Transcript Document

遠離藍色風暴～認識憂鬱症
ChunLin J. Ju, Psy.D.朱春林博士
October 12, 2007.
Topics Will Be Covered
Depression screening
Depression
Suicide
Treatment
Q&A
Dr. Juno
Dr. Juno
台灣人憂鬱症量表
台灣人憂鬱症量表
Scoring: 0-3 Likert scale.
Dr. Juno
Below 8
真令人羨慕 ! 你目前的情緒狀態很穩定，
是個懂得適時調整情緒及紓解壓力的人。
Dr. Juno
9-14
最近的情緒是否起伏不定 ? 或是有些事情
困擾著你 ?
給自己多點關心，多注意情緒的變化，
試著了解心情變化的緣由，做適時的處理，
比較不會陷入憂鬱情緒。
Dr. Juno
15-18
你是不是想笑又笑不太出來，有許多事壓
在心上，肩上總覺得很沉重 ?
你的壓力負荷量已經到了臨界點，千萬別
再『撐』了 ! 趕快找個有相同經驗的朋友
聊聊，給心情找個出口，把肩上的重擔放
下，這樣才不會陷入憂鬱症的漩渦 !
如果你不知道該找誰傾訴，諮商中心有專
業諮詢資料和服務，希望能為你帶來幫助。
Dr. Juno
19-28
現在的你必定感到相當不順心，無法展露
笑容，一肚子苦惱及煩悶，連朋友也不知
道如何幫你。
趕緊找專業諮詢輔導機構或醫療單位，透
過他們的協助，必可重拾笑容 !
Dr. Juno
Over 29
你是不是感到相當的不舒服，會不由自主
的沮喪、難過，無法掙脫 ?
你的心已『感冒』，心病需要心藥醫，趕
緊到醫院找專業及可信賴的醫生檢查，透
過他們的診療與治療，你將不再覺得孤單、
無助 !
Dr. Juno
Major Depressive Episode
A. During the same 2-week period, five or more of
the following symptoms including either 1 or 2
have been present (must be a change in functioning)
1. Depressed mood most of the day, nearly everyday
2. Diminished interest or pleasure in all, or almost all,
activities
3. Significant changes in appetite and/or weight
4. Significant changes in sleep patterns
5. Psychomotor retardation or agitation
6. Fatigue or loss of energy
7. Feelings of worthlessness or inappropriate guilt
8. Diminished ability to concentrate or make decisions
9. Recurrent thoughts or death or suicide
Dr. Juno
Major Depressive Episode
B. The criteria do not meet criteria for a Mixed
Episode
C. The symptoms cause clinically significant
distress or impairment in functioning
D. Not due to a GMC or substance
E. The symptoms are not better accounted for
by Bereavement
Dr. Juno
Dysthymia
A. Depressed mood most of the day, more days than
not, for at least 2 years
B. Presence, while depressed, of 2 (or more) of the
following:
1. Poor appetite or overeating
2. Insomnia or hypersomnia
3. Low energy or fatigue
4. Low self-esteem
5. Poor concentration or difficulty making decisions
6. Feelings of hopelessness
C. During the 2-year period, the person has never been
without the symptoms for more than 2 months at a time
Dr. Juno
Dysthymia (con’td)
D. Not better accounted for by Major
Depressive Disorder
E. There has never been a Manic, Mixed, or
Hypomanic episode
F. Not better accounted for by another disorder
G. Not due to a GMC or substance
H. Symptoms cause clinically significant
distress or impairment in functioning
Dr. Juno
Major Depression vs. Dysthymia
Recurrent
Major
Depressive
Episodes
Dysthymia
Dr. Juno
Myths and Facts about Suicide
Myth: You have to be crazy even to think
about suicide.
Fact: Most people have thought of suicide
from time to time.
Dr. Juno
Myths and Facts (cont’d)
Myth: Once a person has made a serious
suicide attempt, that person is unlikely to
make another.
Fact: The opposite is often true. Persons who
have made prior suicide attempts may be at
greater risk of actually committing suicide.
Statistics from University of Illinois campus
suggest that a student who threatens or
attempts suicide is 450 times more likely to
die by suicide in the following year, than
someone who has not.
Dr. Juno
Myths and Facts (cont’d)
Myth: Talking about suicide may give a
person the idea.
Fact: The crisis and resulting emotional
distress will already have triggered thought
in a vulnerable person. Your openness and
concern in asking about suicide can allow the
person experiencing pain to talk about the
problem, which may help reduce his or her
anxiety. This may also allow the person with
suicidal thoughts to feel less lonely or
isolated, and perhaps a bit relieved.
Dr. Juno
Myths and Facts (cont’d)
Myth: People who talk about killing themselves
will never do it. It's a way of letting off steam.
Those how kill themselves don't normally talk
about it. They just go ahead and do it.
Fact: Most people either talk about suicide or do
something to indicate that they are going to kill
themselves. There is no need to blame yourself if
you don't see it coming, but it you are worried
about someone you know, make sure you are aware
of the warning signs of suicide and what you could
do to help.
Dr. Juno
Myths and Facts (cont’d)
Myth: Suicide is painless
Fact: Many suicide methods are very
painful. Fictional portrayals of suicide do
not usually include the reality of the pain.
Dr. Juno
Myths and Facts (cont’d)
Myth: Once someone has already decided to
complete a suicide, nothing is going to stop
them.
Fact: Most of the time, a suicidal person has
mixed feelings about the decision – torn
between wanting to die and wanting to live.
Most suicidal individuals don't want death;
they just want their pain to stop.
Dr. Juno
Myths and Facts (cont’d)
Myth: A person will always welcome someone
intervening with their suicidal plans.
Fact: It is actually quite common for some suicidal
persons to become angry or defensive when
someone tries to intervene.
This is because, for that person, suicide is an
answer to their problem and intervention may be
perceived as an unfair elimination of their solution.
In the longer term however, once the crisis is
resolved, the vast majority express gratitude for the
intervention and the caring behind it.
Dr. Juno
Treatment
Medication
Self-medicate or substance abuse
Psychotherapy
Exercise
Dr. Juno
Conquer Depression
Get enough light and sunshine.
Get busy. Get inspired.
Take a break and relax.
Eat right and stay fit.
Get a social life.
Dr. Juno
Concluding Remarks
Everybody has difficult years, but a lot of
times the difficult years end up being the
greatest years of your whole entire life, if
you survive them. – Brittany Murphy
Dr. Juno
Q&A
Dr. Juno