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Feel depression coming back


SAMHSA’s National Helpline | SAMHSA

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  • SAMHSA’s National Helpline is a free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental and/or substance use disorders.

    Also visit the online treatment locator.

SAMHSA’s National Helpline, 1-800-662-HELP (4357) (also known as the Treatment Referral Routing Service), or TTY: 1-800-487-4889 is a confidential, free, 24-hour-a-day, 365-day-a-year, information service, in English and Spanish, for individuals and family members facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Also visit the online treatment locator, or send your zip code via text message: 435748 (HELP4U) to find help near you. Read more about the HELP4U text messaging service.

The service is open 24/7, 365 days a year.

English and Spanish are available if you select the option to speak with a national representative. Currently, the 435748 (HELP4U) text messaging service is only available in English.

In 2020, the Helpline received 833,598 calls. This is a 27 percent increase from 2019, when the Helpline received a total of 656,953 calls for the year.

The referral service is free of charge. If you have no insurance or are underinsured, we will refer you to your state office, which is responsible for state-funded treatment programs. In addition, we can often refer you to facilities that charge on a sliding fee scale or accept Medicare or Medicaid. If you have health insurance, you are encouraged to contact your insurer for a list of participating health care providers and facilities.

The service is confidential. We will not ask you for any personal information. We may ask for your zip code or other pertinent geographic information in order to track calls being routed to other offices or to accurately identify the local resources appropriate to your needs.

No, we do not provide counseling. Trained information specialists answer calls, transfer callers to state services or other appropriate intake centers in their states, and connect them with local assistance and support.

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Last Updated: 08/30/2022

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And again the same agony: 11 signs of the return of depression - Psychology

Personality

Trouble does not come alone! Mental problems are difficult to determine on your own, but everything is easier with depression - look for symptoms in our material unsplash.com

Depression is a widespread mental health problem that affects a person's ability to function in daily life. If you have experienced depression in the past, it is possible that the same condition will recur. Although treatment for depression, such as therapy with a psychologist or medication, works well, studies have also shown that about a third of people who stop treatment experience depression again within one year.

What is a relapse?

Relapse of depression refers to the recurrence of symptoms after achieving remission, a period of return to baseline functioning, usually lasting 16-20 weeks. While it is possible that those who relapse will experience the same symptoms as during their first depressive episode, it is also possible that the symptoms they experience will be completely different next time.

Signs of depression recurrence

For this reason, it is important to be aware of the various potential signs or symptoms of depression relapse. The following is a complete list of potential signs to look out for, and the following sections provide a detailed description of these signs and symptoms to help you determine if they are affecting you.

Bad mood
Irritability
Loss of interest or pleasure
Brain fog
Sleep changes
Social withdrawal
Feelings of worthlessness
Weight gain or loss
Tiredness
Pain
Suicidal thoughts

if your bad mood has no obvious cause, lasts more than 2 weeks and is present every day, you may be experiencing a relapse of depression

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Valid in Russia hotline of the center for emergency psychological assistance of the Ministry of Emergency Situations of Russia by phone - 8 (495) 989-50-50 (free of charge in Moscow). Call it if you feel mentally unstable or your loved one needs support, and you are afraid of harm. Also find out about other options: during the quarantine in Moscow, there is a volunteer psychological help line at 8 (800) 700-88-05. Additionally, you can get free consultations at a school, university, or get a referral from work - feel free to ask. Now back to the symptoms.

Bad mood

Feeling depressed, sad or in a bad mood is one of the hallmarks of depression and its relapse. Typical symptoms are tears, feelings of hopelessness, emptiness. These feelings are a normal reaction to obvious causes, such as the loss of a job, the loss of a loved one, a broken relationship, or a divorce. However, if your low mood has no apparent cause, lasts more than 2 weeks, and is present every day, you may be experiencing a relapse of depression. This is especially true if your bad mood or feelings of sadness are interfering with your daily life. For example, you may find it difficult to go to work because of bouts of crying, or you may feel that life will never get better. These are signs that a bad mood may indicate a relapse of depression.

Irritability

Do you find yourself getting irritated more easily than before? Yell at people or find yourself ready to even fight? If so, you may be experiencing irritability as a symptom of a relapse of depression. Most likely, you do not tolerate stressful situations well. This means that you tend to react with irritation or anger when faced with minor inconveniences. In other words, everything around you can annoy you and make you argue with others.

Loss of interest or pleasure

Another hallmark of a relapse of depression is a loss of interest in things you used to enjoy. It can be attraction to a partner, sex with him, hobbies, meeting friends, or anything that you used to enjoy.

Brain fog

Most people with depression experience something known as brain fog. Brain fog means slow thinking and loss of concentration. You may have trouble getting work done or even having a conversation.

Sleep changes

Sleep is another aspect of your health that can be easily affected during a relapse of depression. If you notice changes in your sleep, such as trouble falling asleep, waking up at night, not getting enough rest, or sleeping too much, then you may be experiencing a relapse of depression. Some people with depression find that as soon as their head hits the pillow, they begin to reflect on their day and what went wrong or stressed them out. This, in turn, can make it difficult to sleep and lead to insomnia. It can also increase fatigue and make it difficult to get out of bed in the morning.

Social isolation

If you avoid social situations or feel isolated or alone during social gatherings, you may be experiencing a relapse of depression. Social isolation can take a toll on your relationships, which in turn can make your depression worse. If striking up a conversation seems like too much effort, leaving the house is an impossible feat, or you're just hanging out in your room much more than is considered acceptable behavior, then you may have social problems. This sign may be associated with a loss of pleasure, as you do not experience any pleasure from interacting with other people.

Feelings of worthlessness

If you feel that you have low self-esteem, that you do not deserve or deserve better things in life, or that you are generally overly critical of yourself, then feeling worthless may indicate a relapse of depression. This problem can also be associated with feelings of guilt, focusing on one's shortcomings or failures instead of positive achievements, and excessive internal criticism. If you constantly blame yourself for something bad, your inner critic and self-hatred may be a sign of a larger problem, including a relapse of depression.

Weight gain or loss

Sudden changes in weight, such as weight loss or weight gain, may indicate a relapse of depression. Other signs may be a loss of interest in foods you once loved, or a lack of effort for healthy eating or regular exercise. People who struggle with weight gain or weight loss due to a relapse of depression may also overeat or overeat with other eating disorders. If you notice that your eating habits or weight have changed, this may be a sign that depression is returning.

Tired

Are you tired of just thinking about getting out of bed, doing the dishes or paying the bills? When you feel tired, you may feel like things are getting a lot more difficult. For example, a chore such as folding clothes becomes an overwhelming task that you simply cannot complete quickly. If you notice yourself being lazy all day, fatigue may be a sign that depression is returning.

Pain

Depression is experienced not only in the mind. Some people also notice that their aches and pains increase when they show signs of depression. These pains can take many forms and travel throughout the body. The following are some of the types of pain that can occur with a relapse of depression:

Muscle pain
Headaches
Stomach pain
Chest pain
Back pain
Pain in limbs (such as in the legs or arms)

Social isolation can be negatively affected on your relationship, which in turn can exacerbate your depression

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Suicidal thoughts

Finally, suicidal thoughts are a sure sign that you have severe depression. If so, then your depression has returned. In the case of severe depression, you have probably also lost interest in things you used to enjoy. You may also feel hopeless about your position in the world. All this indicates a relapse of depression.

Causes of Depression Recurrence

If you are experiencing a depression relapse, you may be wondering why your depression returned. It is true that depression can return at any time, even if you are on medication or in treatment. She may also return without any obvious external triggers or stressors. However, sometimes a relapse of depression follows an external event. The following are some possible triggers or causes for depression relapse.

Experiencing the death of a loved one or other significant loss
Experiencing a stressful life event (e.g., being fired from a job, divorce, having your first child, preparing for final school exams)
Hormonal changes related to a stage in your life (e.g., puberty, pregnancy, menopause)
Failure to use or discontinuing coping strategies (eg, journaling, regular exercise, managing negative thoughts)
Changes in medications you are taking
Sleep disturbances (eg starting a new job that requires a change in sleep pattern)

Seek medical attention if you have more than three symptoms. Please don't let this disease run its course. Subscribe to our channel in Telegram0003

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4 signs that depression returns

Now, as I write this text, I feel very bad. The depression returned and launched the fighting. This is no longer a light hint and no negotiations, she is here, captured me. I have a hard time living every day. The difference between a healthy state and a depressed state is best seen in the example of a morning routine.

1. I have much less time to do

Normally, I like the morning hours very much. This is “my” time – before my partner wakes up, before I get involved in daily duties, closing the apartment door behind me. I usually get up 3 hours before leaving the house. I do yoga, I take a shower, I walk the dog, I do my makeup, I do my hair, I eat breakfast, I pick up clothes, I pack my bag. In 3 hours I manage to do a lot and, most importantly, I do it with pleasure.

These 3 hours are barely enough for me to get ready for work. It takes 3 hours to get out of bed, take a shower (if you have the strength to do so), cover up dark circles under your eyes, hide your tousled hair under a hat and go outside. Most of the time I “stick” and only in between “stickings” can I perform some actions. In a state of depression, even the simplest task requires an incredible amount of effort that my body is simply not capable of. Because of this, I have to change my morning routine in order to save energy for the day ahead.

2. I change my approach to make-up

If I do it at all, of course. By the way, this is one of the surest signs for those who like to paint. If you no longer want to take out brushes, eyeliners, primers and correctors, it's time to worry.

Usually I like to use cosmetics, but when I'm depressed, its purpose changes for me. The point is no longer to look good. I replace my mascara with waterproof mascara in case of tears, without which not a day goes by. I stop using eyeliner because it will spread down my cheeks under a stream of tears. I don't have the energy for contouring - instead I put on an extra layer of makeup fixer in the futile hope that it will help save my face.

3. I choose jewelry differently

Since childhood, I have loved jewelry. I still like to come up with unusual combinations - perhaps I just haven’t played enough of it. But in a state of depression, I almost stop wearing jewelry, and if I do, I put a special meaning into my choice.

For example, I put on a "power pendant" with the zodiac sign of Leo and Wonder Woman's ring. I'm starting to wear a fitness bracelet because it has a built-in breathing exercise function - it helps me breathe in difficult moments. Sometimes these little things are the only things that make me feel capable of getting through the day.

4. I'm starting to be late

I'm a "lark" and a very punctual person: I almost always arrive 15 minutes before the appointed time. But with the return of depression, every day I leave the house later. I stop doing my morning duties. Recently, I stopped walking the dog in the morning. I want but I can not. And due to the fact that I do not inform my partner about this in advance, we have to solve this problem literally before leaving the house. As a result, we both run the risk of being late.

I have to work hard on myself in order not to succumb to the destructive influence of depression

During therapy, I learned about the concept of emotional avoidance. Depression forces me to give up thoughts, feelings, physical sensations, and any other experience that would normally interest me. In the long run, this works against me. And although I now understand how it works, I have to work very hard on myself in order not to succumb to the destructive influence of depression. I have a plan for the next week: not to succumb to depression and return the morning routine to its previous form. Gradually, step by step, return and break this vicious circle.

Where is the best place to start? Perhaps when the alarm goes off on Monday morning, instead of hitting snooze, I get up and unroll the yoga mat, that would be a good first step.

Source: YourTango.

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