Clinical depression

The term "clinical depression" describes several different types of depression. Endogenous clinical depression includes, first of all, typical (simple) depression, depressive stupor (i.e., depression with lethargy), agitated depression (i.e., anxious depression), and psychotic depression (i.e., delusional depression). Each of the above subtypes is characterized by a typical set of symptoms and their intensity. Each of these may also be the result of a different background. The causes of endogenous depression include, but are not limited to disorders of the brain, endocrine, immune, and autonomic systems.

In addition to endogenous, reactive may also occur. It is a type of clinical depression that occurs as a result of prolonged stress caused by a painful or essential event. An example of such a situation could be the loss or change of job, the death of a loved one, illness, the birth of a child (in this case, we are talking about a particular type of depression - postpartum depression) or any other event that caused very strong emotions or trauma in the patient.

If you have a problem such as clinical depression, you can contact the VIVERE CLINIC center. Our experienced specialists will help determine the cause and select effective treatment methods to return you to an active life and reduce the risk of relapse.

Symptoms

The first signs of clinical depression are subtle—a lack of motivation to perform daily activities, a feeling of worthlessness, or a lack of self-acceptance. However, over time, these problems accumulate and worsen, leading to severe anxiety and depressive disorders. Signs of advanced clinical depression:

  • a constant deep feeling of sadness and depression, even despair;
  • low energy levels and feeling tired;
  • insomnia and sleep problems or hypersomnia;
  • feelings of guilt and worthlessness;
  • slowing down of speech and movements;
  • memory problems, difficulty concentrating;
  • difficulties in making decisions;
  • loss of appetite, which leads to weight loss or, conversely, a constant feeling of hunger;
  • suicidal thoughts.

However, it is essential to emphasize that to support a formal diagnosis of clinical depression, the above symptoms must persist for at least two weeks and represent a change from the previous level of functioning before the onset of symptoms. Moreover, these changes must cause significant disruption or stress at work.

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Causes

To date, the causes of the disease have not been clearly established. However, a relationship has been established; the development of clinical depression can be facilitated by:

  • disturbances in the production of neurotransmitters;
  • psychological problems;
  • problems with physical condition, long-term illnesses;
  • sleep disturbances, diet, and diet, and lack of physical activity. activity;
  • family history of depression;
  • alcohol or drug abuse;
  • high level of stress;
  • traumatic events, childhood experiences;
  • taking certain medications.

It is essential to understand that depression is not just a "bad mood" or persistent sadness but a serious medical disorder that requires treatment and support.

Diagnostic methods

Diagnosis of clinical depression consists of determining the presence and severity of a depressive disorder in a patient. This includes the use of various methods such as:

  • Conversation with a doctor. The patient answers questions about their symptoms, causes of problems, risk factors, and medical history.
  • Questionnaires and scales. Standardized instruments assess the severity of depression and its impact on quality of life. For example, the PHQ-9 questionnaire.
  • Laboratory research. They may be necessary to rule out other diseases that can cause depressive symptoms, such as anemia, hypothyroidism, infections, etc.

A specialist, such as a psychiatrist or psychotherapist should carry out diagnosis of depression. If you or a loved one suspect depression, you should not delay seeking help. Depression is a serious illness that can negatively affect your physical and mental health, but it is successfully treated at VIVERE CLINIC.

Prevention

Preventing clinical depression is an important aspect of taking care of your mental health. Here are some tips to help reduce your risk of developing the disease:

  1. Maintain a healthy lifestyle - regular physical activity, healthy eating, sleep patterns, limiting the use of alcohol or drugs.
  2. Organize your day and set priorities. Strive to organize your time effectively, set clear goals, and divide large tasks into smaller ones that are easier to complete.
  3. Maintain social connections. Connecting with others can help relieve feelings of isolation and improve your well-being.
  4. Manage your thoughts. Avoid negative and destructive thoughts. Develop positive self-talk and manage your thoughts and beliefs.
  5. Find pleasure in hobbies and interests. Make time for things that bring you pleasure and joy, such as creative activities or sports.

Visit your doctor regularly for examinations and physical and mental health monitoring. Contact a professional if you notice signs of depression or burnout.

Treatment

Treatment of clinical depression involves pharmacological therapy and psychotherapy, which also includes working with one's own emotions. Psychotherapy aims to understand the current state and see new possibilities for solving any emotional problems. However, it is worth noting that an extremely important aspect of treating clinical depression is the support of those closest to you and the patient's motivation to begin, continue, and complete treatment. In this sense, an open conversation about emotions with loved ones, taking into account internal states, is no less important since the lack of support can lead to a fear of externalizing one's emotions and closing oneself down. It is important to note that in some cases, with the use of appropriate therapy, as well as the will and attitude of the depressed person to the situation, treatment can be effective without pharmacotherapy or the need to take medications.

Clinical depression involves the occurrence of typical depressive behaviors and symptoms. However, it turns out that depressive disorders can occur in various forms, including atypical ones, and in this case, we can talk about atypical depression. A valuable tool in diagnosing depressive disorders is the Beck Depression Inventory, which is used to identify depression. VIVERE CLINIC specialists use advanced techniques to diagnose and treat clinical depression, striving for the patient to feel better and return to a whole life as soon as possible.

Recommendations

If you experience symptoms of clinical depression for two weeks or more and they are significantly affecting your life and functioning, it is recommended that you consult a doctor.

VIVERE CLINIC specialists can assess your condition, make a diagnosis, and offer the necessary treatment.

Don't be alone with feelings of depression. Remember that professional medical care and support will help you overcome your illness and return to a healthier, happier life.

Price

The cost of treating clinical depression may vary for each patient, depending on various factors, and is calculated individually.

You can register for a consultation by phone or online at a convenient time. Don't put off taking care of your mental well-being—schedule your visit today!

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Протягом останнього року консультувалися з Макаром Васильовичем Шейко з приводу діагнозу та подальшої тактики лікування доньки. Отримали вичерпні відповіді на свої запитання, та насправді кваліфіковану допомогу. Можу сміливо радити лікаря як фахівця, що призначить лише потрібний обсяг досліджень, максимально глибоко та експертно оцінить результати - вважаю, саме в цьому полягає основна цінність консультації. І найголовніше - при зовнішній стриманості та небагатослівності, Макар Васильович дійсно переймається результатом лікування і прагне допомогти дитині, а не просто призначити препарати за протоколом. Щиро вдячна лікарю та клініці, сподіваюсь, з Вашою допомогою зможемо отримати добрі результати.

Світлана

Хочеться щиро подякувати Шейко Макару Васильовичу! За допомогу в вирішенні, лікуванні та правильному встановленню діагнозу нашої хвороби! Бо як виявилось сама більша проблема в тому щоб правильно встановити саме діагноз. Пред історія така .В дитини (14 років) в один прекрасний день опускається повіка, діагнозів в Охматдиті нам ставили багато, робили безліч обстежень але все марно ,поки шукали підтвердження, повіка самостійно піднялася. На цьому нам сказали все, пройшло і нічого не бачимо, можливо перехідний вік, як стане гірше звертайтесь. Так через місяць стало гірше, опускається ще одна повіка і додається двоїння в очах, швидка стомлюваність. Що ми пережили один Бог знає. Слава Богу що нам порадили клініку VІVERE, там ми потрапили на прийом до Макара Васильовича, чесно за пів години нам попередньо поставили діагноз (ми 4 місяці бігали по різних спеціалістах) а саме Мітохондріальна дисфункція, потрібно ще було доздавати аналізи. І відразу назначили лікування. Моєму подиву не було меж після першого прийому ліків призначених в дитини відразу стабілізувався стан очей, на протязі тижня пройшло двоїння (диплопія), дитина ожила. Відповідно ми ще лікуємось але дуже дякуємо за компетентність, уважність і правильний підхід.

Леся

Лікуємо нашого хлопчика і бачимо позитивні результати, хлопчик став краще розмовляти, з'явився апетит, з'явилось бажання пробувати нові продукти, легше реагує на все, легше домовлятися. Дякую лікарю Володимиру Михайловичу Стефанишину.

Юрій

В клинике уютно и светло. Приятно удивляет всегда быстрое реагирование на вопросы и просьбы девушек-регистраторов, их доброжелательное отношение. Ни один вопрос в вайбере не остался без ответа. Дважды были с сыном на консультации у Шейко Макара Васильевича. Неординарный, профессиональный и, в то же время, душевный, можно сказать дружеский подход, к решению проблем пациента, у Макара Васильевича. Также 2 года назад мы были на приеме у иммунолога Мельник Леси Игоревны. Остались тоже очень довольны. Впечатлило глубокое понимание проблемы, а также достаточно доступное объяснение и интересное изложение информации.

Елена Моцарь

Доброго дня! Нарешті я написала відгук, вже півроку з вами) Я мама дитини, яка до 18 років мала купу діагнозів, які і близько не мали відношення до нашої хвороби! Уявіть, скільки часу було витрачено... лікування ніяке (звісно) не допомагало, а ставало ще гірше. Доки нам не порекомендували Шейко Макар Васильовича! Сказати, що Він нам допоміг , це нічого не сказати! Макар Васильович врятував мою Софію! Завдяки правильній діагностиці, ми маємо НАШ діагноз (рідке орфанне захворювання) і правильне лікування. Я бачу поліпшення, моя дитина як заново народилася! Макар Васильович - це дбайлива і дуже чутна Людина, якій довіряєш! На прийомі немає оцього бар'єру лікар-пацієнт, ви як прийшли до друга, який вас підбадьорить, вислухає. Дуже рекомендую!

Анна
Nataliіa Samonenko
Nataliіa Samonenko

- accumulation diseases; - congenital anomalies of the eye, ear, face and neck, urinary system, nervous system, respiratory system, digestive system, circulatory system; - anemia; - congenital anomalies and deformations of the musculoskeletal system; - hereditary anomalies; - congenital iodine deficiency syndrome; - Preconception prevention; - Prenatal diagnosis; - DNA testing; - Diagnosis and treatment of metabolic diseases

Nataliіa Samonenko
Geneticist of the highest category, pediatrician

Stage: 25 years old

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Volodymyr Monastyrsky
My motto in life is to do everything consciously, in a structured way, and with maximum attention to the process. Neurology is a specialty where details are important.

- Parkinson's disease; - epilepsy and seizure syndromes; - multiple sclerosis and encephalomyelitis; - vascular neurology (strokes and their consequences, cerebral atherosclerosis, arterial hypertension); - demyelinating, inflammatory, and degenerative diseases of the nervous system; - dementia; - the effects of a traumatic brain injury; - migraine; - polyneuropathy; - neuroinfections; - encephalitis and its consequences.

Volodymyr Monastyrsky
Neurologist of the highest category, candidate of medical sciences

Stage: 20 years

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Richard G. Boles, MD
Richard G. Boles

- mitochondrial disorders - autism spectrum disorders - neurodevelopmental disorders - metabolic disorders - ADHD - chronic fatigue syndrome - cyclic vomiting syndrome - atypical forms of migraines

Richard G. Boles, MD
Medical Geneticist and Pediatrician

Stage: More than 30 years

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Larysa Nifontova
My motto is to provide quality of life for the patient!

- consulting, diagnostic and therapeutic care for patients with endocrinological diseases - insulin pump therapy - use of author's methods with scientifically proven effectiveness for diagnostics and treatment of endocrinological diseases

Larysa Nifontova
Endocrinologist of the highest category, a pediatric endocrinologist

Stage: 20 years

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Ihor Rybak
Serious pursuit of any goal is half the battle in achieving it.

- Systemic autoimmune diseases - Rheumatic diseases - Primary and secondary immunodeficiency disorders - Immune forms of infertility

Ihor Rybak
Immunologist of the first category, Honored Healthcare Worker of Ukraine

Stage: 35 years

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