By Dr Imran ahmad

Good morning doctors

Myself Imran ahmad , Today I am given an opportunity to present and discuss a topic of my choice to

Thank you so much Dr. Sangeeta mam for putting faith in me.

So Lets get started...

Are you with me?
I am here to discuss on a very grave illness topic - *Depression*
As you all must be aware World Health Organization has declared *Depression* as the theme for World Health Day ( 7th April 2017).

Slogan for their campaign is *Depression: Let's talk*
so Lets talk on this topic

Sabse pehle aap sab btayein depression actually hota kya hai? Risk factors kya hai - kisko depression ho jaata hai ?

Feeling of severe despondency and rejection
Is d sadness which come up after repeated shocks n disappointments after being tried for several things to b happy or to get something n which come up after failure of d result many times.
Risk factors r like
Excessive alcohol consumption
Trauma which can be physical or emotional
Drugs etc
Risk factors -
Any trauma which causes long standing physical or mental illness
Most Common risk factor in young disappointment
Depression is basically a state of low mood and aversion to any activity which can alter a person thoughts,feelings , behaviour and sense of well being

Depression z a state of low mood aversion to society than can affect person's thought ,behavior ,feelings and sense of well being.
Causes may be-
Sexual abuse
Mental abuse
Physical abuse
Financial difficulties
Work stress
Loss of loved one
Unequal parentl treatment if siblings

Lgta hai DARE mein koi Deepika Padukone ko nhi jaanta ������ hai koi ??

She suffered from it mam,and nowadays she supports social activities regarding depression

Kisi ne interview bhi nhi dekha kya unka?

Its a stigma
Yes, Deepika padukone is very strong to talk about her illness ... jabki depression is taken as a tabboo in country like india

Clinically severe depression ko *Major depressive Disorder* ke naam se diagnoses likhte hai psychiatric hospitals mein
*Major depression* is the most frequently diagnosed problem in outpatient clinics, almost 1/3rd mind it one third of patients are affected by mild to severe depression in their lives

It affects people of all ages, from all walks of life and in all countries.
Continuing further.....

Women are twice likely to experience *major depression* as men. Anyone  who can come up with a reason , why so?????

-Coz they r emotionally more susceptible
Expectations  from society r more by females. They may feel useless at times, worthless and lonely , may despair over the future.

-The reason being the Harmone cycle from Pitutary to progesterone . 28 days of normal cycle there are many many secretion of all sorts of Harmone effect the lady's mind.
Female are very sensitive living being. Slightest impulse; touch, noise, sight disturbed her easily.
So from Aconite to bell, from Ignatia, Apis, Opium to Natrum Mur or Aur met,
From Puls to cocculus, come to Homoeopaths

MDD - Major depressive disorder is most common MOOD disorder.
Such feelings with uncontrollable crying jags, disrupted sleep and the length of time it lasts are *hallmarks of MDD*

MDD can be grave disorder

With several possible symptoms (does not need to have *ALL* following symptoms to be diagnosed)

-Chronic, extreme sadness, *unhappiness*
-little interest in usual activities
- sleeps *more or less* than usual.
-Eats *more or less* than usual
- Lack of energy or enthusiasm
- Self blame and despair
- Difficulty concentrating, making decisions.
*And most deep* Thoughts of dying or suicide

�DSM-IV CTITERIA for Major Depressive Disorder (MDD)
• Depressed mood or a loss of interest or pleasure in daily activities for more than two weeks.
• Impaired function: social, occupational, educational.
• Specific symptoms, at least *5 of these 9*, present nearly every day:
1. Depressed mood or irritable most of the day, nearly every day, as indicated by either subjective report
(e.g., feels sad or empty) or observation made by others (e.g., appears tearful).
2. Decreased interest or pleasure in most activities, most of each day
3. Significant weight change (5%) or change in appetite
4. Change in sleep: Insomnia or hypersomnia
5. Change in activity: Psychomotor agitation or retardation
6. Fatigue or loss of energy
7. Guilt/worthlessness: Feelings of worthlessness or excessive or inappropriate guilt
8. Concentration: diminished ability to think or concentrate, or more indecisiveness
9. Suicidality: Thoughts of death or suicide, or has suicide plan

Now major risk factors for depressive illness

- poverty
- unemployment
- ofcourse as said earlier, life events such as death of loved ones, break ups etc.
-prolonged physical illness
- alcohol n substance abuse

Untreated depression can prevent people from working and participating in family and community life

Chalo , ab depression ki kaafi baatein krli, kya hai kaise hai kisko hota h....

Now its time for Homoeopaths to save the world

Lets suggest few medicines which covers depression like symptoms or mania

Ignatia and Natrum Mur  after disappointment.....

I suggest BELLADONNA -with each return of menses , wildness and foolishness changing mania , talking, weeping, scolding, hiding herself, attacks of rage in which she spits at people and tear her clothes. Pulse slow but accelerated during an attack. Abdomen hard and dustended. Passes urine involuntarily. Reference - Kiesselbach e.g of nat mur
Phosphorus also covers indifference to talk

Staph  after sarcasm or rudeness
Aur met...when depression leads to suicidal attempt
Ignatia for acute depression
Nat mur for chronic
Puls can b thought  the situation with every indian bride who lives in a joint family....she had to adjust ...n to keep everyone happy .....she suffers from depression
So is d carcinosin . Puls do so coz she wants appreciation nd affection for herself..Jaise

Jaise Puraani filmo ki bahuraani...

But if...she didn't get back whatever she expected from the n affection. ....than puls can b the first choice.....Sab kucyh sehti..sabka karti..Staphysagria sab kuch sehti

Aurum met for condition like pt says that sometimes I sometimes feel I shd commit suicide
Natrum sulph for condition like pt has persistent thoughts of suicide.

Rubrics one can use in Depression:
Ailments from grief
Ailments mortification
Aversion amusement
Death desires
Killed desire to
Never smiling
Weary of life
Diminished appetite

Arsenic album- the patient goes on becoming hopeless from life ...wants to commit suicide but fear of death

Bell ,cann I ,staph,hyos,ign,nat sulph can be thought in depression
Violent outburst of anger. Sensitive to what other says.
(Reference : Boericke)

One of the cause of depression is helplessness feeling n anger
: Depression from love disappointment nat mur n ign
Nat mur for chronic n ign for acute
But now one point out the ultimate medicine of depression where
SHE " recognize every thing but does not move"
Where she " remain lies with close eyes, hear every thing "
Where she become" indifferent to loved one"
And ultimate Ignatia >Nat Mur > Sepia
So now a days even young married women easily turn to Sepia
Ignatia may reactive by love and emotions by another companion
Natrum may come out from depression by a manipulation by opposite sex.
But a Sepia need Homoeopathic doses to revive inner woman.

other medicines are -Kali brom, mancinella, Acid phos

� Thyroid hormone levels disturbed coz  of depression


��Attaching a copy of very very basic chart to start with a depression case
( For beginner's)

���find a pdf file in attatchment- of a psychological activity test������ Check out your psychological health

Now , Lets discuss famous depressive characters of hindi movies...


Alia bhatt from Dear zindagi... sure case of depression due to separation and feeling of being neglected by loved ones.
Fears, commitments and escapes every relationship before anyone can reject her or leave her.

Salman Khan in movie sultan...after the death of the baby
A teenage boy  Munna bhai movie ...remember. ?
Maya mehrotra ( played by Jennifer winget) in the serial beyhadh telecast on sony channel������Yes...even she is suffering from anxiety disorders too

Ajay devgan in movie Qayamat
Ladki use chod gayi thi..
Aur wo gusse me silent ho gaya tha..
A/f love disappointment
A/f decieved being
Anger with taciturnity
Nat mur..?

Munna bhai wale ladke k characters bolo someone..
A/f love disappointment
Music agg ( at first den amel)
Anger trifles at.
Amusement aversion to
Strict/ dictatorial
Rigid/ dogmatic...

Someone pls repertorise�

Amitabh bachchan from the movie Waqt
Prolonged illnes ki wajah se depressed
Family, concern for
Death, fear of

Alia bhatt again in Highway movie
History of sexual abuse by closed relative
Feeling of disgust for self
Trust issues
Trusts strangers( even her kidnappers) than closed ones( family)

This condition is known as
*Stockholm Syndrome*

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