Depression is a common and serious mental
illness that negatively affects how an individual feels, the way they think and
act. This results to daily feeling of low mood and lonely which could be caused
due to physical illness, personality, age and gender (Royal College of
Psychiatrists, 2015). Depression accounts for second leading
cause of disability in worldwide (Whiteford, et al., 2013).
Depression can physically cause insomnia leading
to fatigue and decreased appetite and also affects the immune system, making it
difficult for your body to fight infection (Dunn, 2016). A study was
conducted on a group of 69 years old men and found that patients with
depressive symptoms were at a higher risk of hospital admission and required a
longer stay (Prina, et al., 2013). However, this study was
only conducted at specific age and gender therefore, it is not generalised to
wider population including women and young aged people. Patients often
felt the topic regarding depression was a sensitive and embarrassed to discuss
with others as they felt as a failure and thought that people would prejudice
them. As a result, patients experience difficulties to accept their diagnosis
and treatments provided for them such as use of anti-depressant drugs (Rijswijk, et al., 2009).
Depression has impact on social wellbeing
because people often have lack of self-esteem, leading to social withdrawal and
isolate themselves from everyone. People who are often socially isolated have
negative thoughts leading to self-hate and resulting to suicide (Mental Health Foundation,
There are number of treatments available for depressions such as
anti-depressant drugs, counselling and mental health services. The most common
anti-depressant drugs are Tricyclic and Selective Serotonin Reuptake Inhibitor
(SSRI); have been widely used within the practice. However taking
antidepressant alone as a treatment for patient with suicidal thoughts have no
effect. A study has proven that patient with depression associate with suicidal
thoughts are less likely to improve their condition, compared to patient with
no suicidal thoughts (Lopez-Castroman, et al.,
The drugs might treat the symptoms but does not cure the underlying problems.
If a person has a severe depression and has
repetitive thought of suiciding or harming others, they should be referred to
mental health services. Patient can meet mental health professionals such as
psychologist, social worker or other licensed therapist (NICE, 2009). One of the common
therapy used in the healthcare setting is the Cognitive Behavioural Therapy
(CBT) that helps patients to change the way they think mentally and they do
behaviourally. It consist of different long sessions spreading from few weeks
up to 12 weeks depending on how fast the individual corporates (Blenkiron & Timms, 2013). CBT is the most effective
therapy for anxiety and depression (Twomey, et al., 2015). On the other hand,
there was a study of a group of patients receiving CBT that had dropped out to
psychodynamic and problem-solving therapy (Cuijpers, et al., 2008) Therefore, CBT is
criticised for having a high rates of drop out compared to other form of
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