20% patients visiting family doctors for depression issues are referred to Specialist for expert help


Pune, January 31, 2017: In today’s world, things move at a fast pace and life is becoming a rat race. Keeping up with the Joneses is becoming harder and driving us to work ourselves into a frenzy, taking a toll on our mental health. Depression is a syndrome that has multiple symptoms. While we may notice physical discomfort more easily, we tend to ignore mental symptoms such as decreased sleep and loss of appetite, assuming that these problems will right themselves on their own. However, if these syndromes begin to interfere with our daily lives and relationships at home or work for a period of about two weeks, alarm bells ought to ring. Shrugging these off as a part and parcel of life could be a grave error of judgement.


According to doctors in Maharastra, depression requires early assessment and relapses have to be avoided as far as possible. If a person is depressed twice in a short period of time, there is a 90% chance of another relapse occurring. If a person suffers from episodes of depression thrice, a five-year treatment term may be expected. Every month, on an average, in Maharastra, nearly 20% of patients visiting their family doctors for depression related issues are referred to specialists for treatment as these depression cases are very severe.


“World Health Organization (WHO) has declared depression as a theme for year 2017, ‘Let us discuss about depression’ will be the slogan for this theme. Depression is to be treated as any other medical disorder. There are neurochemical changes in the brain. The neurotransmitter deficiencies are very effectively corrected by using antidepressant medication, along with supportive counseling, psychotherapy, and cognitive behaviour therapy. Meditation and Yoga as adjuvant treatment methods are widely accepted all over the world.  The physical therapies like electro-convulsive therapy, r-TMS and vagal nerve stimulation (VNS) are widely used all over the world. With various treatment approaches mentioned above depression can be effectively controlled and possibility of suicide can be averted. The work-impairment, family interactions and social interactions can come back to normalcy and the individual can lead his/ her normal life with dignity.” Dr. Vidyadhar WatvePsychiatrist at Poona Hospital and Research Centre


It is important, for family and friends to be aware of symptoms that characterise depression. If you find that a family member is complaining of physical symptoms such as poor or excessive sleep, decreased or increased appetite, you ought be vigilant to look out for other accompanying symptoms including constant, unprovoked irritation, if there is psychomotor agitation – one’s speed or stance of walking alters and one becomes more fidgety and restless, if the concentration levels evaporate and a person in general becomes withdrawn and loses interest in things that previously were of interest, it may be possible that the person is suffering from depression.


Family pressure and environment play havoc with anxiety levels in the middle age when midlife crisis, worries about settling children in their lives as well as stresses of looking after ageing parents has to be dealt with.


According to doctors in Maharastra, hormonal fluctuations play a big role in depression. As a result, at various stages, pre-menstrual, post-partum, pregnancy, pre-menopause and menopause, women are more susceptible.


Other than hormonal changes, stresses are same for both men and women: family-related issues, inter-personal relationship with the spouse, pressures of raising children, societal pressures, exams or marks or work-related worries. One direct cause of stress can be death in the family. In such a state of mind, news of death in newspapers may also affect one deeply. As a result of constant anxiety, changes occur in the mind. Inflammation excited nerve cells and changes then occur in the body system.


As a result of tiredness and lethargy, diet gets affected. Weight gain is often seen in women whereas weight loss is seen in men. Craving for sweets increases. Other lifestyle diseases then creep in as a fallout of these changed habits.


Domestic stress, job tensions, thyroid malfunction, Vitamin B12 deficiency compounds depression in women.


Co-morbidities such as cardiac issues, diabetes and HIV can create further complications, especially if a depressed person does not stick to dietary or medicinal routines. Hence, depression should be treated as enthusiastically as any other disease.


Nationally, India witnesses over 3 crore new prescriptions annually to treat Depression. According to September 2016 MAT estimates by IMS Health, the number of new prescriptions for treating depression in India written by psychiatrists recorded a staggering 14% growth during the last 12 months.



Common Causes of Depression Based on Age-Groups


Causes of Depression By Age group Elderly Middle-Age Teenager Young Executives
Academic pressures ü
Ailing partner ü
Aversion to change ü
Behavioural Issues ü ü ü
Biological / Physical changes ü ü ü ü
Bullying ü
Career Insecurities & Challenges ü ü
Child abuse ü
Competitive & Ambitious Attitude ü ü
Dyslexia ü
Empty Nest ü ü
Excess influence of Social & Digital Media ü
External Attention Deficit ü
Family Pressure & Environment ü ü ü
Fear of Failure ü ü
Fear of Future ü
Feeling of Guilt ü
Financial Insecurities ü ü
Hereditary ü
Identity crisis ü ü
Lack of Personal Time & Space ü
Lifestyle changes ü ü
Marital Issues ü
Materialistic Behaviour ü ü
Midlife crisis ü
Nuclear families ü
Peer pressure ü ü ü ü
Personal Health ü ü
Physical / Emotional Abuse ü
Relationship Issues ü ü ü ü
Responsibility towards children ü
Sexual abuse ü
Sexuality Crisis ü
Sleeping Disorders ü
Substance Abuse ü ü
Work pressure ü ü




Most Common Disturbances in Life Patterns due to Depression In Mahastra
Behavioural issues Sedentary Lifestyle
Sleeping Disorder Withdrawal Symptoms


Most Common Consequences of Untreated Depression In Maharastra
Academic Loss Financial Loss
Mental health Problems Strain on Relationships


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