Depression: Common Concerns and Recovery Insights

Some issues related to depression?

Hello Doctor: I am currently studying (I have a first-degree relative with a history of depression that was diagnosed after my birth).
In March of this year, I was diagnosed with adjustment disorder and depression.
The trigger was my preparation for a national exam scheduled for August, which I had been studying for two years.
After seeing some people who did not pass the exam results in March, I felt disheartened and cried.
I reassessed my study plan and realized that I wouldn't be able to finish studying before the exam, which made me worry about not passing.
Additionally, I had a thesis to handle, and I felt lost.
Within just two days, I broke down.
The next day, I woke up feeling significantly unwell, with symptoms such as heaviness in my body, loss of appetite, and complete loss of interest.
About a week later, I went to the hospital and was diagnosed with depression.
I have been on medication for three months now (10 mg of Mirtazapine), and my symptoms are somewhat controlled, generally not much different from before the onset, but I do feel more fatigued.
My doctor anticipates that I can start reducing the medication by the end of this year.
However, there are some questions that my doctor did not explain to me, and I have heard various opinions online, so I would like to ask you, Doctor, the following questions:
1.
Can depression be cured? Is it possible to return to the state I was in before the onset? I have heard many people say that depression does not get better, and I am worried that I might not recover either.
2.
Are there any long-term effects of depression? My doctor told me that unless it becomes chronic, there wouldn’t be any significant long-term effects.
However, I found information online suggesting that cognitive function may not fully recover, while others say it can.
I currently do not feel a significant decline in my cognitive function, but I do notice some slowness.
3.
Regarding the above, I do not fully understand what chronicity means.
Some people say depression is a chronic illness, so how can it become chronic?
4.
My depression was diagnosed as F329, unspecified depressive disorder.
What does this mean? What is the severity of this diagnosis?
5.
Concerning the possibility of relapse, my doctor mentioned that there is a chance of relapse.
Having experienced depression once makes me very anxious about the possibility of it recurring, and I feel tense, afraid that I cannot handle any pressure.
I would like to ask, if I do not experience any significant stress events, can I still relapse for no reason? What is the relapse rate?
6.
Currently, my doctor has prescribed a chronic prescription, and my symptoms are controlled.
However, occasionally, I experience a heavy feeling in my head for one or two days a week.
It is not as painful as when I first became ill, but it is somewhat uncomfortable.
Is this normal? Should I return for an immediate follow-up to adjust my medication?
Thank you, Doctor, for patiently reading this.
These questions have troubled me for a long time, and the more I search for answers online, the more anxious I become, but I continue to worry in my heart.

Mr. Zhang, 20~29 year old female. Ask Date: 2022/06/11

Dr. Wu Enliang reply Psychiatry

1.
Can depression be cured? Can I return to my pre-illness state? I've heard many people say that depression doesn't get better, and I'm worried that I might not recover either.
A: It varies from person to person, but most individuals can recover through treatment and lifestyle adjustments.
2.
Are there any long-term effects of depression? My doctor told me that unless it becomes chronic, there shouldn't be any significant long-term effects.
However, I found online that some say cognitive function may not fully recover, while others say it can.
I don't feel a significant decline in my cognitive abilities, but I do notice some slight sluggishness.
A: Generally, this is true, unless it becomes chronic.
3.
Following up, I don't quite understand what "chronic" means.
Some say depression is a chronic illness, so how can it also become chronic? A: "Chronic" refers to those individuals who do not recover.
4.
My depression was diagnosed as F329, unspecified depressive disorder.
What does this mean? What is the severity? A: It simply means depression.
For severity, you should consult your physician.
5.
Regarding the possibility of relapse, my doctor mentioned that there is a chance of recurrence.
Having experienced depression once makes me very anxious about relapsing, and I feel tense, fearing that I can't handle any pressure.
I want to ask the doctor, if I don't experience any significant stress events, can I still relapse for no reason? What is the relapse rate? A: Relapse also varies from person to person.
About one-third of individuals may relapse within a year.
6.
Currently, my doctor has prescribed a chronic medication regimen, and my symptoms are under control.
However, occasionally I experience a heavy feeling in my head for one or two days a week.
It's not as painful as when I first became ill, but it is somewhat uncomfortable.
Is this normal? Do I need to return for an immediate medication adjustment? A: This is relatively normal; there is no need for an immediate follow-up.
Dr.
Wu Enliang

Reply Date: 2022/06/11

More Info

Hello! It sounds like you’re going through a challenging time, and it's commendable that you're seeking to understand your situation better. Let’s address your concerns about depression and recovery.

1. Can Depression Heal?
Yes, depression can improve significantly, and many individuals can return to their pre-depression state. While some people may experience lingering effects, many find that with appropriate treatment—such as medication, therapy, and lifestyle changes—they can lead fulfilling lives. It's essential to remember that recovery is often a gradual process, and it may take time to feel like yourself again.

2. Are There Long-term Effects of Depression?
While some individuals may experience long-term effects, such as cognitive difficulties, these are not universal. Your doctor is correct that unless depression becomes chronic, significant long-term effects are less likely. Cognitive function can sometimes be affected during depressive episodes, but many people find that their cognitive abilities improve as their mood stabilizes.

3. What Does Chronic Depression Mean?
Chronic depression refers to a persistent form of depression that lasts for an extended period, often years. It can be more challenging to treat and may require ongoing management. However, not everyone who experiences depression will develop a chronic form. Early intervention and effective treatment can often prevent chronicity.

4. What Does F329 Non-specific Depression Mean?
The diagnosis of F329 indicates that you have a type of depression that does not fit neatly into other specific categories. This can mean that your symptoms are significant but do not meet the criteria for more specific types of depressive disorders. The severity can vary, and it’s essential to work with your healthcare provider to monitor your symptoms and adjust treatment as necessary.

5. Is There a Risk of Relapse?
Yes, there is a risk of relapse after experiencing depression, especially if you have had a significant episode. However, not all relapses are triggered by major stressors; sometimes, they can occur without a clear reason. The relapse rate can vary, but studies suggest that about 50-60% of individuals may experience a recurrence of depression. It’s crucial to maintain your treatment plan and communicate with your healthcare provider about any concerns.

6. Is It Normal to Experience Occasional Symptoms?
Experiencing occasional symptoms, such as a feeling of heaviness in your head, can be normal during recovery. It’s essential to differentiate between these mild symptoms and the more severe symptoms you experienced at the onset of your depression. If these symptoms persist or worsen, it would be wise to consult your doctor to discuss whether a medication adjustment is necessary.

Additional Insights:
- Self-Care: Incorporating self-care practices such as regular exercise, a balanced diet, and mindfulness can significantly aid in your recovery. Engaging in activities that bring you joy and fulfillment can also help improve your mood.

- Therapy: Consider continuing therapy, as it can provide you with coping strategies and a safe space to express your feelings. Cognitive Behavioral Therapy (CBT) is particularly effective for depression.

- Support System: Lean on your support system—friends, family, or support groups. Sharing your experiences can alleviate feelings of isolation and provide comfort.

In conclusion, while the journey through depression can be daunting, many individuals find their way to recovery with the right support and treatment. Stay engaged with your healthcare provider, and don’t hesitate to reach out for help when needed. You are not alone in this, and there is hope for a brighter future.

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