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Very deep depression is deadly, causing such suffering that it is easier to stop it than to live. But deep depression does not appear instantly; a person gradually falls into a spiral of depression. Medical opinion: - decreased serotonin (or other biochemistry). But the psychological view is different: why did serotonin drop? Because depression, not the other way around. You need to change something in your life and emerge from this state. It is advisable to understand: depression began against the background of PA, phobia, borderline state, bipolar disorder, OCD, or is it an independent problem. The solution strategy depends on this. If depression is concomitant, began after PA or post-traumatic history, first work with what is primary, depression will disappear. It is useless to treat depression if there is a source of trauma. It is useless to treat depression with alcohol and drug addiction. First, deal with the root cause. What caused the mental problem after? A person with depression refuses to take action. A depressive spiral begins, an inability to change anything and resignation sets in - as a result of an event or events. A model for the formation of depression as an independent problem: disappointment in oneself, or in others, in the world, disappointment in one’s nature (I’m worthless) or the accumulation of fatigue and complete exhaustion of the nervous system. Symptoms: depressed mood, irritability. Decreased interest, pleasure, decreased libido. Significant decrease or increase in body weight. Insomnia or drowsiness. Loss of strength, fatigue. Feelings of worthlessness, guilt. Decreased ability to think, indecisiveness. Psychomotor agitation or retardation. Tears flow on their own. Thoughts about death. Depression is a way for the body to survive destruction when support is lost. The psyche says - stop, there is a dead end. You need to block destructive actions, change actions, then depression will disappear. Pharma helps 35% of people with depression, but it is addictive. There is a triad that helps: physical activity and EMDR (EMDR in English, but not for everyone) and strategic dialogue with prescriptions for action. You need to survive, erase the trauma from your brain and/or change. Depression as an independent disorder also comes in different types: With psychomotor agitation, a person does everything mechanically through force, he can smile, does not complain about anything, and then he can hang himself. This person needs to slow down. There is only one prescription: give rest until full restoration of strength, or at least an hour of rest, but every day. Retardation is a different type. The person cannot do anything; he only has enough strength to walk to the toilet or kitchen. Instructions: do a small action every day: wash the mug - that’s already good. We reached the window - well done, hero. And so expand your actions every day. Ask yourself the question: if this condition did not exist, what would I do? Find some area in life that gives a drop of joy - a drop of serotonin. And expand this zone slowly but persistently. Otherwise, with deep depression, a person begins to lose contact with reality. And it can all start with trauma and disappointment in yourself or others or the world. You need to work with the pain, remove the injury. It is always in the form of an obsessive thought or in the form of an area that a person does not want to see. Two techniques help: EMDR - desensitization and eye movement reprocessing. Day after day, a person moves his eyes for 5-10 minutes from left to right, right to left, diagonally, in a circle, chaotically, remembering a traumatic event. Traumatic information is erased from the brain, the brain and eyes are connected. Francis Shapiro's EMDR technique is now known, but both Buddha and Reich recommended eye movement to relieve trauma and anxiety. The second technique is more effective: write a trauma diary: remember all the details of the trauma, all the nuances and all the thoughts that come. To leave the past in the past you need to go through it many times. If there is no trauma, and the person feels worthless, keep a diary +351964396902