mutatis mutandis

Un nuevo blog en Educastur

La depresión

Publicado por oscarlsv el 31 Enero 2014

 

Por Queralt Gómez, Ana Menéndez y Marta Campo.

¿Qué es?
La depresión es un trastorno del estado de ánimo, ya sea desde el punto de vista de la psicología o desde el punto de vista de la psiquiatría, pero siempre dentro del ámbito de la psicopatología.
Es un que afectan principalmente a la esfera afectiva: la tristeza patológica, el decaimiento, la irritabilidad o un trastorno del humor que puede disminuir el rendimiento en el trabajo o limitar la actividad vital habitual, independientemente de que su causa sea conocida o desconocida. Aunque ése es el núcleo principal de síntomas, la depresión también puede expresarse a través de afecciones de tipo cognitivo, volitivo o incluso somático. En la mayor parte de los casos, el diagnóstico es clínico, aunque debe diferenciarse de cuadros de expresión parecida, como los trastornos de ansiedad. La persona aquejada de depresión puede no vivencia tristeza, sino pérdida de interés e incapacidad para disfrutar las actividades lúdicas habituales, así como una vivencia poco motivadora y más lenta del transcurso del tiempo

Causas:
La depresión en la niñez se empezó a reconocer solo hace dos décadas. El niño deprimido puede simular estar enfermo, rehusar a ir a la escuela, no querer separase de los padres o tener miedo a que uno de los padres se muera. El niño más grande puede ponerse de mal humor, meterse en problemas en el colegio, comportarse como un niño travieso o indisciplinado, estar malhumorado o sentirse incomprendido. Dado que los comportamientos normales varían de una etapa de la niñez a la otra, es a veces difícil establecer si un niño está simplemente pasando por una fase de su desarrollo o si está verdaderamente padeciendo de depresión. A veces el niño tiene un cambio de comportamiento marcado que preocupa a los padres, o el maestro menciona que el “niño no parece ser él mismo”. En tal caso, después de descartar problemas físicos, el pediatra puede sugerir que el niño sea evaluado, preferiblemente por un psiquiatra especializado en niños. De ser necesario un tratamiento, el médico puede sugerir psicoterapia, generalmente hecha por otro profesional, como un psicólogo, mientras él receta medicamentos si son necesarios. Los padres no deben tener miedo de hacer preguntas: ¿Está capacitado el profesional que va a llevar a cabo la psicoterapia?

Síntomas:
•    Estado de ánimo triste, ansioso o “vacío” en forma persistente.
•    Sentimientos de desesperanza y pesimismo.
•    Sentimientos de culpa, inutilidad y desamparo.
•    Pérdida de interés o placer en pasatiempos y actividades que antes se disfrutaban, incluyendo la actividad sexual.
•    Disminución de energía, fatiga, agotamiento, sensación de estar “en cámara lenta.”
•    Dificultad para concentrarse, recordar y tomar decisiones.
•    Insomnio, despertarse más temprano o dormir más de la cuenta.
•    Pérdida de peso, apetito o ambos, o por el contrario comer más de la cuenta y aumento de peso.
•    Pensamientos de muerte o suicidio; intentos de suicidio.
•    Inquietud, irritabilidad.
•    Síntomas físicos persistentes que no responden al tratamiento médico, como dolores de cabeza, trastornos digestivos y otros dolores crónicos.

Como tratarlo:
El primer paso para recibir un tratamiento adecuado para la depresión consiste en un examen médico. Ciertos medicamentos, así como algunas enfermedades, por ejemplo infecciones vitales, pueden producir los mismos síntomas que la depresión. El médico debe descartar esas posibilidades por medio de un examen físico, entrevista del paciente y análisis de laboratorio. Si causas físicas son descartadas, el médico debe realizar una evaluación psicológica o dirigir al paciente a un psiquiatra o psicólogo.
Una buena evaluación diagnóstica debe incluir una historia médica completa. ¿Cuándo comenzaron los síntomas, cuánto han durado, qué tan serios son? Si el paciente los ha tenido antes, el médico debe averiguar si los síntomas fueron tratados y qué tratamiento se dio. El médico también debe preguntar acerca del uso de alcohol y drogas, y si el paciente tiene pensamientos de muerte o suicidio. Además, la entrevista debe incluir preguntas sobre otros miembros de la familia. ¿Algún pariente ha tenido depresión y si fue tratado, qué tratamientos recibió y qué tratamientos fueron efectivos?

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