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concentrations
جەختکردن

very are are concentrations. used but expensive in additives low
چڕیەكی گرانە سەر كەم بەكاردەهێنرێت نرخی خۆراك بە مقبلاتی زۆر بەڵام

• depression is a common mental disorder that presents with depressed mood, loss of interest or pleasure, feelings of guilt or low self worth, disturbed sleep or appetite, low energy, and poor concentration. signs and symptoms of depression  persistent sad, anxious, or "empty" feelings feelings of hopelessness or pessimism feelings of guilt, worthlessness, or helplessness irritability, restlessness loss of interest in activities or hobbies once pleasurable, including sex fatigue and decreased energy  difficulty concentrating, remembering details, and making decisions insomnia, early morning wakefulness, or excessive sleeping overeating, or appetite loss thoughts of suicide, suicide attempts aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment. causes of depression 1. genetic or hereditary2. biological / biochemical / medication3. dietary4. environmental5. socio cultural factors / situations / relationships / personality diagnosis •history collection• mental status examination• icd –criteria management• antidepressants primarily work on brain chemicals called neurotransmitters, especially serotonin and norepinephrine. other antidepressants work on the neurotransmitter dopamine. anti depressants • selective serotonin reuptake inhibitors (ssris). fluoxetine (prozac), sertraline (zoloft), escitalopram (lexapro), paroxetine (paxil), and citalopram (celexa) are some of the most commonly prescribed ssris for depression. psychotherapy• cognitive behavioral therapy (cbt)cbt helps people with depression restructure negative thought patterns.• interpersonal therapy (ipt)ipt helps people understand and work through troubled relationships that may cause their depression electroconvulsive therapy• for cases in which medication and/or psychotherapy does not help relieve a person’s treatment resistant depression, electroconvulsive therapy (ect) may be useful.
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