2023-10-05 12:05:00
The World Health Organization (WHO) points out thatwomanThere is a tendency to be “depression” 2 times more than men because women are the gender that undergoes more hormonal changes than men. Both during menstruation Pregnancy period as well as postpartum depression
Dr. Penchaya Atiwannapat Doctor who specializes in psychiatry Mental Health Center of Vimut Hospital Revealing the statistical information that Thailand has many patients with “Depression” (patients in the system) account for at least 1.5 million people out of a total population of approximately 70 million. This does not include patients outside the system who may have another number. As for the reasons why people suffer from depression, Dr. Penchaya told “Krungthep Turakij” said it was caused by many factors, both external and internal.
Revealing the reasons why women easily become “depressed”
As for the cause, external factors are “stress” and pressure in life. and various work duties, for example, many families are increasingly facing the social situation of sandwich generation. Middle-aged people have the burden of caring for both young children. and taking care of elderly parents Therefore, it increases stress in daily life. Therefore, there is a greater risk of becoming depressed.
In addition, it is caused by internal factors such as chemicals in the brain being out of balance. Some people even relieve stress through various methods (watching movies, listening to music, playing with pets, doing hobby activities) but still not getting better This behavior is most likely caused by abnormal chemicals in the brain. rather than being sick from external factors
Especially “women” have been found to be more likely to experience depression than men. Because hormones change more And another reason is Modern women are increasingly expected to play the role of working woman, and some people have the role “Motherhood” requires taking care of everyone in the family. The more stress there is in daily life. In addition, some women may suffer from PMDD (Premenstrual Dysphoric Disorder) that occurs frequently. Every month as well This may make you more likely to suffer from depression.
PMDD, premenstrual depression What symptoms are included?
For PMDD (Premenstrual Dysphoric Disorder) is a group of symptoms of depression before menstruation. It often causes symptoms of mental and emotional disorders such as feeling sad, anxious, decreased concentration, severe mood swings, crying easily, feeling hopeless, discouraged, irritable, irritable, irritable, bored, and not wanting to do activities that used to be enjoyed.
It also causes physical abnormalities such as bloating, abdominal cramps, diarrhea, headaches, back pain, breast tenderness, fatigue, insomnia, loss of appetite or feeling more hungry than usual.
PMDD is classified as a severe symptom of PMS (Premenstrual Syndrome), or a group of symptoms that occur before menstruation. PMDD causes physical symptoms similar to PMS symptoms, but the prominent symptom of PMDD is a change in mental state. and intense emotions This usually occurs 6-14 days before menstruation. As for the duration of PMDD symptoms, they can range from a few days to up to a week before the symptoms disappear.
Even though I’m irritable during my menstrual cycle. But that doesn’t mean every woman will have PMDD.
Although women’s hormones normally fluctuate during the period before menstruation, But that does not mean that everyone will have PMDD symptoms. This matter, Dr. Penchaya explained to “Krungthep Turakij” that every mental disease has biological factors. and genetics are quite involved Some people are genetically at risk for depression. Some people do not have genetic risk factors. The difference here is the first. That makes it possible to distinguish that some people have PMDD and others do not.
“If we have someone in our family who is suffering from a mental illness. The risk that we will develop the disease is higher than the general population. But that doesn’t mean you have to be like family members. There’s just a chance that it might be more. If there is a high risk, combined with external factors such as “stress” and internal factors such as “Sex hormone fluctuations” also cause many women to develop PMDD symptoms, the psychiatrist said.
However, in women who have PMDD symptoms frequently every month, there may be a chance of developing it. “Depression” in its full form Or in some cases, they don’t know they have depression. Because I don’t have many symptoms. But there will be clear symptoms only before the menstrual period. But when I came to check with the doctor, I found out that it really was. They also have symptoms at other times. This explains that the patient was depressed before and did not have PMDD and then developed depression.
Female Doctor Penchaya Atiwannapat Doctor who specializes in psychiatry
How is PMDD different from depression? What symptoms do you need to see a doctor for?
However, Dr. Penchaya advises that if you have symptoms but are not sure that you have them, Is it really “Depression” or just PMDD? You should consult a psychiatrist to know the exact symptoms for more direct treatment. The distinctive feature of PMDD that differs from depression is that PMDD only occurs for a single period. (before menstruation) then disappears on its own in a few days But depression symptoms are spread out in many places. The time in life is Interfering with daily life Also known as Distress-Disturb-Dsyfunction If you examine your symptoms and find that they fall into the latter category, you should consult a psychiatrist. By surveying your symptoms over a period of 2 weeks to 1 month to see if you have symptoms of depression or not? (or doQuizof the Department of Mental Health)
If you examine your symptoms and find that It’s just a symptom of PMDD. It can be fixed initially, such as by trying to reduce stress. By removing yourself from a highly stressful environment But if you have to be there Let’s do other activities. That helps relieve stress for yourself, such as taking breaks to go for a walk, exercising, or playing with pets. Watch movies, listen to music Go out to see friends following work, etc. in the various work areas. You should plan additional work. To reduce clutter in work It will help reduce stress in another way.
However, you should observe yourself regularly to see if those PMDD symptoms have decreased or increased than before? If you do those stress-relieving activities, your symptoms do not improve. or symptoms worsen, you should consult a psychiatrist as well.
“Most patients who come to see a psychiatrist Often people have been feeling sad for some time. and have tried to fix it by myself in various ways But the sad symptoms still haven’t gone away. Activities that used to be relaxing are now more enjoyable. But this time it didn’t work. That is, they tried to manage their own emotions but it didn’t get better. In some cases, I have been trying to manage my emotions for 3 years and it hasn’t gotten better. This is often caused by neurotransmitters that fluctuate greatly. You should see a doctor like this,” Dr. Penchaya finally emphasized.
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Reference: Dr. Penchaya Atiwannaphat, Faculty of Medicine Ramathibodi, Pobpad
Proofreading….Suree Silawong
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