Are you in seasonal depression?

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What is seasonal depression?
Seasonal depression is the name given to periods of seizure and recurrent periods of depression. In order for this diagnosis to be made, it is important that depressive periods start and end in certain seasons of the year, and it is important to show that the seasonal periods do not depend on environmental stress factors such as change of work, school period.
In the vast majority of people who show these symptoms, symptoms begin in autumn or winter, and end in spring. Therefore, these periods of depression are defined as dil seasonal depression ”in medical language. Rarely, there may be people who start depressive periods that begin in the summer and end in the fall.
Seasonal depression is frequently seen in autumn and winter months, with a decrease in energy, increased desire to sleep, and increased desire to eat, increase in weight and the desire to eat foods containing carbohydrates. In addition, complaints such as increased irritability and more frequent crying can be observed. On the other hand, in people who have seasonal depression periods in summer, there are signs of drowsiness and loss of appetite.

Who is observed in seasonal depression?
It is more common in people living in high altitude, women and young people. In some cases, a mood disorder called bipolar disorder can be observed as part of eating disorders or alcohol use disorders, and its diagnosis becomes difficult.
Causes seasonal depression?

The causes of seasonal depression have not yet been fully elucidated, but there are some findings that have been studied and have high evidence. From a biological point of view, in the periods of seasonal depression, the brain has been shown to have decreased metabolic activity in the so-called orbitofrontal cortex and the left inferior parietal lobe. In addition, people with seasonal depression have been suggested to have mood disorders regulating the regulation of serotonin.
In these individuals, the varying amount of daylight in seasonal transitions affects the operation and the number of serotonin carriers in the brain. In addition, melatonin, known as the sleep regulating molecule, may cause symptoms such as fatigue and lack of energy, which is higher than expected with the arrival of winter months. As a result, an inappropriate adaptation to the changing biological rhythm with seasonal transition may cause seasonal depression. Environmental factors, especially the changes in daylight time and meteorological changes are considered to be responsible.

How is seasonal depression diagnosed?
Diagnosis must be made by a professional. In autumn or winter, antidepressant treatments, light therapy, deficiency in the use of Vitamin D and cognitive behavioral therapy methods are used in the treatment. In addition, carbohydrate-poor, protein-rich, untreated diet, alcohol, smoking and caffeine to reduce the use of, plenty of fluid, yoga and meditation, regular exercise, attention to sleep-wake hours, as much as possible to receive daylight and short travel to sunny regions with seasonal depression recommended methods for coping.

This article Prepared by Hale Yapıcı Eser.
For further information, please contact our Psychiatry department.

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My child has a tiki, what should I do?

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What is Tik? Why?
Tics are involuntary movements occurring in certain muscle groups, occurring suddenly, repetitive, stereotyped and non-rhythmic, as motor movement or noise extraction. Teak usually begins in boys and at an early age and occurs for spiritual reasons. Ticks are usually not seen before 3-4 years of age. The most common is 6-7 years of age and the first adolescence (11-13 years) period. Tics are not considered to be just learned behaviors as they were before.
Tics are caused by neurobiological structural defects, but they can worsen and heal as a result of environmental stimuli. In other words, environmental impacts by the behavioral techniques or the effects of the individual on the environment can be modified. Since each individual’s interaction with his environment and environment is different, it is necessary to understand in detail the interaction of the individual with the environment. This understanding will strengthen the hand of both the individual and the doctor in dealing with tics.

How should families treat their children with tics?
– The families of children should be careful about the following issues.
Both medical (drug) and behavioral therapy methods should be followed closely. The support of the family is important for your child to use their medicines regularly and to continue their regular therapy at home regularly.
– Factors that increase and decrease the levels should be determined by family observation and support. These situations should be talked about, the cases considered to increase tics should be reduced as much as possible;
-The parents must learn exactly what the parents are and help the child to learn. The more knowledgeable the child is, the easier it can handle their tics. In this case, it is also useful to exercise the competing response determined with the therapist.
Conflicts and tensions in the home should be reduced as much as possible and the child should feel safe.
-Those attitudes should be avoided, since all the individuals in the family can emphasize this behavior and often feel that they are annoyed by increasing the anxiety due to tike.
– As the teak response increases in the face of stress and tension, there should not be a strong reaction to the issue.
-The child should be made to feel loved and a positive self-perception and self-confidence should be developed.
-Prompting the child constantly by parents and leaving him to do is put him under emotional and physical strain, which may lead to tics or new tics. Be careful about this.
It should be noted that even if the child stops tics for a while, these tics are not under his control. Parents’ approach should be in this direction.
– Threats threaten the child’s self-confidence and impair social cohesion. Children with tics often find it difficult to socialize and make friends. The child can be helped to create a play environment with his friends for socialization and to develop positive social relations with the support of other adults he is associated with.
– Apart from these, multi-faceted approach to tick intervention is required. Family counseling, child psychotherapy, and drug therapy can also be applied along with behavioral therapy.
This article Prepared by Tuba Mutluer.
For more information please contact our Child and Adolescent Mental Health (Psychiatry) department.