Depression or sadness

In many occasions the people that enter a period of their life in which by circumstances, that in the majority of cases are absolutely external to them, begin to feel fragile before the adversities or before the fact that they need to overcome.

When they are faced with these specific emotional situations, they tend to “burst into tears” easily. These manifestations that clinically we call “emotional lability” usually correspond to the beginning of a reactive depression. The importance of an early detection, will avoid later treatments of greater importance, at the same time that we will avoid the suffering that it entails.

None of the ages of the human being’s life are exempt from suffering; existence involves changes and confrontations with adversities that can alter our normal way of being. How many times have we seen sad and depressed teenagers, not wanting to get out of bed and not enjoying their own youth? How many times have we seen how a person who has worked all his life in an active and cheerful way and when faced with work pressures or job losses, starts with depressive symptoms and eventually ends up developing a real depression? Affective losses due to bereavement, divorce and emotional loneliness are not exempt from the same criteria.

All these depressions considered of reactive origin, by means of a cognitive-behavioral psychological treatment and orientation guidelines, usually have successful results and, only occasionally, and by means of the appropriate psychodiagnosis, we will require medication as an accompaniment to the psychological treatment.

Biological” depressions, major depressions or bipolar disorders, will always require pharmacology, but in this case the psychological treatment will require cognitive-psychopedagogical techniques, maintaining a continuous psychologist-patient-family-psychiatrist interrelationship, and from our experience we know that palpable improvements are obtained, recognizable both for the patient and the family.

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Therefore, parallel treatment is always recommended. In our clinical experience of more than twenty years, we have seen the evolution of these patients and how their adaptation and integration to work and emotional life has been resolved favorably as the treatment progresses.

Aaron T. Beck, a U.S. psychiatrist, conducted research in the 1980s which showed that psychopharmacological treatments for depressive patients, carried out in conjunction or in parallel with psychological therapy, obtained better results, even enhancing the effects of the medication. As a result of these investigations, cognitive-behavioral psychological treatments were integrated into the care services for depressive patients.

Therefore, there is no doubt, asking for psychological support in depressions is recommended and at the first symptoms, do not hesitate to ask for professional advice.