Depression is one of the most common conditions that we see as general practitioners, yet there is still so much stigma around asking for help.

Less than 25% of adults get the care that they need, and almost a third of the population suffers from mental illness at some point in their lives.

Reaching out to your GP could be the bravest thing you do, and could save your life. We have excellent treatments available and we are here to support you every step of the way.

Who is at risk of developing depression?

Anyone can get depression – although women may show more typical symptoms of depression, more men die by suicide.

People of all ages can develop depression, but we know that during significant life changes (such as puberty, divorce, or menopause) we are more vulnerable.

Depression is not your fault – just like any other illness is not your fault! Depression is not fully understood, but we know that there is generally an imbalance in brain hormones/chemicals, which happens more frequently in people who have family members with depression (genetic factors).

You are also at higher risk of depression if you use drugs, alcohol, or experienced trauma as a child or adult. 

You can lower your risk of depression by seeking help during stressful life periods, building relationships, avoiding drugs and alcohol, and exercise. It is estimated that 12% of new cases of depression could be prevented with 1 hour of exercise per week!

How will I know if I have depression?

Look out for the following symptoms – in yourself and your loved ones:

–       Low mood, feeling down most of the time

–       Not enjoying things that used to make you happy

–       Feeling that you are worthless, or constantly having feelings of guilt

–       Changes in appetite, eating more or less than usual

–       Difficulty sleeping, or being excessively tired

–       Difficulty concentrating

–       Thinking that you would be better off dead or thinking of harming yourself in some way

What are the different types of depression?

Your general practitioner will speak to you and examine you to determine if you have depression. Depending on your life context and other factors, your doctor might also categorize your depression under one of these subtypes:

• Major Depressive Disorder: General features of depression, at any time of your life
• Postnatal Depression: Features of depression around the time of having a baby
• Premenstrual Dysphoric Disorder (PMDD): Features of depression in the last two weeks of your menstrual cycle, before or during your period
• Bipolar Mood Disorder: Episodes of depression as well as episodes of mania, where you have increased activity and energy

Why should I get treatment?

Untreated depression affects your own quality of life, but also the lives of those around you. Caring for yourself is an act of community care.

Untreated episodes of depression can have long term effects on your cognitive function, and increases your chance of future episodes of depression. Without help, you may also be unable to properly manage your other chronic conditions, leading to more complications in people with diabetes, high blood pressure, and any other illnesses.

What options do I have for treatment?

Medications and therapy are great options for managing depression – you will have to discuss your treatment plan with your doctor to decide what is best for you.

There are many myths around antidepressants – chat to your GP for reliable
information! One common one is that antidepressants are addictive – this is not true – antidepressants are not addictive medications and they are safe for the majority of people even when used for many years. People are also often concerned about sexual dysfunction and weight gain – although some antidepressants are associated with these side effects, if these are concerns for you we can select an alternative medication. Remember that even if one antidepressant doesn’t work for you, we can easily change you to an alternative; we have many options and will support you until you feel like yourself again.

Disclaimer: Features published by Dr Greeff and Associates are not intended to treat, diagnose, cure, or prevent any disease. Always seek the advice of your doctor, or another qualified healthcare provider for any questions you have regarding a medical condition, and before undertaking any diet, exercise, or other health related program.