation

Risks for Depression

Most experts believe that major depressive disorders are caused by a combination of biology, learned behavioral responses, and cognitive factors. Biological theories suggest that chemical and genetic processes account for depression. Learning theories suggest that people develop faulty behaviors that make them predisposed to depression. Finally, cognitive theories suggest that irrational ideas and beliefs guide people to negative coping behaviors. More progressive researchers suggest that combinations of the above variables interact to increase risk for depression. Some people, because of genetic history, their environment, situational triggers and stressors, poor behavioral skills, and brain-body chemistry, may be particularly vulnerable to depression.

Getting Evaluated for Depression

For the past decade, mental health specialists have come under fire for their sometimes cursory diagnosis of depression and tendency to prescribe powerful antidepressants far too quickly. If you suspect that you are suffering from depression, you should see a credentialed health professional for a complete clinical examination, which should include the following three parts:

• A physical examination, which will rule out thyroid disorders, viral infection, and anemia - all of which can result in depressive-like symptoms, and a neurological check of coordination, reflexes, and balance, to rule out brain disorders
• A psychiatric history, which will attempt to trace the course of the apparent disorder, genetic or family factors, and past treatments
• A mental status examination, which will assess thoughts, speaking processes, and memory, as well as an in-depth interview with tests for other psychiatric symptoms

In short, don't simply go to a therapist, say that you're depressed because you've broken up with a partner, and ask for a quick-fix antidepressant. You need to ask questions, demand a thorough assessment, and ask for assistance with follow-up therapy. Also, get recommendations for therapists through your doctor or someone that you trust.

*3/277/5*