Dysthymia is another name for chronic depression. This illness can be serious although not as severe as bouts with Major Depression. Many people don’t even realize that someone they know is burdened with Chronic Depression. Having a regular life is very possible for people with this condition. It’s not unusual for them to continue everyday activities such as attending school or having a social life without great difficulties. This is due to the fact that the scars caused by this illness do not appear on the outside of the body but on the inside. There are both physical and mental results from this disease.
Shaking, dizziness, or a fever won’t result from Chronic Depression. You will not typically develop a rash. But you may well feel helplessness, worthlessness and hopelessness. The afflicted may experience problems with sleep patterns like insomnia. The disease can leave the victim with a constant sad or empty feeling that consumes them . Usually those affected by the disease may also experience episodes of thinking about death or suicide . Usually people with chronic depression do a good job of hiding these signs. When mental illness exists you have to look very closely for signs and symptoms. They’re not always clear .
When you are approaching an illness such as Chronic Depression there are a few major options for treatment. One of the most popular approaches is Psychotherapy. You confront the mental ailment with a mental solution. Through psychotherapy the doctor seeks the cause of depression and to create a positive outlook for the patient. Anti-Depressants that help to stem the spread or worsening of the condition are another option. It’s best to use both approaches at the same time. Although Chronic Depression is not Major Depression it can certainly lead to it. Therefore, as in with any illness, early detection of the illness cannot be underestimated.
Normally, Chronic Depression becomes a problem when it gets to the point that the illness begins to cause problems in everyday life. It’s really time to act when employment or other outside activities begin to suffer. It’s not time for a straight jacket for people who suffer from Chronic Depression. They have problems that need to be addressed and approached with care and support. Everyone is vulnerable to the possibility of facing this disease. Therefore, knowing what it is may one day assist you in facing it personally for yourself or for someone you love.
Chokyi Ooi
How would you cite this in MLA format?
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http://www.medscape.com/viewarticle/417699
Physician-Assisted Suicide: The Influence of Psychosocial Issues
from Cancer Control: Journal of the Moffitt Cancer Center
William Breitbart, MD, and Barry D. Rosenfeld, PhD
Abstract and Introduction
Abstract
Background: Physician-assisted suicide (PAS) is perhaps the most compelling and clinically relevant mental health issue in palliative care today. The desire for death, the consideration of suicide, the interest in PAS, and the relationship of these issues to depression and other psychosocial issues appear to be of paramount importance.
Methods: Psychiatric and psychosocial perspectives are used to understand the factors contributing to the interest in PAS, as well as to guide interventions in the clinical care of patients with advanced disease.
Results: Research and clinical experience suggest that attending to issues of depression, social support, and other psychosocial issues in addition to pain and physical symptom control are critical elements in interventions that are useful in reducing the distress of patients who desire hastened death.
Conclusions: Psychosocial and psychiatric issues are among the most powerful predictors of desire for death and interest in PAS. Evaluation and intervention in these areas, particularly depression, is a critical component of compassionate care.
Introduction
Palliative care and quality-of-life issues in patients with advanced cancer and AIDS have become an important area of clinical care and investigation. Significant progress has been made in extending a palliative care/quality of life research agenda to the clinical problems of patients with cancer,[1] including efforts that focus on such mental health-related issues as neuropsychiatric syndromes and psychologic symptoms in patients with advanced cancer and AIDS.[2] Perhaps the most compelling and clinically relevant mental health issues in palliative care today, however, concern the desire for death and physician-assisted suicide (PAS) and their relationship to depression.
Desire for death has been postulated as a construct that is central to a number of related issues or phenomena, including suicide and suicidal ideation, interest in PAS/euthanasia, and requests for PAS/euthanasia. This construct, which was initially proposed by Brown and colleagues[3] and further developed by Chochinov et al[4] focuses on the degree to which an individual wishes his or her life could end sooner rather than later. The ends of this hypothetical continuum, therefore, reflect acute suicidal intent (ie, a desire to end one’s life immediately) and a complete absence of any desire to die.
Jerzy Kosinski, the Polish novelist and Holocaust survivor, committed suicide in May 1991. Like other individuals suffering with chronic medical illnesses, he chose suicide as a means of controlling the course of his disease and the circumstances of his death. "I am not a suicide freak, but I want to be free," Kosinski told an interviewer in 1979. "If I ever have an accident or a terminal disease that would affect my mind or body, I will end it." Twelve years later, he did so. Similar sentiments are shared by a significant proportion of Americans. Advocates demanding autonomy for patients regarding how and when they die have been increasingly vocal during recent years, sparked by the highly publicized cases of Drs Jack Kevorkian and Timothy Quill. These cases have centered on the plight of dying patients with terminal illnesses.
What has often been overlooked, however, in the political and legal machinations, has been the importance of medical, social and psychologic factors (eg, depression) that may contribute to suicidal ideation, desire for hastened death, or requests for PAS by terminally ill patients. This paper seeks to review the relevant research regarding factors that may influence suicidal ideation, desire for death, and requests for PAS. In addition, a discussion of health care provider obligations and responses that are appropriate to such patient verbalizations is offered in order to respond in a manner that is both ethical and hopefully therapeutic.
Section 1 of 11
William Breitbart, MD, and Barry D. Rosenfeld, PhD, Department of Psychiatry and Behavioral Sciences, Memorial Sloan-Kettering Cancer Center (WB) and the Department of Psychology, Long Island University (BDR), New York, NY.
Cancer Control 6(2):146-161, 1999. © 1999 H. Lee Moffitt Cancer Center and Research Institute, Inc
OK. rephrase: WHAT KIND OF DATABASE/WEBSITE is this?
easybib.com
Not cheating, all teachers I’ve ever had actually encourage using it. it’ll put things in MLA for you
References :
http://www.easybib.com totally easy.. just fill in what it asks u to! really works
References :
http://www.citationmachine.net
References :
I just use citationmachine.net or google MLA style, and find the result from OWL at Purdue. citationmachine, howerver, generates it for you with the info you type in.
References :
citationmachine.net