Illustrated Series on Natural Therapies for Common Diseases - Depression

Author: Qu Mingfen / Country: Mainland China
Publisher:
Publish Date: 2006-07-14
Features: In medicine, the age group of 45-55 years for women and 50-60 years for men is generally referred to as the menopausal period. Menopausal depression is a common mental disorder that occurs during this period. Patients with menopausal depression often have certain physical or psychological triggers, such as significant life events and physical illnesses. Patients frequently experience physiological and psychological changes. Changes in physiological functions are primarily manifested as clinical symptoms in the digestive system, cardiovascular system, and autonomic nervous system: reduced appetite, upper abdominal discomfort, dry mouth, constipation, diarrhea, palpitations, changes in blood pressure, increased or decreased pulse rate, chest tightness, numbness in limbs, feeling cold, feeling hot, reduced libido, menstrual changes, sleep disturbances, dizziness, and fatigue. Physiological changes often appear before psychological symptoms and tend to worsen as the condition progresses. Physical symptoms also tend to resolve earlier than psychological symptoms after treatment. Menopausal depression generally has a gradual onset and a prolonged course. Initially, it often manifests as symptoms of neurasthenia, such as insomnia, fatigue, dizziness, headaches, restlessness, and various physical discomforts. Patients often feel low in spirits, melancholic, anxious, and haggard. They excessively worry about potential misfortunes, recall past events with a pessimistic and mindset, compare the present unfavorably, and worry about the future. They may feel as though a catastrophe is impending and exhibit behaviors like wringing their hands, pacing, or pestering others. Repeatedly recalling past unpleasant experiences, patients often regret minor past shortcomings or mistakes, believing they deserve punishment or that they are irredeemable. In more severe cases, even trivial past incidents, such as an unapologetic argument with someone, are perceived as "irreparable mistakes." On this basis, patients may believe not only that they are useless but also that they are guilty, that others are gossiping about them, or even that someone is plotting to harm them—manifestations of psychotic symptoms such as delusions of reference, persecution, and guilt. In summary, if someone in the menopausal age group feels uninterested in anything, experiences low spirits, sadness, constant tension and anxiety, or suspects they have an incurable illness, and frequently suffers various pains without a specific diagnosis, it may indicate menopausal depression. In such cases, it is advisable to seek medical attention at a specialized hospital for early and effective treatment. (Figure 1-21) P27