【要チェック】うつ病が治らない時の意外な理由5つ【精神科医解説】

A psychiatrist thoroughly explains "5 surprising reasons" why depression won't go away. #psychiatry #depression #cannotgoaway 0:05 (1) Introduction 0:38 (2) Is it really treatment-resistant depression? 3:27 (3) 5 surprising reasons why depression won't go away 3:35 ① The environment isn't right 5:28 ② Lifestyle issues 7:43 ③ Thoughtful or interpersonal habits 9:37 ④ It's actually bipolar disorder 11:19 ⑤ Developmental disorders are the underlying cause 13:17 (4) Summary Depression can sometimes persist even with treatment, and is called "treatment-resistant depression." However, in reality, depression can persist for unexpected reasons, and taking measures can sometimes improve the condition. A psychiatrist explains "5 surprising reasons why depression won't go away" in 14 minutes. Featuring: Yuichiro Kasuga (Psychiatrist, Chairman of Heart Station Medical Corporation) Kokoro Clinic Kichijoji Station https://kokoro-kichijoji.com Fuchu Kokoro Clinic https://fuchu-kokoro.com Fuchu Counseling Room (Affiliated Counseling Room) https://fuchu-counseling.com Please subscribe to our channel:    / kokoroclinicchannel   ↓For more information, please click here. (1) Introduction Depression is by no means uncommon in modern society. Approximately 5% of people suffer from it, and with appropriate treatment, improvement is often expected. However, symptoms can persist even with standard treatment, sometimes referred to as "treatment-refractory depression." Treatment for depression revolves around three pillars: rest, medication, and psychotherapy. Improvement is usually expected within six months to a year. However, symptoms persist for 20-30% of patients. In such cases, it's important to determine whether the patient truly has treatment-resistant depression or whether there's another underlying cause. This time, we'll explain in detail some surprising reasons why depression may not be cured. (2) Is it Really Treatment-resistant Depression? Treatment-resistant depression refers to a condition in which the patient shows no improvement despite adequate treatment (usually two or more types of antidepressants, taken for a sufficient period of time). While the incidence rate varies, it is estimated to affect approximately 20-30% of depression patients. There are a variety of factors that contribute to incurable depression. From a treatment perspective, these include self-determination of medication discontinuation and lack of rest, from an environmental perspective, family relationship issues and workplace stress, and from a physical and psychological perspective, the effects of chronic illness and feelings of loneliness. However, it's important to reassess the diagnosis and determine whether the patient is truly depressed. It's important to consider the possibility of other conditions that can manifest as depression, such as bipolar disorder and dysthymia. Bipolar disorder can be particularly difficult to distinguish when manic episodes are not prominent. Physical illnesses, such as thyroid dysfunction and medication side effects, should also be considered. (3) Five Surprising Reasons Why Depression Doesn't Cure 1. The Environment Isn't a Good Fit Continued environmental stress can lead to chronic depression. High stress in the workplace can halve the effectiveness of treatment, and interpersonal problems often contribute to prolonged depression. "Enduring relationships" are particularly problematic. Relationships that require unilateral endurance can be extremely stressful. Stress can also increase if you try too hard without being able to say "I can't do it," or if your partner doesn't understand. Adjusting your environment is an important countermeasure. Medication alone has its limits, so gradually changing the environment that is a chronic source of stress can improve symptoms. If workplace stress is too great, consider changing jobs, and asserting yourself appropriately in interpersonal relationships can lead to healthy relationships. 2. Lifestyle Issues Sleep and daily routines are directly linked to mental health. Insomnia is a major cause of worsening depressive symptoms, and lack of sleep can create a vicious cycle. Lack of exercise can lead to poor sleep quality and depressed mood, creating a cycle of depression. Heavy drinking, social media addiction, and poor eating habits can also negatively impact daily rhythms, contributing to the persistence of depression. These issues have been shown to reduce physical activity and increase stress hormones. To improve this, it's important to first improve the quality of your sleep. Maintain consistent bedtimes and wake-up times, stay active during the day, and relax and rest at night. Moderate exercise can be as effective as antidepressants for mild to moderate depression, and a well-balanced diet can also contribute to improving your mental health. 3. Thinking and Interpersonal Habits There's a vicious cycle of negative thinkin...