CenterBHSFan;686978 wrote:At any rate, how would doctors be able to determine which way to narrow down a more accurate diagnosis is more reliable? Also, if there was a straight-determining factor, how would they break the culture of instant prescriptions?
That's the bear of it. The symptoms can be so variable it's hard to distinguish what's real and what's not. I would especially examine the patient's history and social life. If a middle-aged man with no prior history of depression or psychological issues presents to my office, complaining of feeling depressed...I'd look for outside influences. Generally huge life changes will set these off (moving to a new home, switching jobs, losing loved ones). However, if someone in their 20's presents, with a relatively stable/supportive life, that would set off a some white flags. The difference probably is age. I don't think you can live a full life and wake up one day at age 45 and say 'Okay, it's time to finally do something about my depression.' I think they try to look for a pattern -- they not only want to know what you're doing but HOW LONG you've been doing it. If I can say 'Yeah for the past year or two I've really lived an isolated life, I use to really like basketball and swimming and HGTV but now I don't and my eating and sleeping is sporadic and I sometimes wonder what it'd be like if I wasn't around or dead' -- I think that's what practitioners are looking for. Changes in behavior, eating, sleeping, lost of interest, fatigue, and especially the thoughts of suicide.
As for what McBurg93 said, it sounds like his depression is more extrinsic. He's been through a lot of adversity (especially with death and the deterioration of his father's health) and hasn't "properly handled it". No one wants to admit they're struggling - they want to be strong and make it seem like everything's okay. But sometimes everyone needs help. I forget exactly what he said he did for his depression, but I think counseling would really help, and maybe he just needs help with taking care of his father. Mcburg, do you have siblings or other family or even home health that can or do help with the care of your father?