If you experience diminished interest, high mental stress, fear, helplessness, prolonged unexplained insomnia, fatigue, loss of appetite, constipation, panic and chest tightness and other somatic symptoms, you need to be alert to whether you are suffering from depression. According to my years of experience in medicine, many patients’ understanding of depression is only at the primary concept stage, and there are obvious misunderstandings about the deeper understanding of depression: 1. A large proportion of depressed patients think they are suffering from physical illnesses. The depressed patients who visit psychiatry are only the tip of the iceberg of the huge group of depression. Worldwide epidemiological surveys show that only 10% of people with depression seek help, half of whom go to the hospital, and only 2-3% of these go to psychiatry, the rest believing they have a physical illness. Only 10% of the depressed patients who went to the psychiatric department admitted that they had depression, while the rest were sent by their families, and many of them insisted that “I don’t have depression”. 2, the onset of depression is not directly related to personality Nowadays, there are many reports in the news media about the suicide of college students, media people, officials and other groups, so many people think that college students, media people, officials and other groups are the high incidence of depression. Some people also think that white-collar workers are prone to depression because of their fast-paced and stressful work. In fact, these are all misconceptions about depression. In fact, people with low education level, poor economic conditions and serious physical illnesses are the high incidence of depression. They lack social resources and easily fall into a helpless situation, where depression accumulates to a certain level and becomes major depression, or even suicidal behavior. On the contrary, college students are at low risk of suicidal behavior, they have more conditions to relieve negative emotions, while young rural women are the high-risk group. The onset of depression is not directly related to personality, but is the result of a combination of genetic factors and social stressful events and other factors, and everyone can suffer from depression. 3, many patients have a fear of drugs People’s misconceptions about depression are also reflected in the use of medication. I have met many patients who come to me for treatment, they are very reluctant to take medication, always worried that they will become addicted to medication or make them stupid, and have fear of medication. With the development of medical science, antidepressants are not addictive. It is possible that individual patients with depression may experience a decline in brain function that is not caused by medication, but by the damage to the brain caused by the disease itself. Depression cannot be delayed or avoided, the longer it is delayed, the more damage it will cause, after reasonable treatment, depression can be cured. Initially diagnosed patients should continue to take medication for 12 months, but a follow-up survey shows that the average time patients continue to take medication is only 3 months, which leads to an increased risk of relapse, which may develop to the need for lifelong medication in the future 4, many doctors can not identify depression Last year, we met an outpatient who always felt uncomfortable, especially a foreign body feeling in the stomach and intestines, according to his own description has run to many large hospitals to do 4 times According to his description, he went to many large hospitals and had 4 gastroscopies and 2 colonoscopies, but no problems were detected. So he found me, and after my examination he developed a typical major depressive disorder. So doctors treat depressed patients not just with some antidepressants, it is more important to analyze their personal, family and social factors, find out the crux of the problem, make the patient realize through psychotherapy that his discomfort is caused by emotional problems, and then guide him to detoxify his bad mood. By communicating deeply with the patient and establishing a trusting relationship with him, the patient will be willing to take antidepressants. 5, depression prevention and control is not only a personal matter A good friend of mine is engaged in psychology research, she once led a research team to a shoe factory in Shenzhen to research, the prevalence of depression of workers surprised him. There were 800 people working at the same time in a large workshop, and the smell of leather and glue used in shoemaking was very strong, and the big exhaust fan kept humming. The workers have no time to talk to each other and cannot hear each other, they are all busy on the assembly line like robots. The assessment found that 70% of the workers here have more than mild depressive symptoms, and female workers are more serious than male workers. Some companies often take special measures in management to improve productivity, such as deliberately breaking up partnerships between workers, people from the same province cannot live in the same dormitory, compressing workers’ rest time, etc. For the prevention and treatment of depression is not only a personal problem, enterprises should also take part of the responsibility to consider for their own employees. Enterprises can play short films about mental health during the opening hours of the cafeteria to regulate the mood of workers; set up societies in enterprises to organize recreational activities for workers to relieve stress; and trade unions to carry out training and guidance related to mental health. ”Mild depression can be relieved by physical exercise, vacations, club activities, and communication with friends, while serious cases still require prompt medical attention.” Low-income people often lack social support, and depression progresses from mild and moderate to severe, all of which may not intervene, resulting in serious consequences such as suicide. The prevention and treatment of depression is not only a personal matter, enterprises, trade union organizations and governments at all levels should take responsibility and actively participate, “not out to engage in emergency intervention, usually no one is in charge.”