Depression is a common yet serious mental health condition that affects millions of people worldwide. It is more than just feeling sad or having a bad day; it is a persistent feeling of sadness and loss of interest that can interfere with daily functioning. Dr. Matthew Goldenberg, D.O., a leading expert in mental health, provides valuable insights into understanding, diagnosing, and treating depression. Dr. Goldenberg is based in Santa Monica but sees patients by telehealth all across California and the State of Alaska.
What is Depression?
Depression, also known as major depressive disorder, is a mood disorder characterized by a persistent feeling of sadness and loss of interest for weeks to months at a time. Depression affects how a person feels, thinks, and handles daily activities.
Causes of Depression
The exact cause of depression is unknown. However, several factors can contribute to its development, including:
- Biological differences: People with depression appear to have physical changes in their brains.
- Brain chemistry: Neurotransmitters play a significant role in mood regulation, and changes in their function may contribute to depression.
- Hormones: Changes in the body’s balance of hormones may be involved in triggering or causing depression.
- Genetics: Depression can run in families, suggesting a genetic link.
Symptoms of Depression
Symptoms of depression can vary but generally include:
- Persistent sad, anxious, or “empty” mood
- Loss of interest or pleasure in hobbies and activities
- Decreased energy or fatigue
- Difficulty concentrating, remembering, or making decisions
- Insomnia, early-morning awakening, or oversleeping
- Appetite and/or weight changes
- Thoughts of death or suicide, or suicide attempts
- Physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and pain
A well trained and experienced psychiatrist can help make an accurate diagnosis of depression and rule out other possible diagnoses with a thorough psychiatric evaluation.
Treatment for Depression
Depression is treatable, and several effective treatments are available. These include:
- Medications: Antidepressants can help modify brain chemistry and rebalance neurotransmitters.
- Psychotherapy: Also known as “talk therapy,” this can help patients develop coping strategies, address underlying stressors like trauma or grief and develop a behavioral activation plan among other possible treatment goals.
- Lifestyle changes: Regular exercise, a healthy diet, and adequate sleep can significantly improve symptoms.
- Alternative therapies: Techniques such as acupuncture, meditation, and yoga can be beneficial.
Comprehensive Q&A on Depression
Q: What are the different types of depression? A: There are several diagnoses that can present with symptoms of depression, including:
- Major Depressive Disorder: Characterized by a combination of symptoms, that last two weeks or more, and interfere with a person’s ability to work, sleep, study, eat, and enjoy once-pleasurable activities.
- Persistent Depressive Disorder (Dysthymia): A depressed mood that lasts for at least two years.
- Bipolar Disorder: Also known as manic-depressive illness, it involves episodes of depression and mania or hypomania.
- Seasonal Affective Disorder (SAD): Depression that occurs at certain times of the year, usually in the winter.
- Perinatal Depression (Postpartum Depression and Antepartum Depression): Depression that has an onset after giving birth or during pregnancy.
Q: Can depression go away on its own? A: While some people may experience temporary bouts of sadness that improve without treatment, clinical depression is unlikely to go away on its own. Professional treatment is often necessary to manage and overcome depression effectively.
Q: How can I support a loved one with depression? A: Supporting a loved one with depression involves being patient, understanding, and encouraging them to seek professional help. Listen without judgment, offer to accompany them to appointments, and help with daily tasks. Avoid offering simplistic solutions or dismissing their feelings.
Q: Is medication the only way to treat depression? A: No, medication is not the only treatment for depression. While antidepressants can be very effective, psychotherapy, lifestyle changes, behavioral activation and alternative therapies can also play a crucial role in managing and treating depression.
Q: What should I do if I think I have depression? A: If you think you have depression, it’s important to seek help from an experienced mental health professional. They can provide a proper diagnosis and develop a treatment plan tailored to your needs. Early intervention can significantly improve outcomes.
Q: Can children and teenagers get depression? A: Yes, children and teenagers can experience depression. Symptoms in young people may include irritability, anger, and behavioral changes. It’s important for parents and caregivers to recognize these signs and seek professional help.
Q: How long does treatment for depression usually last? A: The duration of treatment for depression varies depending on the individual and the severity of their symptoms. Some people may begin to feel better after a few weeks of treatment, while others may need longer-term care. Ongoing treatment is often necessary to prevent relapse.
Q: Can lifestyle changes really help with depression? A: Yes, lifestyle changes can significantly impact depression. Regular physical activity, a balanced diet, proper sleep, and stress-reducing activities can improve overall mood and well-being. These changes are often recommended as part of a comprehensive treatment plan.
Final Thoughts
Depression is a complex and challenging condition, but with the right treatment and support, individuals can manage their symptoms and lead fulfilling lives. Dr. Matthew Goldenberg, D.O., emphasizes the importance of seeking professional help and exploring various treatment options to find an individualized treatment plan that works best for each person. Remember, you are not alone, and help is available.
For more information or to schedule a consultation, please contact our office. Your mental health matters, and Dr. Goldenberg is here to support you on your journey to wellness.
Matthew Goldenberg D.O.
2708 Wilshire Blvd
Santa Monica, CA 90403
Phone: (424) 276-0777
Business Hours
Monday – Friday: 8:30 am – 5:00 pm
Saturday, Sunday: Closed