Published On: Wed, Feb 8th, 2017

Nearly 10% of patients visiting family doctors suffer from Depression in Rajasthan every month

 

While depression can be genetic, environmental causes are just as much responsible for triggering it. 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.

Dr. Shiv Gautam, Director Professor & consultant Psychiatrists, Gautam hospital and Research center share with us as to what actually Depression is and how can one get out of it…..

Social and cultural imbalances can create havoc with society as we know it. While the times they are a-changing, decades of female infanticide has tilted the gender ratio in some states of India, including Rajasthan.

According to the Indian Census 2011 figures, there are 928 females for every 1000 males in Rajasthan. As a result,  the rising sexuality crisis, coupled with academic pressures and fear of failure is driving depression incidences amongst Teenagers while Ambition and work pressure is driving depression incidences amongst young professionals in Rajasthan.Every month, on an average, in Rajasthan, 10% of the patients visiting GPs or family doctors suffer from depression. Nearly 42% of patient suffering from depression are referred to specialists for treatment as these depression cases are very severe.

The tuition-culture  that is rampant in India finds its microcosm in the heart of Rajasthan. Peer and social pressure is the dominant cause of depression across all age groups in Rajasthan.

For teenagers as well as young executives, failure in exams, love affairs, secondary sexual changes, peer problems and drug abuse are factors that exacerbate depressive tendencies.

While the tendency for depression may be inherited, what modifies it is the environment one is living in. If one lives surrounded by constant peer pressure to excel academically, it is bound to raise one’s anxiety levels and may lead the person to get depressed at every tiny setback or out of fear of failure.

In order to stay ahead in the rat race, one may often burn the midnight candle. While this may help get short-term results, the habit of not sleeping on time or waking up early to catch up on studies could in turn, create sleep difficulty. Diurnal variations wreak havoc with the circadian rhythm of the body and leave one immune physically and mentally.

Paradoxically, cognitive deficiencies may seep in, which defeat the purpose of trying to edge out the completion. The scariest fallout of this condition is suicidal behaviour.

According to the focus group doctors involved in the study, depression is like any other disease. Small pox has been eradicated, but it is not curable. Typhoid, may recur. Similarly, for depression,too, timely treatment in correct dosage and for proper duration is needed.

When depression strikes, most prople are confused about the changes they feel within their health or state of mind and tend to approach the GP. The GP may, in turn, try therapy as the first line of treatment. Once this is done and GP realises that further treatment is needed, he may refer the patient to a psychiatrist in case of severe depession.

Intial symptoms may include sadness, loss of interest, reduced will to live, rapid onset of severe deceased motor activity — for the lay person these may seem simply like a loss of energy without connecting the dots and realising that some or all of these are symptoms of depression.

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

 

Most Common Disturbances in Life Patterns due to Depression In Rajasthan
Behavioural Issues Obesity
Personal Health Suffers Withdrawal Symptoms

 

Most Common Consequences of Untreated Depression In Rajasthan
Financial Loss Lower Productivity
Physical Health Problems Poor Quality of Life
Strain on Relationships Suicides

 

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