Global Health Asia-Pacific July 2020 July 2020 | Page 62

Mental Health The easiest way to combat depression is through exercise. losing interest in food while others eat more as a form of comfort. They tend to lack energy and enthusiasm for life. Many are easily annoyed, irritable and lose their temper quickly. More serious signs of depression include thoughts of hurting oneself either physically or mentally and thoughts of death and suicide. The first steps in treating depression are to talk about one’s feelings with a relative, friend or trained therapist who can listen and offer advice. It’s best to avoid being alone and interact with others in a positive way. Exercise and doing light activity can keep one preoccupied so negative thoughts don’t start. Positivity can start with getting adequate sunlight, practicing relaxation techniques and sleeping at least eight hours a night. Also, dedicating time to meaningful activities can improve moodiness and keep the mind sharp. Not only can changes in lifestyle help, but dietary changes can also affect mood. �ood and drink high in salt, sugar, caffeine and alcohol can negatively impact the mind and increase depressing feelings. Complex carbohydrates help in keeping feelings less depressed. Certain vitamins such as Vitamin B-6, calcium, magnesium, and Vitamin E can also help control mood swings. Evening primrose oil has been found to help in premenstrual tension. Therapy is another effective treatment option. Cognitive behavioural therapy (CBT), one of the most common types of psychotherapy, focuses on teaching new ways of thinking and coping mechanisms. During CBT, a therapist will help the patient understand thought patterns and identify harmful or unhelpful ideas or thoughts that make a person depressed. The aim is to change the way of thinking so the thought patterns are more realistic and not harmful. Interpersonal therapy (IPT), another option, is based on how one’s personal relationships play a role in affecting mood and mental state. A therapist helps change the patient’s thinking behaviours to improve interactions with others. Perhaps one of the easiest ways to combat depression is through exercise, which has been found to lift mood in depressed individuals. The UK’s national guidelines published in 2009 for Health and Care Excellence (NICE) prescribed regular exercise as treatment, and a large review published in 2012 supported this finding. While antidepressant medications are now one of the most common ways to treat moderate or severe depression, they cannot change underlying circumstances and conditions. What they can do is ease the symptoms of depression, but can take up to 2- 4 weeks to take effect, while patients need to monitor any side effects. The main classes of antidepressants are selective serotonin reuptake inhibitors (SSRIs), serotonin and 60 JULY 2020 GlobalHealthAndTravel.com