Mobile Health Consult

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ADOLESCENT DEPRESSION MYTH? OR FACT!

depression 1d

You don’t have crawl into a dark corner; take a bold step, open the shut door to your emotions, feelings, thoughts and step out into the light.

You don’t have to keep up a smiling face when you are hurt or sad deep inside; take off that mask and seek for help!

Often in life, there are certain events that cause different emotional responses, ranging from excitement, happiness, enthusiasm to fear, anger, disappointment, weariness, tiredness, sadness, etc. This is only natural. But when you allow the feelings of sadness to last for days, weeks or perhaps months and it keeps you from living your normal life, interferes with your normal social activities, enjoyable interests, or schoolwork, such that you are now a shadow of whom you used to be; then what you are feeling is no longer sadness. You may be experiencing Depression.

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Do you often feel so exhausted, not from a stressful day, that when you are asked the question “how do u feel”, the only explanatory response you can give is “Am fine, I just feel tired”? But then you try to sleep to relieve the feelings of tiredness and it doesn’t seem to be able to fix it. Do you feel the need to be alone just by yourself but at the same time not wanting to be lonely? Do you feel the need for friends but you don’t want to socialize or relate with others? Or perhaps you are in a pressurizing situation and you feel worthless, helpless, and hopeless that you decided to shut everyone out? You may be suffering from Depression.

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Adolescence is always an unsettling time, with many physical, emotional, psychological and social changes that accompany this stage of their life. When the moods of teenagers disrupt their ability to function on a daily basis, this may indicate a serious emotional or mental disorder that needs attention.

Adolescent depression is a disorder that occurs during the teenage years. It involves persistent sadness, discouragement, loss of self-worth and loss of interest in activities they previously found pleasurable or enjoyable. Depression is associated with an increased risk of suicide and prior studies have revealed that suicide rates among adolescents have nearly tripled in recent times.

Depressive symptoms among adolescents are often attributed to the normal stress seen at this stage of life. This is often misdiagnosed as primarily conduct or substance abuse disorders. Neglecting depression among adolescents can have a tragic effect. Regrettably, adolescents who experience depression at an early age often struggle with depression throughout their lives.


LITERATURE REVIEW

A study carried out in the South-Eastern part of Nigeria (2015) on depression among adolescents in secondary schools between the age range of 9 – 18 years, revealed that the prevalence of moderate depression in adolescent was lowest at the age of 10 and highest at the age of 13. It further revealed that the prevalence of severe depression in adolescents was lowest at the age of 11 and highest at the age of 12. Furthermore, the study revealed that children whose parents are separated showed higher incidences of depression with the female gender at a higher risk.

Another study carried out in Greece (2015) on depression in late adolescence among students in senior high schools between the age range of 16 – 18 years, revealed that 49.38 % of the adolescents with depressive episode had at least one comorbid anxiety disorder. Only 17.08 % of the adolescents with depression have visited a doctor due to a psychological problem during the previous year. It further revealed that anxiety disorders, substance use, female gender, older age, having one sibling, and divorce or separation of the parents were all associated with depression. In addition, the presence of financial difficulties in the family was significantly associated with an increased prevalence of both depression and depressive symptoms in adolescents.

CAUSES

There’s no single known cause of adolescent depression. Some of the factors that could lead to depression in adolescents include:

  • Genetic factors: a family history of first-degree relatives with depression could put a child at higher risk of having depression. Most especially, it could be passed from parent to child.
  • Environmental factors: heartbreak, academic problems, health concerns, or acute stress.
  • Past traumatic event: the loss of a family member or friend; sexual abuse (rape), physical abuse (beating), or emotional abuse (insults, bullying, words of discouragement).
  • Hormonal changes resulting in irregularity in mood and behavior.

Having a pessimistic mindset or thought: a child being surrounded with people or an environment where negative thoughts or way of life, feelings of helplessness and hopelessness is a norm instead of facing challenges head on and a winning attitude; such child can end up not being able to feel positive when in distressing situations.


SIGNS AND SYMPTOMS TO LOOK OUT FOR
depression 1a

Most times it is often difficult for parents to know that their children are suffering from depression. Parents often mistake it for stress, adjustment issues or growing up/puberty. Some of the depressive signs to look out for are:-

  • A decreased interest in activities your child once found pleasurable.
  • Appearing sad, irritable, or tearful.
  • Feelings of guilt, worthlessness, hopelessness or helplessness.
  • Changes in appetite or unintentional weight gain/weight loss.
  • A decrease in energy (fatigue) and regular complaints of boredom.
  • Difficulty concentrating.
  • A decline in academic performance.
  • Substance abuse (Drug or Alcohol).
  • Withdrawal from social situations, friends, or after-school activities.
  • Major changes in sleeping habits (Insomnia or Hypersomnia).
  • Recurrent thoughts and talk of suicide, death or attempted suicide.
  • Aches or pains, headaches, cramps, or digestive problems without a clear physical cause and/or that do not ease even with treatment.


EFFECTS

Depression is associated with high levels of stress, anxiety, self-harm and in the worst possible scenarios, suicide. It can also affect a child’s:

  • personal life
  • school life
  • social life
  • family life

This can lead to social isolation and other problems.


TREATMENT

  • Support: ranging from discussing practical solutions and contributing stresses, to educating family members.
  • Psychotherapy: also referred to as talking therapies, such as Cognitive Behavioral Therapy (CBT) and Interpersonal Therapy.
  • Mindfulness Meditation Therapy
  • Biofeedback Therapy
  • Neurofeedback Therapy
  • Audio-visual entrainment Therapy
  • Drug treatmentantidepressants medications.
  • Regular Exercise
  • Adequate sleep
  • Hygienic and balanced diet
  • Avoid substance and alcohol intake

You may be bent, but you are not broken; you may be scarred but you are not disfigured; you may be sad but that doesn’t mean all hope is lost; you may be tired but you are not lifeless; you may be afraid but only you has the power to change that; you may be angry but you don’t have to be bitter. All in all, you may be depressed but do not give up!

– Anonymous

For more information on the therapy procedures visit our website on http://www.mobilehealthconsult.org and remember to follow @DrMorayoJimoh on twitter.


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Projects In The Hands of Parents

 

Children are the most precious, the most beautiful and the most valuable gifts in the lives of parents. Once they are birthed into life, everything can change for good and pure love like no other can truly be experienced by parents as they learn to pour themselves into their children and strive to create a perfect world for them. However, some hiccups in parenting may be experienced as the children grow older and begin to have a mind of their own as well as when parenting becomes less effective. Consequently, conflicts may rise between parents and children which can create a wide gap that may get worse and almost be impossible to bridge as the years go by.

No doubt, parenting can be quite a challenging experience but it can also be a fulfilling one when effectively done. In all aspects of our human endeavours, we acquire certain skills that enable us function effectively in various aspects of our lives right from childhood through adulthood, we learn skills at schools, at work as well as when it comes to relating with others in our environments and these skills are usually acquired for the purpose of improving our functioning in these aspects. Parenting is no different and should not be left out as the skills necessary for effective parenting are to be desired as much as we desire other important skills.

If we are to be effective in parenting, then our children which are our projects must take priority in our lives. It is quite worrisome that the roles of parents in child development appears to have been watered down in recent times probably because lots of parents have relented in their roles as parents and have substituted their roles with others. Many parents mistakenly relent in their responsibilities to their children during childhood and adolescence with the mindset of delegating most of the responsibilities to the school. They may consider that, after all, they pay the schools heavily for that. Asides being a very crucial period in the physical and intellectual development of children, the school years are also an important period in their psychological development. The roles of parents cuts across all aspects of their children’s functioning. Therefore, parents should be involved in their children’s;

  • Physiological functioning/wellbeing
  • Psychological/Mental/cognitive functioning
  • Behavioural functioning
  • Social functioning

As parents, it is our responsibility to set the right pace for our children to follow. Whenever we tend to substitute or delegate this responsibility, we miss out in the opportunity to be role models to them and sadly, this may never be regained.

Although most parents these days run full schedules, creating time for the children should never be misplaced however little or sacrificial it may be. The key word in successful parenting is ENGAGEMENT. Being engaged in the development of the children and getting them engaged all round is absolutely vital to their development.

Engaging children involves

  • Parental involvements (monitoring class work, notes, assignments, academic performance, having good relationships with their teachers, tutors and friends)
  • Effective communication between parents and children whereby children can be open and talk freely with their parents
  • Reinforcement of appropriate behaviour with rewards or withdrawal of rewards when necessary
  • Guiding them as they discover themselves
  • Building their self-esteem and preparing them to excel in life

Remember that children are a REFLECTION of their parents as well as a REPRESENTATIVE of their parents. Therefore, let them reflect you appropriately and represent you very well wherever they find themselves. Don’t replace them with other things and don’t miss out in their lives as they grow! Never forget that your children are your projects and it is never too early or too late to get it right.

 Kindly follow me on twitter @morayojimoh for more interesting updates on #CelebratingChildren.