Depression is the most prevalent of all the emotional disorders. This may vary from feelings of
slight sadness to utter misery and dejection. It brings together a variety of physical and
psychological
symptoms which together constitute a
syndrome.
Depression is the most unpleasant experience a person can endure. It is far more difficult to
cope with than a physical ailment. The growing complexities of modern life and the resultant
crisis, as well as mental
stress and strain in day to day living, usually leads to this disorder. It
also arises out of the monotony and drudgery of a daily routine, without any meaningful variation
in urban life. Suicide is the major risk in extreme cases of
depression.
Symptoms
It is not always easy to diagnose
depression clinically. The most striking
symptoms of
depression are feelings of acute sense of loss and inexplicable sadness, loss of energy and loss
of interest. The patient usually feels tired and lacks interest in the world around him. Sleep
disturbance is frequent. Usually the patient wakes up depressed at 4 or 5 in the morning and is
unable to return to sleep. Other disturbed sleep patterns are difficulty in getting off to sleep on
going to bed at night, nightmares and repeated waking from midnight onwards.
The patient often suffers from guilt, oppressive feelings and self-absorption. Other
symptoms of
depression are : loss of appetite, gidiness, itching, nausea, agitation, irritability, impotence or
frigidity,
constipation, aches and pains all over the body, lack of concentration and lack of power
of decision. Some persons may lose interest in eating and suffer from rapid loss of weight while
others may resort to frequent eating and as a result gain in weight.
Cases of severe
depression may be characterized by low body temperature, low blood pressure,
hot flushes and shivering.
The external manifestations represent a cry for help from the tormented mind of the depressed
persons. The severely depressed patient feels worthless and is finally convinced that he himself
is responsible for his undoing and his present state of hopeless despair.
Causes
Depleted functioning of the adrenal glands is one of the main causes of mental
depression.
Irregular diet habits cause digestive problems and lead to the assimilation of fats. An excess of
carbohydrates like cereals, white sugar, coffee, tea, chocolates and comparatively less
quantities of vegetables and fruits in the diet may result in
indigestion. Due to
indigestion, gases
are produced in the digestive tract, causing compression over the diaphragm in the region of the
heart and lungs. This in turn, reduces the supply of oxygen to the tissues, which raises the
carbon dioxide level, causing general
depression.
The excessive and indiscriminate use of drugs also leads to faulty assimilation of vitamins and
minerals by the body and ultimately causes
depression. The use of aspirin leads to deficiencies
of vitamin C and antacids can cause deficiencies of calcium and vitamin B.
Diabetes, low blood
sugar (hypoglycaemia) and weakness of the liver resulting from the use of refined or processed
foods, fried foods and an excessive intake of fats may also lead to
depression.
The Cure
The modern medical system treats
depression with anti-
depression drugs which provide
temporary relief but have harmful side-effects and do not remove the causes or prevent its
recurrence. The harmful side-effects include gross liver damage, hypersensitivity,
insomnia,
hallucinations, a confused state, convulsions, a fall in blood pressure which brings on headaches
and dizziness , blurred vision, difficulty in inhaling and urine retention. The plan of action for
self-treatment of
depression consists of regulating the diet, exercise, scientific relaxation and
meditation.
Diet has a profound effect on the mental health of a person. Even a single nutritional deficiency
can cause
depression in
susceptible people. Dr. Pricilla, associate
clinical professor at the
University of California, prescribes nutritional therapy to build up brain chemicals, such as
serotonin and norepinephrine, that affect mood and are often lacking in depressed people. She
recommends eating foods rich in B vitamins, such as whole grains, green vegetables, eggs and
fish.
The diet of persons suffering from
depression should completely exclude tea, coffee,
alcohol,
chocolate and cola, all white flour products,sugar, food colourings, chemical additives, white rice
and strong condiments. The diet should be restricted to three meals. Fruits can be taken in the
morning for breakfast with milk and a handful of nuts and seeds. Lunch may consist of steamed
vegetables, whole wheat chappatis and a glass of butter-milk. For dinner, green vegetable salad
and all available sprouts such as alfalfa seeds, mung, cottage cheese or a glass of butter-milk
would be ideal.
Activity and Exercise
The depressive mood can be overcome by activity. Those who are depressive will forget their
misery by doing something. They should turn away from themselves and consider others. At
home they can take to decorating, repairing or constructing something new. The pleasure of
achievement overcomes the distress of misery.
Exercise also plays an important role in the treatment of
depression. It not only keep the body
physically and mentally fit but also provides recreation and mental relaxation. It is nature' best
tranquiliser. According to Dr. Robert Brown, a
clinical associate professor at the University of
Virginia School of Medicine, " Exercise produces chemical and psychological changes that
improves your mental health. It changes the levels of hormones in blood and may elevate your
beta-endorphins( mood-affecting brain chemicals). Exercise may also improve the function of the
autonomic nervous system."
Exercise also gives a feeling of accomplishment and thus reduces the sense of helplessness.
Some form of active exercise, must be undertaken each day at a regular hour. To be really
useful, exercise should be taken in such a manner as to bring into action all the muscles of the
body in a natural way. Walking is one such exercise. It is , however, so gentle in character that
one must walk several kilometers in a brisk manner to constitute a fair amount of exercise. Yogic
asanas such as vakrasana, bhujangasana, shalabhasana, halasana, paschimottanasana,
sarvangasana and shavasana and pranayamas like kapalbhati, anuloma-viloma and bhastrika
are highly beneficial in the treatment of
depression.
Relaxation and Meditation
The patient must gain
control over his nervous system and channelise his mental and emotional
activities into restful harmonius vibrations. This can be achieved by ensuring sufficient rest and
sleep under right conditions. He must also learn the art of scientific relaxation and meditation
which will go a long way in curing
depression.
Relaxation enables the muscles to work more efficiently and eliminates
fatigue by promoting
venous blood circulation throughout the body. The best method of relaxation is to practice
shavasana or the `ded pose.' The procedure for this asana has been outlined in chapter 7 on
yoga therapy.
Meditation involves training the mind to remain fixed on a certain external or internal location. All
the mental faculties should be directed, without cessation, towards the object of meditation. It
can be achieved by constant practice. It will be advisable to meditate on God or Atman as one
becomes imbued with the quality of the object on which one meditates.
Meditation will help create an amount of balance in the nervous system. This would enable the
glands to return to a correct state of hormonal balance and thereby overcome the feeling of
depression. Regularity of time, place and practice are very important in meditation. Regularity
conditions the mind to slowing down its activities with a minimum delay. The most effective times
are early dawn and dusk, when the atmosphere is serene and peaceful.
A neutral immersion bath for one hour daily is also helpful in the treatment of
depression. This
bath is administered in a bath tub which should be properly fitted with hot and cold water
connections. The patient should lie in the tub after filling it with water at a temperature rangingfrom 92 o to 98 o F. The head should be kept cold with a cold compress.