What families of depressed patients should do

  First, the diagnosis of depression currently relies mainly on symptomatological diagnostic criteria, what does that mean? It means that the diagnosis of depression mainly relies on physicians to ask patients and family members, and then judge whether these symptoms are consistent with depression according to their own subjective experience judgment. Therefore, the physician’s questioning plays a decisive role in the diagnostic judgment, and some psychological tests must also rely on the initiative and truthfulness of the patient or family members. If there is intentional concealment by the patient or his or her family members, it is easy to cause the omission of diagnosis and thus the deviation of treatment.  Second, in the treatment of depression, especially in the acute stage, the role of medication and psychotherapy is limited, while the care and monitoring of the family is the most important. If you feel that you cannot guarantee good supervision of the patient, and the patient himself has a strong desire to commit suicide, then I recommend that you better go to a mental health center for hospitalization.  All antidepressants in the market now usually have an onset of action of about one week to two weeks, and all antidepressants in the instructions mention to varying degrees that antidepressants increase the risk of suicidal thoughts and behaviors in children, adolescents and young adults (<24 years old), and clinical observations also suggest that some antidepressants have a tendency to aggravate symptoms in the early stages of application. Therefore, in the acute phase of depression, the most important thing is not the treatment plan but the monitoring and care of the patient. I often tell patients' families like this: "The most terrible thing about depression is not how painful the disease itself makes people suffer, but that people are suddenly gone, and it is futile to talk about anything."  Third, in the treatment of depression, the therapeutic role of physicians can only be said to play one-third of the role, while two-thirds comes from the patient's own regulation, the emotional support of family members and other social resources, so it can be seen that the patient's family plays almost the same role as the doctor in the treatment process of depression.  So what do family members pay attention to during the treatment of depression?  The first is close supervision: the risk of suicide in depressed patients is very high, so preventing the patient from committing suicide is the top priority of family care. Families should be good at catching changes in the patient's condition. For example, if a depressed patient has been depressed and suddenly shows a significant improvement in symptoms without any treatment and says something like arranging the afterlife, which is similar to a flashback, families should be especially careful to make sure that the patient is within sight and if they are careless, a shoelace can be the weapon that kills the patient.  Always talk: As depressed patients have problems with the angle of vision, they will magnify difficulties and narrow down their own abilities, after which they will conclude that they are useless and will be disinterested in everything, with a strong sense of pessimism and disappointment. Therefore, family members should talk patiently with the patient, especially some family members whose patients are not resistant. Do not require immediate results, so that patients find a little hope to achieve the purpose, even if not, it does not matter, do not be discouraged, external forces to help patients, encourage patients, but also temporarily help them to build confidence, so that the concept of suicide shaken and apprehension.  Familiarize yourself with the treatment process of depression: first of all, you have to supervise the patient's medication and regular visits to the doctor. Here some family members have misconceptions, the first is to feel that taking medication is a psychiatric patient, which will affect the patient's future, while not taking medication at least will not leave a stigma to others, to which I just want to say, for patients with diagnosed depression, the recovery rate of self-regulation is low, and the risk is too great; secondly, when the condition gets better, the family members will stop taking medication, and feel that it is unnecessary to take it again, which is one of the biggest misconceptions, as I have emphasized many times before I have stressed many times before that the treatment of mental illness is a process, and medication needs to be adequate and full course, we can't guarantee that there will be no relapse during the process of medication, let alone stopping medication in the middle, which will obviously increase the chances of relapse. Generally, depression goes through 3 stages of improvement: improvement in sleep, diet and physical symptoms; increase in thinking and behavioral activities, change in the form and content of thinking activities; increase in internal motivation and establishment of the right way to release emotions. Other small details: for example, diet, eat more sea fish, sea fish has unsaturated fatty acids to help improve depression; sunshine, can make the mood stretch; aerobic exercise such as climbing and running can also play a role in regulating the role of neurotransmitters in the brain area, thus playing an anti-depressant effect, while the exercise itself is a good cathartic channel. In addition, according to personal preferences, choose dancing, walking, playing ball, writing, planting flowers and plants, raising birds and fish and other dynamic activities, can also achieve the purpose of reducing the disease.