Categories
Herbs & Plants

Indian Hemp(Cannabis Sativa)

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Botanical Name :Cannabis sativa
Family: Cannabaceae
Genus:     Cannabis
Species: C. sativa
Kingdom: Plantae
Order:     Rosales

Indian name:Bhang or Ganja
Correct name: Cannabis sativa L. subsp. sativa var. spontanea (Vavilov) Small & Cronq.
Synonym: C. ruderalis Janisch.
Habitat : The Original plant was native to Western and Central Asia.It has been cultivated since ancient times in Asia and Europe.  Hemp grows naturally in Persia, Northern India and Southern Siberia, and probably in China. It is largely cultivated in Central and Southern Russia. It is sometimes found as a weed in England, probably due to seeds from birdcages, as they are much used in feeding tame birds. The drug that is official in Europe comes from Bogra and Rajshabi, north of Calcutta, or sometimes from Guzerat and Madras. It is called Guaza by London merchants.

Cannabis sativa is an herb that has been used by humans throughout recorded history for its fiber, for its psychological and physiological effects, and for the nourishment of its oil-bearing seeds. Different parts of the plant have different uses, and different varieties are cultivated in different ways and harvested at different times, depending on the purpose for which it is grown.

The plant is 1 to 5 meters high. The hem plants provids three types of products namely : fibre from the stems, oil from the seeds and nacrotic from the leaves and flowers.

Description:
The plant is an annual, the erect stems growing from 3 to 10 feet or more high, very slightly branched, having greyish-green hairs. The leaves are palmate, with five to seven leaflets (three on the upper leaves), numerous, on long thin petioles with acute stipules at the base, linear-lanceolate, tapering at both ends, the margins sharply serrate, smooth and dark green on the upper surface, lighter and downy on the under one. The small flowers are unisexual, the male having five almost separate, downy, pale yellowish segments, and the female a single, hairy, glandular, five-veined leaf enclosing the ovary in a sheath. The ovary is smooth, one-celled, with one hanging ovule and two long, hairy thread-like stigmas extending beyond the flower for more than its own length. The fruit is small, smooth, light brownish-grey in colour, and completely filled by the seed.

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Uses
A multiple-use plant, furnishing fiber, oil, medicine, and narcotics. Fibers are best produced from male plants. In the temperate zone, oil is produced from females which have been left to stand after the fiber-producing males have been harvested. Leaves are added to soups in southeast Asia. Varnish is made from the pressed seeds. Three types of narcotics are produced: hashish (bhang), the dried leaves and flowers of male and female shoots; ganja, dried unfertilized inflorescences of special female plants; and charas, the crude resin, which is probably the strongest. Modern medicine uses cannabis in glaucoma and alleviating the pains of cancer and chemotherapy. More resin is produced in tropical than in temperate climates. Lewis lung adenocarcinonoma growth has been retarded by oral administration of delta-9-tetrahydrocannabinol, delta-8-tetrahydrocannabinol and cannabinol, but not by cannabidiol. (J.N.C.I. 55: 597-602. 1975). The delta-9 also inhibits the replication of Herpes simplex virus.

Hemp seeds are often added to wild bird seed mix. In Europe and China, hemp fibers are increasingly being used to strengthen cement, and in other composite materials for many construction and manufacturing applications. Mercedes-Benz uses a “biocomposite” composed principally of hemp fiber for the manufacture of interior panels in some of its automobiles. Hemp cultivation in the United States is suppressed by laws supported by drug enforcement agencies, for fear that high THC plants will be grown amidst the low THC plants used for hemp production. Efforts are underway to change these laws, allowing American farmers to compete in the growing markets for this crop. As of 2006, China produces roughly 40% of the world’s hemp fiber and has been producing much of the world’s Cannabis crop throughout much of history.

Food
Hemp (the seed) may be grown also for food. The seeds are comparable to sunflower seeds, and can be used for baking, like sesame seeds. Products range from cereals to frozen waffles. A few companies produce value added hemp seed items that include the oils of the seed, whole hemp grain (which is sterilized as per international law), hulled hemp seed (the whole seed without the mineral rich outer shell), hemp flour, hemp cake (a by-product of pressing the seed for oil) and hemp protein powder. Hemp is also used in some organic cereals. Hemp seed can also be used to make a non-dairy “milk” somewhat similar to soy and nut milks, as well as non-dairy hemp “ice cream.” Within the UK, the Department for Environment, Food and Rural Affairs (Defra) treats hemp as purely a non-food crop. Seed can and does appear on the UK market as a legal food product although cultivation licences are not available for this purpose. In North America, hemp seed food products are sold in small volume, typically in health food stores or by mail order.

Nutrition

Hemp seeds are notable as a high-protein food source, providing 73% of the Daily Value (DV) in a 100 g serving.  Hempseed amino acid profile is comparable to other sources of protein such as meat, milk, eggs and soy. Protein Digestibility Corrected Amino Acid Score values (PDCAAS), which measure the degree to which a food for humans is a “complete protein”, were 0.49-0.53 for whole hemp seed, 0.46-0.51 for hemp seed meal, and 0.63-0.66 for dehulled hemp seed.[9]

Hemp seeds are also a rich source of the dietary minerals, magnesium (160% DV), zinc (77% DV) and iron (53% DV), and a good source of dietary fiber (13% DV).

Approximately 73% of the energy in hemp seeds is in the form of fats and essential fatty acids, mainly polyunsaturated fatty acids, linoleic, oleic and alpha-linolenic acids.

Harvesting the fiber:
Smallholder plots are usually harvested by hand. The plants are cut at 2 to 3 cm above the soil and left on the ground to dry. Mechanical harvesting is now common, using specially adapted cutter-binders or simpler cutters.
Hemp Stem

The cut hemp is laid in swathes to dry for up to four days. This was traditionally followed by retting, either water retting (the bundled hemp floats in water) or dew retting (the hemp remains on the ground and is affected by the moisture in dew moisture, and by molds and bacterial action). Modern processes use steam and machinery to separate the fibre, a process known as thermo-mechanical pulping.

Hemp seed also contains 20% complete and highly-digestible protein , 1/3 as edestin protein and 2/3 as albumins. Its high quality Amino Acid composition is closer to “complete” sources of proteins (meat, milk, eggs) than all other oil seeds except soy .

The ALA contained in plant seed oils by itself is sufficient for nutrition, as the body is capable of converting it into other fatty acids. However, this conversion process is inefficient, and the broader spectrum of omega-3 fatty acids obtained from oily fish is easier for the body to immediately utilize (see fish and plants as a source of Omega-3).

Energy
In India, plants remaining in the field after harvesting for fiber are allowed to set seed. They are cut after the fruits are ripened and dried and threshed for seed collection. Grown solely for seeds, an average crop yields 1.3 to 1.6 MT/ha seed. The world low production yield was 288 kg/ha in Democratic People’s Republic of Korea, the international production yield was 613 kg/ha, and the world high production yield was 3,842 kg/ha in People’s Republic of China.

Chemistry
Most varieties contain cannabinol and cannabinin; Egyptian variety contains cannabidine, cannabol and cannabinol, their biological activity being due to the alcohols and phenolic compounds. Resin contains crystalline compound cannin. Alcoholic extracts of American variety vary considerably in physiological activity. Per 100 g, the seed is reported to contain 8.8 g H2O, 21.5 g protein, 30.4 g fat, 34.7 g total carbohydrate, 18.8 g fiber, and 4.6 g ash. In Asia, per 100 g, the seed is reported to contain 421 calories, 13.6 g H2O, 27.1 g protein, 25.6 g fat, 27.6 g total carbohydrate, 20.3 g fiber, 6.1 g ash, 120 mg Ca, 970 mg P, 12.0 mg Fe, 5 mg beta-carotene equivalent, 0.32 mg thiamine, 0.17 mg riboflavin, and 2.1 mg niacin. A crystalline globulin has been isolated from defatted meal. It contains 3.8% glycocol, 3.6 alanine, 20.9 valine and leucine, 2.4 phenylalanine, 2.1 tyrosine, 0.3 serine, 0.2 cystine, 4.1 proline, 2.0 oxyproline, 4.5 aspartic acid, 18.7 glutamic acid, 14.4 tryptophane and arginine, 1.7 lysine, and 2.4% histidine. Oil from the seeds contains 15% oleic, 70% linoleic, and 15% linolenic and isolinolenic acids. The seed cake contains 10.8% water, 10.2% fat, 30.8% protein, 40.6% N-free extract, and 7.7% ash (20.3% K2O; 0.8% Na2O; 23.6% CaO, 5.7% MgO, 1.0% Fe2O3, 36.5% P2O5, 0.2% SO3; 11.9% SiO2, 0.1% Cl and a trace of Mn2O3). Trigonelline occurs in the seed. Cannabis also contains choline, eugenol, guaiacol, nicotine, and piperidine (C.S.I.R., 1948-1976), all listed as toxins by the National Institute of Occupational Safety and Health. A beta-resercyclic acid derivative has antibiotic and sedative properties; with a murine LD56 of 500 mg/kg, it has some aritiviral effect and inhibits the growth of mouse mammary tumor in egg embryo (Watt and Breyer-Brandwijk, 1962).

Medicinal Uses:

Part Used:  The dried, flowering tops of the female, or pistillate plants.

Constituents: Cannabinone or Hemp resin is soluble in alcohol and ether. Cannabinol is separated from it. It is fawn-coloured, in thin layers, and burns with a clear, white flame, leaving no ash. This is the active principle. There is a small amount of ambercoloured volatile oil, one of the linseed-oil group. It has been resolved into a colourless liquid called cannabene, and a solid hydride of this.

It is said that a volatile alkaloid has been found in the tops, resembling nicotine. It also contains alcoholic extract, ash, and the alkaloid Choline.

The principal use of Hemp in medicine is for easing pain and inducing sleep, and for a soothing influence in nervous disorders. It does not cause constipation nor affect the appetite like opium. It is useful in neuralgia, gout, rheumatism, delirium tremens, insanity, infantile convulsions, insomnia, etc.

The tincture helps parturition, and is used in senile catarrh, gonorrhoea, menorrhagia, chronic cystitis and all painful urinary affections. An infusion of the seed is useful in after pains and prolapsus uteri. The resin may be combined with ointments, oils or chloroform in inflammatory and neuralgic complaints.

The drug deteriorates rapidly and hence is very variable, so that it is best given in ascending quantities to produce its effect. The deterioration is due to the oxidation of cannabinol and it should be kept in hermetically-sealed containers.

The action is almost entirely on the higher nerve centres. It can produce an exhilarating intoxication, with hallucinations, and is widely used in Eastern countries as an intoxicant, hence its names ‘leaf of delusion,’ ‘increaser of pleasure,’ ‘cementer of friendship,’ etc. The nature of its effect depends much on the nationality and temperament of the individual. It is regarded as dangerous to sleep in a field of hemp owing to the aroma of the plants.

Toxicity
Non-users may suffer muscular incoordination (9 of 22 persons), dizziness (8), difficulty concentrating (8), confusion (7), difficulty walking (7), dysarthria (7), dry mouth (7), dysphagia (5), blurred vision (5), and vomiting (1), following oral ingestion of THC disguised in cookies (MMWR, October 20, 1978). People working with the plant or the fiber may develop dermatitis. In larger doses, hemp drugs may induce catalepsy, followed by coma and DEATH from cardiac failure (C.S.I.R., 1948-1976).

Narcotic Uses:As a narcotic hemp is consumed as a beverage in India. It is more often used in smoking for euphorbic purposes.

Folk Medicine
Medicinally, plants are tonic, intoxicant, stomachic, antispasmodic, analgesic, narcotic, sedative and anodyne. Seeds and leaves are used to treat old cancer and scirrhous tumors. The seed, either as a paste or as an unguent, is said to be a folk remedy for tumors and cancerous ulcers. The decoction of the root is said help remedy hard tumors and knots in the joints. The leaf, prepared in various manners, is said to alleviate cancerous sores, scirrhous tumors, cold tumors, and white tumors. The plant is also used for mammary tumors and corns (C.S.I.R., 1948-1976). Europeans are said to use the dregs from Cannabis pipes in “cancer cures” (Watt and Breyer-Brandwijk, 1962).

Few plants have a greater array of folk medicine uses: alcohol withdrawal, anthrax, asthma, blood poisoning, bronchitis, burns, catarrh, childbirth, convulsions, coughs, cystitis, delirium, depression, diarrhea, dysentery, dysmenorrhea, epilepsy, fever, gonorrhea, gout, inflammation, insomnia, jaundice, lockjaw, malaria, mania, mennorhagia, migraine, morphine withdrawal, neuralgia, palsy, rheumatism, scalds, snakebite, swellings, tetany, toothache, uteral prolapse, and whooping cough. Seeds ground and mixed with porridge given to weaning children.

Precautions:Excessive consumption of hemp is physically and mentally harmful.If consumed for a long time , it causes loss of appetite and gastric derangement. Hemp drugs act chiefly on the cerebrum wherein they resemble the action of alcohol or opium.

Disclaimer:
The information presented herein  is intended for educational purposes only.Individual results may vary, and before using any supplements, it is always advisable to consult with your own health care provider.

Resources:

Miracles of Herbs

http://www.hort.purdue.edu/newcrop/duke_energy/Cannabis_sativa.html#Distribution

http://www.botanical.com/botanical/mgmh/h/hemind22.html

http://en.wikipedia.org/wiki/Hemp

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Categories
Positive thinking

Raising Our Consciousness

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Stepping Out From Where We Were
Albert Einstein said, “No problem can be solved from the same consciousness that created it. We must learn to see the world anew.” A Nobel Prize winner, Albert Einstein’s scientific theories transformed the world’s understanding of the universe and its workings, so we can believe that these words come from his personal experience and helped him to explore both science and life itself. He offered us an example of what can be learned by looking deeply into nature to reach a deeper understanding of all life and by following our ideas to their logical conclusions in our minds before acting upon them in the world.

When we apply this quote to our lives, we can see that we cannot create abundance by staying in a consciousness of poverty, nor can we gain a sense of power in our lives while identifying ourselves as a victim. Situations begun from anger or fear can have little chance of reaching a state of peace and trust unless someone involved can conceive of that possibility and act upon it. We need to find ways to step outside of our limited understanding in order to seek a bigger picture. One way to do this is to shift our perspective to see the situation from another’s point of view and ideally the perspective of all others involved. Even if we can’t truly know another’s motivations, by imagining what they might be, we open ourselves up to numerous possibilities and an expanded vision. This alone can shift our feelings of anger to compassion and the desire for a positive solution for all involved.

Once we have opened our mind to greater possibilities, we can connect to our higher self for inspired solutions. From the peace at our center, we gain distance from our emotions to connect to intuitive wisdom that offers us understanding of the underlying causes and the inspiration needed to guide our steps in a new direction. Albert Einstein showed us the impact that can be made when we raise our consciousness and allow ourselves to imagine the possibilities.

Source:Daily Om

Categories
Remedy of Common Incidences

How to Help a Depressed Loved One

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Don’t tell him to “snap out of it.” There are better ways to deal with depression.
The most important thing you can do for a family member or friend who is depressed is to help him or her get an appropriate diagnosis and treatment. This may involve encouraging him or her to stay with treatment until symptoms begin to abate (several weeks), or to seek different treatment if no improvement occurs. On occasion, it may require making an appointment and accompanying your loved one to the doctor. It may also mean monitoring whether he is taking medication. Encourage your friend to obey the doctor’s orders about the use of alcoholic products while on medication.

The second most important thing is to offer emotional support. This involves understanding, patience, affection, and encouragement. Engage the depressed person in conversation and listen carefully. Do not disparage feelings expressed, but point out realities and offer hope. Do not ignore remarks about suicide. Report them to your friend’s therapist. Invite your friend for walks, outings, to the movies, and other activities. Be gently insistent if your invitation is refused. Encourage participation in some activities that once gave the person pleasure, such as hobbies, sports, religious or cultural activities, but do not push him to undertake too much too soon. Your friend or family member needs diversion and company, but too many demands can increase feelings of failure.

Do not accuse your friend of faking illness or of laziness, or expect her “to snap out of it.” Eventually, with treatment, most people do get better. Keep that in mind, and keep reassuring her that, with time and help, she will feel better.

Where to Get Help:
If you’re unsure where to go for help, check the Yellow Pages under “mental health,” “health,” “social services,” “suicide prevention,” “crisis intervention services,” “hotlines,” “hospitals,” or “physicians” for phone numbers and addresses. You can also search the websites listed under “Related Links.” People and places that will make referrals to, or provide, diagnostic and treatment services include: family doctors, community mental health centers, hospital psychiatry departments and outpatient clinics, university- or medical school-affiliated programs, family service or social agencies, employee assistance programs, and local medical and/or psychiatric societies. In times of crisis, the emergency room doctor at a hospital may be able to provide temporary help for an emotional problem, and will be able to tell you where and how to get further help.

From: The National Institute of Mental Health

Categories
Herbs & Plants

Indian Barberry

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Botanical Name: Berberis asiatica
Family:Berberidaceae
Genus:Berberis
Kingdom:    Plantae
Order:Ranunculales

Common Name:Chutro, Rasanjan (Nep); marpyashi (Newa); Daruharidra, Darbi (Sans)

Habitat:Indian Barberry is native to E. Asia – Himalayas (Nepal)
It is normally found in  shrubberies, grassy and rocky slopes up to 2500 metres. Found in heavy shade, on north-facing slopes  and on open hillsides in the drier areas .

Description:
Indian Barberry  is an evergreen Shrub growing to 3.5 m (11ft 6in) at a medium rate. It is a large thorny shrub with yellow wood & whitish or pale Grey branches.
It is hardy to zone (UK) 8 and is not frost tender. It is in leaf 12-Jan It is in flower in May. The flowers are hermaphrodite (have both male and female organs) and are pollinated by Insects, self.The plant is self-fertile.

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The root-bark is light coloured, corky, almost inodorous, with a bitter, mucilaginous taste. It contains much Berberine, and a dark-brown extract is made from it employed in India under the name of ‘Rusot.’ This extract is sometimes prepared from the wood or roots of different species of Barberry. It has the consistency of opium and a bitter, astringent taste.

Cultivation & Propagation:
Suitable for: light (sandy), medium (loamy) and heavy (clay) soils and can grow in heavy clay and nutritionally poor soils. Suitable pH: acid, neutral and basic (alkaline) soils. It can grow in full shade (deep woodland) semi-shade (light woodland) or no shade. It prefers dry or moist soil.

Seed – best sown as soon as it is ripe in a cold frame, when it should germinate in late winter or early spring. Seed from over-ripe fruit will take longer to germinate , whilst stored seed may require cold stratification and should be sown in a cold frame as early in the year as possible. The seedlings are subject to damping off, so should be kept well ventilated . When the seedlings are large enough to handle, prick them out into individual pots and grow them on in a cold frame. If growth is sufficient, it can be possible to plant them out into their permanent positions in the autumn, but generally it is best to leave them in the cold frame for the winter and plant them out in late spring or early summer of the following year. Cuttings of half-ripe wood, July/August in a frame. Cuttings of mature wood of the current season’s growth, preferably with a heel, October/November in a frame

Edible Uses:
Fruit  is eaten  raw or dried and used like raisins. This species is said to make the best Indian raisins. Fully ripe fruits are fairly juicy with a pleasantly acid flavor, though there are rather a lot of seeds. The fruit is abundantly produced in Britain. The fruit is about 8mm long.

Medicinal Uses:
Antibacterial;  Cancer;  Laxative;  Odontalgic;  Ophthalmic;  Tonic.

The roots  are used in treating ulcers, urethral discharges, ophthalmia, jaundice, fevers etc. The roots contain 2.1% berberine, the stems 1.3%. The bark and wood are crushed in Nepal then boiled in water, strained and the liquid evaporated until a viscous mass is obtained. This is antibacterial, laxative and tonic. It is taken internally to treat fevers and is used externally to treat conjunctivitis and other inflammations of the eyes. Tender leaf buds are chewed and held against affected teeth for 15 minutes to treat dental caries. The fruit is cooling and laxative. Berberine, universally present in rhizomes of Berberis species, has marked antibacterial effects. Since it is not appreciably absorbed by the body, it is used orally in the treatment of various enteric infections, especially bacterial dysentery. It should not be used with Glycyrrhiza species (Liquorice) because this nullifies the effects of the berberine. Berberine has also shown antitumour activity.

Indian berberry has been made official in the Pharmacopoeia of India.It is an amportant indigenous medicine.The bark is useful in restoring the disordered process of neutrition and restores the normal function of the system.It helps open the natural pores of the body, arrest bleeding and induces copious perepiration despite the astrigent properties.The drug also constitute anti-tubercular activities.

Fever: Indian barberry is as valuable as quinine in maleria fevers.It is particularly useful in relieving pyrexia and checking the return of the violent intermittent fevers.The herb’s- bark and the root- bark are given as a decoction. It should be given twice or thrice a day.The decoction is given in doses of 150 grams between paroxysms of fever.

Monorrhagia: Indian barberry arrestes excessieve bleed loss during the monthly period.In skin diseases the decoction of the bark and the root-bark is efficacious as a cleanser for ulcers ans sores, as it helps formation of scar over the wounds.

Stomach Disorders :  Indian barberry is very useful in all kinds of stomach disorders.It is also effective in the treatment of Cholera.It is a popular remedy of diarrhoea and dysentery in Northwern India.It is useful in bleeding piles treatment. It is given with butter. A dilute solution can also be externally applied on the piles.

Eye Problems: The drug is highly beneficial in the treatment of all kinds of eye disorder.
It is mixed with butter and alum or with opium or lime juice and applied externally on the eye lids to cure opthalmia and other eye diseases. Mixed with milk, it can be used effectively as a lotion of Conjunctivitis.

Other Uses: A yellow dye is obtained from the roots and stems. The spiny branches are used to make fencing around fields in Nepal.
Disclaimer : The information presented herein is intended for educational purposes only. Individual results may vary, and before using any supplement, it is always advisable to consult with your own health care provider.

Resources:
Miracle of Herbs
http://www.pfaf.org/user/plant.aspx?LatinName=Berberis+asiatica
http://en.wikipedia.org/wiki/Berberis

 

Categories
Ailmemts & Remedies

Facts About Depression

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Learn the facts about depression, and what you can do to treat it.
In any given one-year period, 9.5% of the population, or about 18.8 million American adults, suffer from a depressive illness. The economic cost for this disorder is high, but the cost in human suffering cannot be estimated. Depressive illnesses often interfere with normal functioning and cause pain and suffering not only to those who have a disorder, but also to those who care about them. Serious depression can destroy family life as well as the life of the ill person. But much of this suffering is unnecessary.

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Most people with a depressive illness do not seek treatment, although the great majority — even those whose depression is extremely severe — can be helped. Thanks to years of fruitful research, there are now medications and psychosocial therapies such as cognitive/behavioral, “talk,” or interpersonal that ease the pain of depression.

Unfortunately, many people do not recognize that depression is a treatable illness. If you feel that you or someone you care about is one of the many undiagnosed depressed people in this country, the information presented here may help you take the steps that may save your own or someone else’s life.

What’s a Depressive Disorder?
A depressive disorder is an illness that involves the body, mood, and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. A depressive disorder is not the same as a passing blue mood. It is not a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness cannot merely “pull themselves together” and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help most people who suffer from depression.

Types of Depression:
Depressive disorders come in different forms, just as is the case with other illnesses such as heart disease. Brief descriptions of the most commmon types of depressive disorders are given below. However, within these types there are variations in the number of symptoms, their severity, and persistence.

Major depression is manifested by a combination of symptoms that interfere with the ability to work, study, sleep, eat, and enjoy once pleasurable activities. Such a disabling episode of depression may occur only once but more commonly occurs several times in a lifetime.

A less severe type of depression, dysthymia, involves long-term, chronic symptoms that do not disable, but keep one from functioning well or from feeling good. Many people with dysthymia also experience major depressive episodes at some time in their lives.

Another type of depression is bipolar disorder, also called manic-depressive illness. Not nearly as prevalent as other forms of depressive disorders, bipolar disorder is characterized by cycling mood changes: severe highs (mania) and lows (depression). Sometimes the mood switches are dramatic and rapid, but most often they are gradual.

When in the depressed cycle, an individual can have any or all of the symptoms of a depressive disorder. When in the manic cycle, the individual may be overactive, overtalkative, and have a great deal of energy. Mania often affects thinking, judgment, and social behavior in ways that cause serious problems and embarrassment. For example, the individual in a manic phase may feel elated, full of grand schemes that might range from unwise business decisions to romantic sprees. Mania, left untreated, may worsen to a psychotic state.

Symptoms of Depression and Mania:
Not everyone who is depressed or manic experiences every symptom. Some people experience a few symptoms, some many. Severity of symptoms varies with individuals and also varies over time.

Depression :
Persistent sad, anxious, or “empty” mood
Feelings of hopelessness, pessimism
Feelings of guilt, worthlessness, helplessness
Loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex
Decreased energy, fatigue, being “slowed down”
Difficulty concentrating, remembering, making decisions
Insomnia, early morning awakening, or oversleeping
Appetite and/or weight loss or overeating and weight gain
Thoughts of death or suicide; suicide attempts
Restlessness, irritability
Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain .
Mania :
Abnormal or excessive elation
Unusual irritability
Decreased need for sleep
Grandiose notions
Increased talking
Racing thoughts
Increased sexual desire
Markedly increased energy
Poor judgment
Inappropriate social behavior
Causes of Depression
Some types of depression run in families, suggesting that a biological vulnerability can be inherited. This seems to be the case with bipolar disorder. Studies of families in which members of each generation develop bipolar disorder found that those with the illness have a somewhat different genetic makeup than those who do not get ill. However, the reverse is not true: Not everybody with the genetic makeup that causes vulnerability to bipolar disorder will have the illness. Apparently, additional factors, possibly stresses at home, work, or school, are involved in its onset.

In some families, major depression also seems to occur generation after generation. However, it can also occur in people who have no family history of depression. Whether inherited or not, major depressive disorder is often associated with changes in brain structures or brain function.

People who have low self-esteem, who consistently view themselves and the world with pessimism or who are readily overwhelmed by stress, are prone to depression. Whether this represents a psychological predisposition or an early form of the illness is not clear.

In recent years, researchers have shown that physical changes in the body can be accompanied by mental changes as well. Medical illnesses such as stroke, a heart attack, cancer, Parkinson’s disease, and hormonal disorders can cause depressive illness, making the sick person apathetic and unwilling to care for his or her physical needs, thus prolonging the recovery period. Also, a serious loss, difficult relationship, financial problem, or any stressful (unwelcome or even desired) change in life patterns can trigger a depressive episode. Very often, a combination of genetic, psychological, and environmental factors is involved in the onset of a depressive disorder. Later episodes of illness typically are precipitated by only mild stresses, or none at all.

Evaluation and Treatment:
The first step to getting appropriate treatment for depression is a physical examination by a physician. Certain medications as well as some medical conditions such as a viral infection can cause the same symptoms as depression, and the physician should rule out these possibilities through examination, interview, and lab tests. If a physical cause for the depression is ruled out, a psychological evaluation should be done, by the physician or by referral to a psychiatrist or psychologist.

A good diagnostic evaluation will include a complete history of symptoms, i.e., when they started, how long they have lasted, how severe they are, whether the patient had them before and, if so, whether the symptoms were treated and what treatment was given. The doctor should ask about alcohol and drug use, and if the patient has thoughts about death or suicide. Further, a history should include questions about whether other family members have had a depressive illness and, if treated, what treatments they may have received and which were effective.

Last, a diagnostic evaluation should include a mental status examination to determine if speech or thought patterns or memory have been affected, as sometimes happens in the case of a depressive or manic-depressive illness.

Treatment choice will depend on the outcome of the evaluation. There are a variety of antidepressant medications and psychotherapies that can be used to treat depressive disorders. Some people with milder forms may do well with psychotherapy alone. People with moderate to severe depression most often benefit from antidepressants. Most do best with combined treatment: medication to gain relatively quick symptom relief and psychotherapy to learn more effective ways to deal with life’s problems, including depression. Depending on the patient’s diagnosis and severity of symptoms, the therapist may prescribe medication and/or one of the several forms of psychotherapy that have proven effective for depression.
Disclaimer: This information is not meant to be a substitute for professional medical advise or help. It is always best to consult with a Physician about serious health concerns. This information is in no way intended to diagnose or prescribe remedies.This is purely for educational purpose.

From: The National Institute of Mental Health

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