Time：2023-02-01 17:48:15 source：psychiatricethics.com author：Anxiety disorder Read：640次

Children with these manifestations must be vigilant to prevent the occurrence of teenage depression

Teenagers are under great pressure to study and compete. Some children grow up under the shadow of "other people's children" as their parents call them. These occurrences indicate that they may be suffering from teenage depression. Depression is mostly manifested as low mood and easy crying, while adolescent depression is often characterized by anxiety and irritability as the core symptoms, and adolescence is the age of high incidence of depression, so parents and teachers should deal with adolescents’ unprovoked tantrums, irritability and other emotions attract attention. Biological studies have found that the pathogenesis of depression is related to the dysregulation of serotonin (5-HT) and norepinephrine (NA) neurotransmitters in patients. Studies have shown that the degree of 5-HT decline is directly proportional to the degree of depression. In addition, reduced levels of norepinephrine (NA) may also be a factor in triggering depression. Human imaging studies have found that neural circuits and related regulatory systems are strongly linked to depression in adults and adolescents. These circuits are often activated in humans in response to danger and reward. At present, western medicine treatment is still dominated by drugs such as selective serotonin reuptake inhibitors, and there are many limitations in the selection of antidepressant drugs for adolescents. The incidence of depression among adolescents with clinical manifestations is increasing year by year. For girls, hormonal changes during their periods make them more vulnerable and more likely to be at risk of depression than boys. It is worth noting that adolescent depression does not necessarily arise in adolescence, but is exposed during adolescence. The symptoms are varied, complex, and have a certain concealment. If adolescent depression is not effectively controlled in time, the consequences are very serious. If the child has the following manifestations, we must be vigilant to prevent the occurrence of juvenile depression. ① Depressed mood most of the day, can also be expressed as irritability, irritability, and even truancy, not attending classes, or running away from home; ② Losing interest in most activities, such as always complaining about lack of energy and fatigue; ③ Slow thinking and memory Decreased, difficulty concentrating, reduced efficiency in class and homework, and grades; ④ low self-esteem, lack of self-confidence, feeling worthless; ⑤ thoughts or behaviors of suicide and self-harm; Changes; ⑦ insomnia or excessive drowsiness, and often have nightmares; ⑧ often complain of headache, dizziness, stomach pain, chest tightness and shortness of breath, but no organic problems can be found through medical tests. Adolescents may express their psychological pain through physical pain due to their immaturity; ⑨ avoid normal social activities. Chinese medicine recognizes that there is no disease name for "depression" in traditional Chinese medicine, and the related content can be traced back to the "Huangdi Neijing" more than 2,000 years ago, in which "depression" was first proposed. Zhang Zhongjing, a medical sage in the Han Dynasty, proposed three kinds of symptoms related to "depression" in "The Brief Introduction of the Golden Chamber", namely, "dirty and irritable", which is "happy and sad and want to cry"; ";" "Lily disease" of "willing to eat but unable to eat, often silent, wanting to lie down but unable to lie down, wanting to walk but unable to walk". The three classics corresponding to these three diseases, "Ganmai Dazao Decoction", "Banxia Houpu Decoction" and "Lily Dihuang Decoction", are still in clinical use today. The Zheng Zhuan of Medicine, written by Yu Tuan, a physician in the Ming Dynasty, first used "stagnation syndrome" as the name of the disease, and believed that emotion and diet were the cause. Since the development of traditional Chinese medicine, rich experience has been accumulated in the diagnosis and treatment of this disease. This disease is mostly injured by seven emotions such as anger, thinking, sadness, and sadness, causing stagnation of qi and stagnation of spleen. It will develop into a syndrome of deficiency or a combination of deficiency and reality. Traditional Chinese medicine believes that "women's liver is innate", and the liver is responsible for dredging and storing blood, so most of the patients are female. Acupuncture treatment is mainly guided by the zang-fu syndrome differentiation and meridian theory. From the point of view of the meridians and collaterals, "the veins of Jueyin of the liver and feet... go up the forehead, and meet with the Governor's veins at the top" "the veins of Yangming of the stomach and feet originate from the nose... to the forehead", which clearly defines the relationship between the liver meridian and the stomach. Both have a direct connection with the brain. From the point of view of the main diseases of the meridians, "the pulse of the stomach and foot yangming, if the movement is the disease...the heart wants to move, and the house is closed and the door is closed", which points out the relationship between the stomach meridian of the foot yangming and depression. Therefore, clinical acupuncture and moxibustion mostly focus on the liver and the spleen and stomach, with the principles of "soothing the liver and regulating qi" and "regulating the stomach and intestines" as the principles of treatment. Spring, Sanyinjiao and other acupoints have achieved clear curative effect. The World Health Organization (WHO) has made it clear that acupuncture can treat depression, and modern medical research has proved that acupuncture has no obvious adverse reactions in the treatment of depression. Daily Intervention If a teenager suffers from depression, antidepressant treatment, psychological intervention treatment, etc. can be used, and traditional Chinese medicine treatment can also be selected. When the patient is at home, he can massage himself on acupoints such as Taichong, Qimen and Jianshi to improve his mood. A dark and sunny environment is not conducive to a happy mood, and more sun exposure should be used to relieve depression. The daily diet should choose foods that have the effect of regulating qi and depressing depression, such as day lily, bergamot, coriander, perilla, citrus, etc. During the treatment process, the support, care and encouragement and trust from the family are indispensable. This is a major driving force for adolescents to receive and cooperate with treatment, and it is also a guarantee for effective treatment. Others around you should also give more care and consideration to teenagers to help them get out of the shadows and return to a normal and happy life. Usually, it is necessary to provide young people with a safe and comfortable learning and working environment, ensure adequate sleep, pay close attention to their psychological changes, and strictly store dangerous items to prevent young people from hurting themselves when they get sick. Young people can be encouraged to do more outdoor sports. Exercise can promote the circulation and operation of Qi and blood, stretch Qi and regulate emotions. Such as running, swimming, cycling, playing badminton, etc. These exercises have a certain effect on the relief of depression. [Disclaimer: The materials and pictures used in this article are from the Internet and literature, and are only used for the popularization of medical knowledge. If there is any infringement, please contact to delete]

(责任编辑：Mental disorder)

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