Online consultations with MCSC doctors n. a. A. S. Loginov

Myths about depression


Among mental disorders, various anxiety disorders are in second place. And the first one has been depression for a long time: More than 280 million people in the world face this problem. 

  • According to research, the COVID-19 pandemic has made a significant contribution to the increase in the prevalence of anxiety and depressive disorders.

But it is important to distinguish mood variability or temporary experiences from a depressive state. 
In this regard, many myths arise. Here are some of them. 

"Depression is just a bad mood"

No, it's not.
Although depression belongs to the so-called mood disorders (affective disorders), they are not limited to mood changes. 

  • Depression also affects our cognitive abilities, activity, motives, somatic sphere.

The main symptoms are violations in several areas:

  • a decrease in mood, obvious compared to the inherent norm, prevailing almost daily and most of the day, and lasting at least two weeks, regardless of the situation;
  • a distinct decrease in interest or pleasure in activities usually associated with positive emotions;
  • reduced energy and increased fatigue.

Additional symptoms may include:

  • decreased concentration of attention, difficulty remembering, absent-mindedness;
  • representation of the future in shades of gray ("nothing good will happen anymore");
  • sleep disorders, appetite, decreased desire;
  • thoughts of guilt and self-flagellation.

Depression not only reduces the quality of life, but is also associated with suicide risk.

"Depression is simply due to the fact that hormones don't work that way"

Not again. 
Transferring the entire burden of responsibility to serotonin, dopamine and other vital substances will not work. 

The causes of depression, like many disorders, are represented by a combination of many factors:

  • biological (monoamines: serotonin, dopamine, norepinephrine);
  • social (what happens to us in the external environment, for example, crises, traumatic events);
  • psychological (a wide range of our personality traits, response to situations, resistance to stress factors).

Due to the complexity of the formation of the disorder, complex treatment is necessary: drugs (action on biological factors) and a wide field for working with a psychotherapist (psychological factors, social).

"You need to pull yourself together, get busy and everything will pass"

Strong-willed attitude and an active position occupy an important place, but, unfortunately, in many cases it does not help. 

  • Depression is a disease, and it requires treatment: psychotherapy, psychotherapy and drugs, or only drugs – the scheme depends on the condition.

Of course, depression will end at some point - in months or years, but the risks without treatment are very high: worsening of the condition, worsening of symptoms, suicidal risk, exhaustion.

In addition, it is important to remember that we may not be dealing with one depressive episode, but, for example, with bipolar affective disorder, which will not go anywhere without treatment.

Take care of yourself!

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GBUZ Moscow Clinical Scientific Center named after Loginov MHD