Depression is very bad in the morning. Depression or bad mood? Decreased mood, feelings of despondency, depression, melancholy

Is it true that with depression there can be no good mood at all?

No, it's not exactly there. Sometimes bright and joyful events (a party with friends, a date, a holiday, a trip) give an experience of elation and pleasure, but when the event passes, everything returns to normal. First of all, the fact that the depressed mood persists is significant. about most of the time - days, weeks, months.

In addition, experts argue that short-term mood swings occur with atypical depression. So pay attention, first of all, to the depth of the experience of longing and depression.

I often feel better in the evenings. I feel in good shape and have time to do a lot. Does this mean that I am not depressed, but simply lazy and weak-willed?

It is impossible to make a diagnosis in absentia, as well as to refute it. But for depression evening improvement is very characteristic. For two or three hours, a person seems to return to normal, and in the morning he again experiences despondency and fatigue. If we are talking about an anxiety-depressive disorder, the opposite picture can be observed - an improvement in the morning.

My relatives often tell me that if I did hard physical labor, I would quickly recover. That all my depressions come from thinking too much. This is true?

There is no evidence that hard physical work cures depression, just as the habit of "thinking a lot" provokes it. Depression is treated with psychotherapy and antidepressants, and nothing else. But in the process of treatment, feasible physical activity in the gym (or walking on the street) really improves the condition.

Sometimes I feel like there just isn't enough joy in my life. If more good things happened to me, I wouldn't be depressed.

I don't know if you really have depression (perhaps you are healthy and you actually lack positive emotions), but it is already known that a large number of stressful events predispose to this disease. And then it turns into a vicious circle: the lost ability to rejoice leads to the avoidance of familiar and favorite forms of activity, which in turn increases melancholy.

When I read about the symptoms of depression, it seems to me that everything is not so bad with me. But in fact, I am far from the norm - the mood is not right, I don’t want anything. What happened with me?

Only a doctor can give a reasoned answer to your question after talking with you. I can only mention dysthymia, a sub-depressive condition in which low mood, low self-esteem and an inability to enjoy pleasure are observed for a long time. Dysthymia also requires treatment.

Is it true that antidepressants make you fat?

No, it's not.

Do they cause addiction?

If I start taking antidepressants, will I become a completely different person?

Antidepressants do not affect the personality in any way and, therefore, do not change anything in a person. But they effectively remove the symptoms and give strength for fruitful psychotherapy.

If I'm already diagnosed with depression and not treated, will it get worse?

According to available data, depression is often chronic, and each subsequent episode in the absence of treatment is more prolonged and severe. Russian psychiatrists also claim that once a depressive episode has begun, if it is not treated, in 40% of cases it does not go away even after a year.

Is it possible to cure depression to the end - so that it will never happen again?

Yes, you can. This requires not only antidepressants, but also a full-fledged psychotherapy, during which you will begin to understand and hear yourself much better than before, and in addition, learn how to help yourself. This means that even if individual symptoms of depression make themselves felt (and none of us are immune from difficult situations that provoke this disorder), you can quickly and effectively stop them at the very beginning, preventing the development of the disease.

How long and how often will I need to see a psychologist?

Each person is unique, and therefore it is impossible to predict in advance how much time it will take him to cope with depression. This will depend on many factors, including the severity of the disease, and its duration, and life history, and attitude to psychotherapy, and willingness or unwillingness to work independently. But it is better to count on several months of therapy with one visit per week.

Is depression always accompanied by weight loss?

No. With depression, both weight gain and no change in this indicator can also be observed.

Why do some people gain weight when depressed?

There are several possible reasons. For example, atypical depression causes increased cravings for fast carbohydrates. This disorder is also usually accompanied by a decrease in activity, including motor activity - a person sits at home more, refuses to walk and play sports. Improvement in the evening hours can provoke late dinners. In addition, for many people with depression, food remains almost the only source of pleasure - no wonder that you want to eat more than usual.

I read that people with depression sleep little and wake up early. But I want to sleep constantly and I am ready to do it 12 hours a day. Why is it so?

Sleep disturbance in depression is not always insomnia and early awakenings. Rather, it is more appropriate to say that sleep habits are changing. For example, there is an increased need for sleep, often combined with the feeling of "no matter how much I sleep, I still don't get enough sleep." Scientists cannot yet give an exact answer why this is so, but it can be said with certainty that as you recover, you will return to your norm.

When I look back, I see a continuous series of failures. It seems to me that I will never get out of this state, no matter how much you treat me.

Depression is insidious in that it forms a very unpleasant and painful vision of one's own life - its past, present and future. It is important to understand this point and consciously refrain from any assessments until the disorder has receded. Now the most important task for you is to be as active as possible in the search for specialists who will help you, and active cooperation with them. And you will think about your past later, when you recover.

What is Cognitive Psychotherapy for Depression?

Cognitive psychotherapy is a scientific approach that has been proven to be highly effective in treating illness in a matter of months. It is based on working with thoughts and beliefs, which, as experts have found out, have a huge impact on our feelings and actions. This approach is recommended for those who are determined to quickly fight depression and to cooperate with a psychologist "on an equal footing", since it involves the most active position of the patient himself.

If you did not find the answer to your question, you can write to me by mail or at the reception. ©

Everyone is very fond of the word "depression" these days. Some even know exactly what it is, but knowledge alone is not enough to make such a diagnosis.

This article is a kind of test to see if you have depression and whether you need to seek help with this problem. As you read the text, mark on the sheet the points for the symptoms that you noted in yourself, then calculate the total points and read the interpretation of the results at the end of the article.

30 symptoms of real depression

We divide all the symptoms into three groups. The first - "cost" of 3 points, that is, the most indicative symptoms, the second - 2 points, the third - 1 point.

"Three-point" symptoms

Symptom #1: Loss of enjoyment of life, anhedonia. Previously, the patient's favorite activities that brought him pleasure now seem meaningless and may even cause disgust.
Symptom #2: Depersonalization is the loss of an adequate perception of oneself. The patient begins to perceive his own "I", his body as something sharply negative.
Symptom No. 3: Derealization is a change in the perception of the world. In the case of depression, reality appears grey, cold: "I'm in my cold little hell."
Symptom #4: Self-aggression, self-harm, suicidal thoughts and attempts.
Symptom No. 5: The future is presented to the patient only in gloomy colors, he does not see prospects, life seems to be over.
Symptom #6: There may be a pronounced anxiety syndrome. This is groundless, irrational (as psychiatrists sometimes jokingly say - "existential") anxiety, from which the patient cannot find a place for himself. A person rushes about restlessly, reflexively presses his hands to his chest or throat, groans.
Symptom #7: The condition worsens in the morning and improves in the evening.

Symptom No. 8: The patient stops responding to events that previously caused him a vivid emotional response. For example, a mother may stop worrying if her son stays longer than usual with friends, although she used to go crazy with anxiety.
Symptom #9: A depressed person constantly engages in self-deprecation, feels guilty, even if it is unfounded.
Symptom No. 10: When talking, patients often look out the window or at a light source - this is a very characteristic sign of depression, which is the first to catch the eye on examination.
Symptom No. 11: Patients with depression are characterized by a special posture, the so-called "submission posture", a kind of gesticulation directed towards oneself, lowered corners of the mouth and a specific sweetness of the upper eyelid hanging at the outer corners of the eyes.
Symptom No. 12: Both subjective and objective impairment of mental activity, pseudo-dementia. Patients often feel that they are beginning to develop something like Alzheimer's disease. This is facilitated by the availability of information resources on the Internet and some similarities between the clinic of severe depression and this pathology.

"Two-Point" Symptoms

Symptom #13: Difficulty concentrating, subjective feeling of difficulty remembering.
Symptom #14: Decreased appetite, especially in the morning. By the evening appetite can be normalized. At the same time, patients often refuse their usual food and eat only sweet or other high-calorie carbohydrate foods.
Symptom #15: Weight loss, which is sometimes significant. On the other hand, this is not a permanent symptom, because it happens vice versa if the patient eats a lot of carbohydrate foods, more often in the evening, when the condition improves and appetite is restored.
Symptom No. 16: From the onset of the disease, patients begin to wake up several hours earlier than usual, but, as a rule, do not get up, waiting for the morning in bed.
Symptom #17: There may be insomnia or even a feeling that the desire for sleep does not appear at all. Unlike a similar symptom in manic disorders, here insomnia is very burdensome for the patient.
Symptom No. 18: Hypochondria appears - thoughts about the diseases existing in the patient. Even if they are not present, the patient will find their symptoms, and, in the end, they may well actually appear. Senestopathy is also characteristic - non-existent discomfort in the internal organs.
Symptom #19: Depressed patients often speak slowly, they can turn any conversation to their own problems, memories from the past.
Symptom #20: Quiet voice, long pauses between words. The voice loses all directiveness (ordering intonation).

Symptom No. 21: The patient cannot immediately, clearly and clearly formulate his idea. In the worst case, he generally says that no ideas have crossed his mind for a long time.
Symptom No. 22: Self-esteem drops sharply, self-confidence disappears, even if there are no objective reasons for this.
Symptom No. 23: There may be a very painful feeling for the patient of inferiority, of his own inferiority. This feeling is directly related to the ideas of self-blame that are so characteristic of any depression.
Symptom No. 24: Lethargy, the desire to remain alone, if possible.

"Single point" symptoms

Symptom #25: Decreased sex drive. This symptom does not occur in all patients, since another option is also possible - sexual satisfaction sometimes alleviates anxiety somewhat, in which case libido remains normal or even increases (this, of course, is not typical for severe depression).
Symptom No. 26: Sometimes self-hatred can develop in patients into aggression towards others. This symptom is most common in adolescence.
Symptom No. 27: Dark, nightmarish dreams that patients remember well and then can scroll through their thoughts over and over again.
Symptom No. 28: Time seems endless, any expectation is very difficult for patients.
Symptom No. 29: Patients with great difficulty force themselves to get out of bed in the morning. In severe depression, a person may even simply not do this, not paying attention to the fact that they need to do some business.
Symptom No. 30: Patients stop caring for themselves, pay less attention to themselves than before.

Interpretation of results

Calculate the total number of points and determine which of the four groups you belong to.

A. Group 1, 50-66 points or at least three 3-point features: You have a major affective disorder that is unlikely to be post-stress in nature or associated with a life event. You are absolutely shown the earliest possible appeal to a psychiatrist to correct your condition. In your case, treatment with the appropriate group of antidepressants, sedatives, normalization of the lifestyle and, of course, individual psychotherapy is necessary.

B. Group 2, 30-49 points: you have many signs of depression, and this is most likely it. Also, your condition may be a manifestation of dysthymia if it lasts more than a month, but, in this case, dysthymia is severe. You should definitely contact a psychiatrist, who has the additional specialization of a psychotherapist, in order to comprehensively correct your condition with the help of psychotherapy and medications.

C. Group 3, 11-29 points: perhaps you are just a very impressionable person and overreact to any adverse circumstances. Your condition can hardly be called depression, maximum hypothymia, but you can contact a psychotherapist or medical psychologist, who will definitely help you get rid of your problem.
D. Group 4, 0-10 points: You are most likely not depressed at all and should not be worried.

Many people have developed morning depression in recent years. Quite often it becomes hard to wake up in the morning, even a cup of coffee cannot help get out of the state of somnambulism, life seems gray and boring, work is simply terrible, and personal life is once and for all failed.

And such a negative state of mind should be fought without fail, because otherwise the whole day may go down the drain, and then these days will become habitual, and soon a person may forget that he once felt peace and joy.

Traditionally, such a state of mind is aggravated in autumn and spring. And autumn and winter weather in itself evokes sad thoughts and is associated with boredom, emptiness and death.

Such a diagnosis as depression denotes a mental disorder, which is characterized by a feeling of longing, a decrease in mood, a feeling that life is over.

In some cases, this condition is characterized by inhibition of movements, slow thinking, in some cases, excessive excitement. Appetite may be disturbed, libido may decrease, sleep disturbance may be observed.

It should be remembered that in some cases, at the initial stage, depression can be overcome by adopting some good habits.

You need to remember that right now you are the center of the universe, and it depends on you what your life will become.

First of all, in order to have a great mood and well-being in the morning, you should get as much sleep as possible. At the same time, you should sleep for at least eight hours in a row. It is with healthy sleep that mental and physical health begins.

Try to be positive in the morning. You should stretch, then yawn, pull your hands and feet back and forth, and then they need to be rotated.

The next step in awakening the body is to massage and blink. You need to blink with effort, quickly. Then the palm should be circled around the hips, chest, stomach. It is also necessary to massage the head a little in a circular motion, as well as the ears, in which there are almost all nerve endings.

Then you should go to the window, open it and breathe in fresh air. In this case, you need to exhale through the mouth, inhale through the nose. You need to breathe deeply so that the air is in the lower parts of the lungs.
Such breathing exercises allow the brain and heart to receive enough oxygen - and depression will recede.

The shower should be cool, but you should not immediately make ice water, as this will be stressful for the body. Water should be gradually made colder.

Also, a good auto-training will be the opportunity to express your concerns. To do this, you can take a regular sheet of paper and write down all your negative thoughts. Then you need to think about what was written, remember the moments of happiness and joy in the past, realize that life itself is beautiful.

In addition, one can imagine a situation that is much worse than the current one, and thus it is possible to realize that many problems can actually be solved.

Depression is a mental disorder that is accompanied by a feeling of melancholy, apathy, and a negative mood. Morning depression occurs in many people. This may be due to the change of seasons, for example, autumn or spring melancholy occurs very often. A person can mope and return to normal mental balance, or he can fall into a deep depression. There can be many reasons for this. If after a week or two a person does not return to his normal life, then he needs professional help.

Clinical picture

It is important to remember that depression is a serious illness that requires treatment.

Like any disease, depression has its own symptoms. The main signs of depression are:

In addition to the emotional symptoms, there are also physical signs of depression that can present with a wide range of symptoms. Depression can cause many physical illnesses. Insomnia, loss of appetite, disturbances in the gastrointestinal tract, headaches, decreased libido, nervousness, malfunctions of the cardiovascular system and many other pathologies may indicate the development of a depressive state in a person.

Treatment for depression

The approach to getting rid of depression should be comprehensive. The patient can independently try to restore peace of mind with the help of all the means known to him that brought him joy. If such therapy does not bring results for a long time, it is better for the patient to start taking drugs, the choice of which should be made by the doctor. Self-selection of drugs is prohibited, because. There are many contraindications and side effects. Treatment should be carried out strictly under the supervision of a specialist.

Prevention

Morning depression can occur simply as a sign of systematic sleep deprivation. A busy day at work, constant stressful situations, malnutrition and deficiency also contribute to the development of mental disorders.

The first method of dealing with depression in the morning should be sound sleep, which is at least 8 hours. After waking up, the patient will benefit from a contrast invigorating shower. The contrast should not be too sharp, it is better to start with slightly cool or warm water.

A nutritious, balanced diet will help you feel better. A lack of vitamins can significantly reduce performance. Physical activity will be helpful. For example, regular gymnastics in the morning or a morning run will help improve blood circulation, metabolism and the production of all the necessary hormones. A fulfilling sex life is also an integral part of the prevention of depression.

It is important that a sick person has the opportunity to do what he loves, which gives him joy. The support of loved ones and loved ones significantly contributes to the patient's recovery. It is desirable that communication brings positive emotions to the patient.

Finally

It should be remembered that there is no universal cure for depression. Some patients cannot get rid of depression for years. It is important that the patient himself realizes the need for treatment and makes efforts. A quick recovery from depression is almost impossible, so the patient and his family should prepare for a long recovery period.

With any kind of depression, sleep is disturbed: an oppressed psyche causes a sleep disorder, and vice versa, chronic lack of sleep leads to a depressed state.

By According to statistics, sleep goes wrong in 83% - 100% of people prone to this disease. Patients reasonably complain about the duration of which is not much less than that of healthy people, but its structure is thoroughly disordered.

Common features of sleep in depression:

• falling asleep is difficult and tiring,
• nocturnal awakenings are more frequent and prolonged than in a normal healthy state,
• light sleep stages predominate over deep sleep stages,
• rapid eye movements in REM sleep are more frequent,
• the fourth stage of the slow phase of sleep is half as long as usual,
• fast (paradoxical) sleep is replaced by drowsiness,
• electroencephalogram in REM sleep registers sleep spindles, and in wakefulness - delta waves inherent in deep sleep,
• waking up earlier in the morning.

Depression, depending on the cause of occurrence, is divided into endogenous and reactive:

• Reactive - provoked by a traumatic situation,
• Endogenous - internal causes.

With endogenous depression

a person falls asleep safely, but suddenly wakes up at night and spends the rest of it in a gloomy state, tormented by a vague and very heavy feeling of fear, guilt, longing and hopelessness. This mood can cause suicidal thoughts.

Patients complain about the lack of normal rest, the head is constantly occupied with thoughts. Apparently these thoughts are the “thoughts” of superficial sleep. Normal falling asleep gradually also goes wrong and the patient has to use.

Their wakefulness is replaced by a prolonged drowsiness with frequent awakenings, or immediately by a fast sleep. In the morning they doze or stay awake, while healthy people sleep fast and dream.

In depression, the sleep picture demonstrates increased activity of awakening mechanisms and suppression of the fourth phase of non-REM sleep. With a severe degree of the disease, paradoxical sleep occurs more often than usual, but due to repeated awakenings, it cannot be fully realized.

After treatment, he returns to normal, but the fourth stage often does not return and sleep remains superficial.

It should be noted that endogenous is the most severe of the 59 types of depression. This is due to hereditary factors and metabolic disorders.

Latent depression

Hidden or masked (bodily) depression is often undiagnosed. However, early morning awakenings, a "broken dream", a decrease in vitality and expression of active emotions are characteristic symptoms even in the absence of a painful mood.

The main complaint with this form of the disease is. The name is fully justified - depression is masked by physical ailments, often severe.

seasonal depression

This type of disease has a seasonal orientation: it manifests itself with a reduction in daylight hours in autumn and winter in people prone to this, more often in women. Seasonal depression affects 5% of the world's population.

Typical symptoms:

• increased morning and daytime sleepiness,
• overeating, desire for sweets. The result is an increase in body weight.
• the duration of sleep, compared with the summer period, is increased by 1.5 hours,
• night sleep is incomplete and does not bring rest.

Sleep pattern in various depressive syndromes

dreary depression characterized by:

• a breakdown at the end of the day (feelings akin to a hangover),
• difficult falling asleep, lasting about an hour, accompanied by painful thoughts and bitter reflections,
• sensitive sleep, control over the outside world does not weaken, which does not give a feeling of rest,
• very early awakening (2-3 hours earlier than usual),
• unwillingness to get up after waking up, the patient lies for a long time with his eyes closed,
• broken state after lifting.

Such an abnormal dream increases the feeling of hopelessness and oppressive pain, it does not bring a feeling of freshness and relaxation. As a result, wakefulness proceeds sluggishly, often with headaches.

Apathetic depression:

• waking up 2-3 hours later than usual
• constant sleepiness - morning and afternoon,
• the boundaries between wakefulness and sleep are blurred.

Patients are ready to spend the whole day lying in bed, calling drowsiness laziness. Sleep does not bring proper rest, but this is not considered a problem.

Anxious depression:

• drowsiness is reduced
• disturbing thoughts cause long falling asleep,
• shallow sleep, restless dreams,
• frequent awakenings, sudden awakenings are possible, accompanied by sweating and shortness of breath from an unpleasant dream.
• Early awakenings (1 hour -1.5 earlier than usual).

Most patients complain that sleep does not bring rest.

The nature of dreams in various depressions

With any type of depression, REM sleep, which is responsible for dreams, is disturbed. This affects the character and plots:

dreary state- rare dreams are painful, gloomy and monotonous, filled with stories about an unsuccessful past life.

Apathetic state- rare, isolated dreams are poorly remembered and emotionally scarce.

anxiety state - plots change frequently, events are fleeting, directed to the future. Dreams are filled with catastrophic events, threats and persecution.

CLASSIFICATION OF THE CAUSES OF SLEEP DISTURBANCES
(proposed A.M. Wayne, an outstanding Russian somnologist, and K. Hecht, a German scientist)

1. Psychophysiological.
2. Insomnia in neuroses.
3. With endogenous mental diseases.
4. With abuse of psychotropic drugs and alcohol.
5. When exposed to toxic factors.
6. With diseases of the endocrine system (diabetes, for example).
7. Organic diseases of the brain.
8. Diseases of the internal organs.
9. As a consequence of syndromes that occur during sleep (sleep apnea).
10. As a consequence of the disruption of the wake-sleep cycle (suffering of owls and larks, shift workers).
11. Shortened sleep, constitutionally conditioned (Napoleon and other short-sleeping personalities. However, it is a stretch to classify them as suffering from lack of sleep).

The materials of the book by A.M. Wayne "Three Thirds of Life".

For relaxation, I propose to see how beautiful our Earth is.

Elena Valve for the Sleepy Cantata project.

A consistently bad mood in the morning, day after day, is one of the symptoms of a depressive disorder. I do not mean mild melancholy, but a state in which a person does not want to get out of bed. For nothing. The day ahead looks empty and meaningless. Moreover, the same day looks better in the evening or during the day, but the morning is always gray. The very first thought that comes into the awakened consciousness is a thought from the series like everything sucks. The crocodile will not be caught and the coconut will not grow. Definitely, no choice.

The depressed brain is like a car that has to get from point A to point B through traffic jams, but there is not enough gasoline left. And it’s not enough because the car, well, works a lot at idle and in this mode it eats like crazy. The depressed brain lacks serotonin, norepinephrine, and dopamine. There are not enough of them for a reason, they are spent somewhere. A person constantly turns scenarios of failures and disasters in his flight simulator (prefrontax cortex), swims in a thick swamp of pessimism and beats himself for everything. He does not clarify, does not specify the details, does not take action. He constantly winds himself up, imagines how bad everything will be and firmly believes in this only possible result. No wonder to burn serotonin.

Stimulants - caffeine and nicotine, biologically have a temporary compensatory effect.

Remember Dovlatov about Brodsky, who was forbidden to smoke by doctors:
- Drink a cup of coffee in the morning and not smoke?! Then there is no need to wake up!

But the effect of stimulants works temporarily. Chronic and constant use of them reduces the level of serotonin. When the body is forced to constantly work at high speeds, it is depleted of resources.

Statistically, in acute depression, a combined approach of therapy and pharmacology works better than therapy alone or pills alone. For example, a person takes SSRI and his serotonin level has become better. Life is getting better. He drinks the course of this happiness, finishes, and goes on in life. And his favorite programs and patterns are just as firmly seated in it. The flywheel spins slowly but surely. The flight simulator starts to consume gasoline with taste.

Therapy works with this process. When there is a fire, the fire must first be extinguished. A course of anti-depressants removes an acute peak, then chronic things are worked out in therapy, some of which actually lead to a depressive state. Therapy helps to resolve conflicts that have been dragging on for years, get out of an impasse, deal with an existential crisis, gain meaning, raise self-esteem, learn new patterns, not fall deep into depression, learn how to get out of this state faster, gain self-support and autonomy. If depression is chronic and has genetic factors, then therapy helps to learn how to cope with these phenomena and mature forms of protection. The therapy helps to reduce the amplitude of idling, and, accordingly, the consumption of valuable resources.

In the state of the Flow, a person has a reason to wake up in the morning. He jumps out of bed, enjoys breakfast and runs about his business.

Greg Murray's research shows that negative mood shifts in the morning could, in principle, be due to a general disruption of the circadian function in depression. Although there is no certainty in this matter. The same neurotransmitter, serotonin, is involved in the regulation of sleep. Depressed people quite often complain of various forms of sleep problems, this is another symptom.

There is another theory about the effect of cortisol on daily mood swings. Chronic stress increases cortisol levels, which negatively affects sleep. Moreover, in a depressed state, a high level of cortisol is maintained for quite a long time during the day. The car is actively idling.

Doctors often refer to hypertension as the "silent killer" and with good reason. By itself, it may not have pronounced symptoms, but it dramatically increases the likelihood of cardiovascular disorders.

Blood pressure readings consist of two digits. The first (upper) - systolic shows with what force the blood presses on the walls of the vessels at the time of the heartbeat. The second (lower) - diastolic shows the blood pressure at the time of rest of the heart between beats. Our vessels are quite elastic, but they are not always able to contain too much pressure, and if the vessel bursts, disaster cannot be avoided.

At risk for developing hypertension are people over 65 years of age, overweight patients with diabetes, menopausal women, smokers, and people who do not eat well and consume too much salt.

A blood pressure of 120/80 is considered normal. More recently, high blood pressure started from 140/90, but not so long ago they were lowered to 130/80. If you see such numbers on the tonometer, you should already think about it. Important: even if you feel good with high blood pressure, this does not mean that there is no problem.

Signs of hypertension can be not only high blood pressure. You should be alerted by frequent headaches, fatigue and lethargy, redness of the face, swelling of the hands and feet, heavy sweating and memory problems.

If the pressure rises regularly, it is necessary to visit a therapist. The doctor will prescribe the necessary tests and examinations and, if necessary, prescribe treatment that will help normalize the pressure. But if an attack suddenly overtook you, you have not yet reached the doctor, and there are no medicines at hand, then there are several simple ways that will help alleviate your condition with high blood pressure.

Start breathing deeply

Several studies have shown that deep breathing is quite effective in lowering blood pressure. Take a comfortable position, relax and close your eyes, take a deep breath. Place your hand on your stomach and feel it rise as you inhale. Exhalation should also be slow.

A similar breathing rhythm for 3-5 minutes will improve blood flow to tissues and organs, this will help reduce blood pressure on the vessels.

Brew mint infusion

Pour boiling water over a few mint leaves, cool the drink and drink in small sips. It is in this form that mint is very useful for normalizing pressure.

Take a hot foot bath

Pour water into a bathtub or basin at a temperature of about 45 degrees and lower your arms or legs there for 10 minutes. Hot water will expand the vessels in the limbs, blood will begin to flow to them and the pressure will drop.

Hold your hands under cold water

The reverse procedure will also help. Holding your hands under cold (but not icy) water will lower your heart rate and blood pressure.

Make an apple cider vinegar compress

Soak a gauze or towel in apple cider vinegar and apply the wrung out cloth to your feet for 10-15 minutes. It has been proven that apple cider vinegar contains substances that help lower blood pressure.

Have a drink of valerian

Valerian or preparations based on it is a strong sedative that relieves the body of stress. The heart normalizes its rhythm and the pressure will decrease.

Prepare a drink of honey and mineral water

In a glass of mineral water, add a tablespoon of honey and the juice of half a lemon. Mix and drink in one go. The pressure should drop after 20-30 minutes.

Important: the methods listed above are emergency measures that will help reduce pressure in the absence of a doctor and medicines at hand. If nothing works and you do not get better, call an ambulance. After normalizing the condition, be sure to find an opportunity to visit a doctor, and if the pressure rises not for the first time, always carry drugs that lower it with you.

But to reduce pressure and get rid of hypertension, not only drug therapy is important, but also lifestyle changes. Experts have compiled a list of items to start with first.

• If you are overweight, you need to lose weight (each kilogram lost will lower your blood pressure by 1 point).
• Review your diet and reduce salt intake (daily intake for an adult is no more than 5-6 g per day). Eat more fresh fruits and vegetables.
• Limit the amount of caffeine in your diet (remember that it is present not only in coffee, but also in tea).
• Go in for sports (this can be walking, running, cycling, dancing or swimming).
• Limit the amount of alcohol in your life.
• Quit smoking.
• Monitor the quality of your sleep. Poor sleep and heavy snoring can increase blood pressure at night.
• Learn to be less nervous and avoid stress.
• Monitor your blood pressure regularly.

All about ectopic pregnancy

In 95% of cases, the egg is fixed in the fallopian tube, much less often it can be in the ovaries, cervix or abdominal cavity. For the occurrence of an ectopic pregnancy, there are certain physiological prerequisites. Among them:

• Adhesions in the fallopian tubes (occur against the background of endometriosis and inflammation)
• Abnormal contractility of the fallopian tubes
• Inflammatory process
• Too narrow fallopian tubes
• An imbalance between estrogen and progesterone.

Types of ectopic pregnancy

Depending on the location of the fetal egg, there are several types of ectopic pregnancy.

Trubnaya. The embryo is attached in the fallopian tube, which most often leads to its rupture.

Abdominal. In this case, the fetal egg is fixed in the abdominal cavity, so the main symptom is usually pain in the lower abdomen.

Ovarian. The development of the embryo begins in the ovary itself. Most often, this type of pregnancy develops in women after 40 years.

Cervical. The embryo is attached to the cervix itself.

Important: after the first ectopic pregnancy, there is a 15% risk of recurrence.

Symptoms

The onset of an ectopic pregnancy is completely similar to a normal one, so it is extremely difficult to suspect it in the early stages. Delayed menstruation and two stripes on the test are the most joyful signs in life for many, but they are not always so. The first symptoms may appear for a period of 4-6 weeks. Among them:

• Stomach ache
• Uterine bleeding
• Spotting spotting
• Pain in the lower back and back
• Feeling of incomplete emptying of the bladder
• Pain in the ovaries
• Pain in the lower abdomen
• Subfebrile fever
• Fainting, dizziness
• General malaise.

Diagnostics

At home, it is impossible to determine an ectopic pregnancy, therefore, if alarming symptoms appear against the background of a positive express test, it is important to immediately consult a doctor. The gynecologist will be able to suspect something was wrong after examining the chair and performing an ultrasound (it is better if it is transvaginal).

An analysis of the hCG hormone, which is produced by a fertilized egg, will also be useful in diagnosis. HCG consists of alpha and beta units, and it is the latter that are indicative of an ectopic pregnancy. As a rule, they are detected in the blood within 6-8 days after fertilization.

Signs of ectopic pregnancy can be similar to other diseases, so it is very important to differentiate them. It can be inflammation of the ovaries, appendicitis, ovarian cyst rupture.

Complications

Do not underestimate the situation with an ectopic pregnancy, it can be quite dangerous not only for health, but also for the life of a woman. The most common complications it can lead to are: fallopian tube rupture, intra-abdominal bleeding, loss of ovaries and fallopian tubes, infertility, and even death.

Treatment

An ectopic pregnancy is treated exclusively with surgery, so hospitalization will be required.

Depending on the timing, location of the egg and the patient's well-being, the intervention can be laparoscopic (through several punctures) or laparotomy (with an incision on the anterior abdominal wall). At short periods, only the egg can be removed, while maintaining the integrity of the tube. But most often, the embryo is removed along with the fallopian tube, which significantly reduces the woman's chances of a subsequent pregnancy.

After the operation, the woman needs rehabilitation and a recovery period. Usually it consists in physiotherapy, restoring the hormonal background and the menstrual cycle, and preparing for the next pregnancy. Gynecologists are allowed to start planning no earlier than 6 months after the surgery.

Subsequent pregnancies

Of course, after an ectopic pregnancy, a woman retains the chances of another healthy pregnancy, provided that at least one fallopian tube is preserved. But planning the next pregnancy should be approached very responsibly, after a full examination. It is important to understand what caused the egg to attach in the tube in order to rule out a problem in the future. This may require a variety of examinations and tests.

It is rather difficult to talk about the timing of the next pregnancy. Ovulation usually occurs in one of the two ovaries. If ovulation occurs from an intact tube, this significantly increases the chances of success, otherwise planning will be delayed. Important: in the event of a second pregnancy, you need to see a doctor as soon as possible in order to track the attachment of a fertilized egg in time. Usually an ultrasound is enough for this.

Prevention

There are no specific ones for the prevention of ectopic pregnancy, but it is in the power of every woman to take a responsible approach to her health and childbearing issues.

• It is necessary to promptly treat any diseases of the genitourinary system, especially those provoked by STIs.
• Avoid casual sex or use a condom.
• Carefully follow the rules of personal hygiene.
• Try not to have abortions and diagnostic curettage.
• At least twice a year, visit a preventive examination by a gynecologist.
• Carefully approach the planning of pregnancy and go through all the necessary examinations in advance.

Hiccups are an involuntary breath against the background of a closed glottis, which is provoked by a contraction of the diaphragm and is rhythmically repeated. Often hiccups appear for no apparent reason and after a while it goes away on its own.

In science, there are quite a few theories about the occurrence of hiccups in humans. Some believe that this is a kind of reminder that before a person could breathe only with the help of gills, others refer to the sucking reflex of an infant. There is a version that hiccups are one of the variants of a nervous tic or can be caused by psychological problems. In young children, hiccups often occur after prolonged laughter.

To quickly deal with hiccups, you can try some of the common ways.

• Press your finger on the root of your tongue as if you were trying to make yourself vomit. The spasm of the esophagus will relieve the spasm of the diaphragm and the hiccups will pass.
• Drink a glass of water slowly and in small sips.
• Place a slice of lemon on your tongue and suck on it.
• Chew on some crushed ice or a stale crust of bread.
• Grasp your tongue with two fingers and pull it down and out.
• Take two or three breaths, and then hold your breath for a while.
• Start push-ups and pump the press.

At least one of the methods we have listed should definitely help you, so you can start with those that are more pleasant and accessible for you. If nothing works, try to relax and take your mind off the hiccups, in such a situation it will pass much faster.

Important: if hiccups persist for more than an hour or occur regularly several times a day, you should consult a doctor. The accompanying symptoms that accompany regular hiccups - heartburn, chest pain and problems with swallowing - should also alert.

There are many varieties of depression. Some types of depression are characterized by diurnal variation, associated with worsening symptoms at certain times of the day.

Depression in the morning - causes

Doctors don't know the exact cause of morning depression, but there are many factors. Because morning depression occurs around the same time every day, doctors often attribute it to an imbalance in a person's circadian rhythm. Hormonal changes can affect the circadian rhythm. One of these hormones is melatonin, which causes sleepiness.

Some people who do not have symptoms of clinical depression often experience mood swings throughout the day.

Research shows that circadian rhythm imbalances, sleep quality, and light exposure can lead to mood changes, especially in patients with depression.

In addition to changes in the body's natural rhythms, several other factors can contribute to morning depression and depressive disorder. These factors include:

• a family history of depression;
• drug or alcohol addiction;
• medical conditions such as sleep disturbance, chronic pain, anxiety, and ADHD;
• recent changes in life circumstances, such as divorce or the loss of a loved one;
• injury.

Symptoms of morning depression

Symptoms of depression may include feelings of helplessness, sadness, and hopelessness, and they may worsen in the morning. The general term for this diurnal variation is morning depression.

Daytime depression means that the symptoms appear every day around the same time. For some, these symptoms appear in the evening.

Symptoms of depression may include decreased or no enjoyment of activities. Symptoms may resolve within a day.

Other symptoms include:

• depressed mood lasting most of the day;
• significant weight loss or decreased appetite;
• sleepiness during the day;
• anxiety;
• tiredness or a feeling of lack of energy;
• feelings of worthlessness or excessive guilt;
• difficulty concentrating, thinking, or making decisions;
• recurring thoughts of death, suicide, or self-harm.

In addition, a person with morning depression may notice the following symptoms:

• it is difficult for him to wake up in the morning;
• physically difficult to get out of bed;
• difficulty thinking, especially in the morning;
• Difficulty doing normal morning tasks, such as getting dressed and brushing your teeth.

In a person with morning depression, these symptoms decrease or disappear during the day.

Depression in the morningdiagnostics

To diagnose depression, a doctor must ask the person about their symptoms. He may ask questions about changes in mood, sleep, weight, and appetite. The doctor will try to determine how long these symptoms have been going on, whether they are getting better or worse.

The doctor will also try to rule out other possible causes, such as a medical condition that may be causing these symptoms. Hypothyroidism is one example of this.

Some medications can also cause mood changes and symptoms of depression, so your doctor will ask you about medications.

Depression in the morningtreatment

There are many treatments for depression, such as:

Psychotherapy

This treatment helps a person recognize negative thought patterns and learn positive behavior.

Medical treatment

Antidepressants, mood stabilizers and antipsychotics.

Exercises

Regular exercise, especially outdoors, can reduce symptoms of mild to moderate depression.

Transcranial brain stimulation

Brain stimulation techniques, such as electroconvulsive therapy and repetitive transcranial magnetic stimulation, can reduce symptoms of severe depression.

Some people also use alternative therapies, including acupuncture, meditation, and yoga. While they may help people feel better and maintain good mental health, they should not replace treatment for major depressive disorders.

When treatment is given, the person must change habits to help manage the symptoms.

Prevention of morning depression

Positive changes may include:

Improving sleep hygiene

A person can improve sleep quality by darkening the bedroom, keeping the temperature cool, and eliminating distractions such as cell phones, computers, and televisions.

Preparing for the next morning in the evening

Preparing clothes and items for work or school, as well as preparing breakfast in advance, can make the morning easier.

Sufficient rest

Going to bed and waking up at the same time can help relieve symptoms.

It is important to wake up earlier or adjust your work schedule to reduce stress in the morning.

Use of light signals

Light can tell the body that it is morning and time to wake up.

There is hardly anything worse than depression. Depressed mood, decline in vitality, hopeless pessimism, lack of desire to do anything and show at least some interest in existence ... This and much more accompanies this mental disorder. When a person plunges into such a state of mind, he becomes helpless, indifferent and "empty". Some people manage to do it alone, while others don't. But in any case, you need to know how to overcome depression and depression.

First stage

When depression is just beginning, a person refuses to be aware of this fact. He believes that he simply does not have the mood, fatigue at work or study, weather changes affect. In the first stage, the initial symptoms are accompanied by pronounced apathy, increased fatigue and lack of desire to do anything. Often there is a lack of appetite, problems with falling asleep, as well as irritability and nervousness. Despite being tired, a person cannot fall asleep even if he takes sleeping pills.

In addition, there is a deterioration in concentration, a decrease in efficiency, the disappearance of interest in former hobbies and hobbies. A mountain of cases begins to pile up that were previously managed to be solved long before the deadline. It's getting harder and harder to finish what you started. And this is not just a depressed mood and a lethargic state. This is how the initial stage of depression manifests itself, which subsequently develops more and more intensively.

Deterioration

If a person has ignored how the mood changes and, in general, his regimen, the restructuring of the body begins. the production of serotonin, which is commonly called the hormone of happiness, stops. He does not eat at all, or consumes some minimum to “fill up” his stomach. Immunity is reduced, and chronic diseases are exacerbated. The body fights "with itself", but it fails.

Prolonged insomnia sets in. A person ceases to think adequately and logically, he does not keep his behavior and emotions under control. It's like he's in another world where he doesn't care. To outsiders, it seems strange, and as if cut off from the real world. In especially severe cases, his condition is accompanied by auditory and visual hallucinations. It is at this stage, conditionally designated the second, that more than 80% of attempts to commit suicide fall. In the best cases, such people simply "close" in themselves, locking themselves up where no one will touch them, and immersing themselves in philosophizing.

Loss of the meaning of life

This is the last stage of depression. A person not only has no mood - he has no desire to live. His body still retains vital functions, but it is already working offline. But in the mental sphere, pathological processes begin to occur.

At best, a person will remain indifferent and detached from the world. And at worst, animal aggression will wake up in him. Such people are capable of harming themselves and others. Because they cease to perceive this world as something valuable, and cease to identify themselves with a Man, with a Personality. Of the consequences, memory loss, schizophrenia, and depressive psychosis are also possible. This is what a long-term depressed mood is transformed into. That is why it is so important to catch on even at the first stage, and either ask for help or get on your feet on your own.

Why is the blues coming?

Depression, depression and despondency always have prerequisites. Sometimes they are even combined into a complex. The reason may be a lack of vitamin D and the sun.

Even according to statistics, depression develops most often in the fall, when daylight hours are reduced. The sun is getting smaller, and it is he who stimulates the production of vital vitamin D in the body.

Health problems also often affect the psychosomatic state of a person. There is a depressed mood during pregnancy, menopause, problems with the thyroid gland, etc.

Often the prerequisite is overwork or exhaustion of the body. Constant work, busy schedule, eternal employment with problems - it is logical that the body begins to mope. But such cases are treated very simply. You just need to take a vacation and let yourself relax.

And the last popular reason is the lack of physical activity. If it is not, then endorphin stops being produced. But it is he who is the hormone of joy. By adding a jog or a couple of hours in the gym for a week to your regimen, you can see how your condition improves. Both physical and psychosomatic.

What to do?

First, don't give up and don't give up. If this is the first stage, then everything can be fixed. The main thing is to act immediately.

If a person began to notice a bad mood in the morning, which only gets worse during the day, you need to bring more movement into your life. Physical work brings satisfaction. Even cleaning the house will help streamline your feelings and thoughts. But lying on the couch only worsens the condition.

You also need to start constantly pleasing yourself with your favorite things. It can be anything - shopping, gatherings with friends, ordering a whole mountain of delicious food at home, going on vacation, dancing, drawing, riding a swing. You just need to forget about all the worries, your age and responsibilities, and do what you want.

Relaxation is also important. Foamy hot bath, aromatherapy, music caressing the ear, and after delicious coffee, and reading an interesting book, sitting in an easy chair under a blanket - sounds like an introvert's paradise. If a person is overtaken by the blues, then silence and such a utopian comfort will help him relax and unwind a little.

Finding an exit

Of course, there are people who do not leave blues, depression and despondency only after signing up for the gym and a couple of days off. In more severe cases, you need to act more radically.

A change of scenery can help. When a person is depressed, the same ceiling with walls that appears in the morning before his eyes every day is incredibly depressing. You need to leave, and preferably closer to nature. She heals. The sounds of falling water, a babbling stream, the singing of birds, the rustling of leaves, the rustle of grass - this has a therapeutic effect and helps to reduce the level of stress hormones, as well as normalize blood pressure. This atmosphere is healing. For a person under arrest in a noisy stone jungle, it is simply necessary.

In addition, it is impossible not to mention the qualitative difference between fresh natural air and stale air that reigns in the premises. Like it or not, but in most cities it is spoiled by gases and harmful emissions. Even ventilation won't help. Whether it's forest or sea air.

And, of course, bioenergy. The city “presses” on all people and devastates them. What is it like to be in the center of the bustle of a depressed person who has been overcome by depression? You can feel pure bioenergy only by coming into contact with nature. Meet the sunset, lie down on the grass, walk barefoot on the sand, swim in a crystal clear pond ... they say, this way you can get rid of static electricity. Be that as it may, in the bosom of nature, a person rather quickly leaves the state of despondency, and begins to feel the taste of life again.

Help from a specialist

Sometimes, it is necessary. Constantly bad mood due to all of the above is one thing. But the reality is known even much more serious cases. Those in which it is really impossible to do without antidepressants, therapy and talking with a doctor.

This refers to a psychological disorder provoked by something that destroyed a person's life in an instant. It could be anything. Death of a loved one. Loss of all accumulated wealth. Betrayal or betrayal. The destruction of all plans, hopes and dreams without exception. Sudden changes. At such moments, one can really understand a person who loses the desire to exist in this world. Because her very purpose, the reason for which he woke up in the morning, is leaving his life. The person loses himself. And this is something that even the enemy does not want to wish.

Treatment

It starts with psychotherapy. To which a person suffering from depression and a chronically depressed state comes with difficulty. People resist for various reasons. Most often because they consider going to a psychotherapist to be a “edge”, or they don’t want to be considered crazy, or they “dig” in their head. In such cases, the support of loved ones and motivation on their part is very important. It is extremely rare for people to go to a psychotherapist on their own. Most often, they are convinced by relatives, and in especially difficult cases, they even organize sessions by force.

Psychotherapy implies a therapeutic effect through the psyche on the human body. The doctor helps the patient get rid of social, individual and emotional problems, first establishing a deep personal contact with him through conversation. Often accompanied by cognitive, behavioral and other techniques.

Medical assistance

Medicines are also prescribed. Depressed mood, the causes of which are also determined by the doctor, is treated with antidepressants.

These are psychotropic drugs that normalize the level of neurotransmitters (such as dopamine, norepinephrine and serotonin). After taking them, a person’s mood and appetite improve, longing, anxiety, insomnia and apathy disappear, mental activity increases. And he's on the mend.

Release of emotions

A person who is constantly accompanied by a spoiled mood rarely wants to communicate with someone. More often he is overcome by a desire to close himself from the outside world and worry. The main thing is that no one climbed into the soul. A lot of people feel like they can't be understood. Someone is afraid of selfishness - to open the soul, and in response to get a spit.

Well, it often happens that way. But the release of emotions is necessary. The methods by which it can be carried out are extremely simple. Someone is trying to find sympathy on the Internet, under the guise of an anonymous person. Others take a notebook and begin to splash out their experiences on the sheets. And that makes it easier. It's better than texting someone. No need to formulate words - it is enough to state what reigns in the head and soul. Often, in the process of maintaining such a kind of diary, good, correct thoughts come. Sometimes it is possible to find out the exact cause of one's own, or an idea is born on its own regarding how to deal with it.

Set goals and go for them

Here's how you can "drive" a depressed mood. What should a person do if depression has completely swallowed him up? You need to push off the bottom. No matter how difficult it is. All psychologists recommend this method. You need to set a goal for yourself. It may be insignificant. A person who has locked himself at home, for example, needs to force himself to go outside every day for at least 15 minutes. This is real. Choosing a goal, you need to focus on your own resources. After its implementation, you must definitely reward yourself, at least with praise for a new achievement.

It is also recommended to find comrades in misfortune - those who also suffer from depression. If relatives and friends do not understand a person, then such people will definitely be able to find support. Because they know what he's going through. The meeting of "soulmates" will help reduce the feeling of isolation, find understanding and even advice.

Finding Joy

Finally, I would like to note one more effective recommendation. Many experts advise depressed people to find a new meaning in life. Something that makes you want to wake up. The best option is to have a pet.

Even medicine confirms the importance of animals in restoring the well-being and emotional state of a person. There are official statistics confirming that people who have a pet are 30% less likely to seek medical help. Animals are great companions that bring joy.

In addition, starting to take care of a pretty living being, a person will increase the energy of compassion, feel spiritual warmth. After all, there is so much unconditional love in animals that it simply cannot but be transmitted.