I am from Yuhuan, Taizhou, and I am very depressed recently. I want to find a local psychological counseling agency. Do you have any recommendations?

Depression is indeed caused by brain genes, but it is actually a minority. Most people's depression is closely related to their growth experience. And not only depression, all psychological problems are caused by personality factors, but also by the imperfect development of personality (personality). In the process of consultation, I really saw too many friends. When they are very young, they are already traumatized, and they constitute various components of our personality. Especially those parts that bind our lives and make our hearts unable to be free, so that we live in the past at some point, so we can't choose a better way to deal with it according to the changed environment-that is, the lack of ability and competence in different environments. Therefore, the radical solution is to reshape personality. Sunshine is a good medicine for depression. Italian doctors believe that if you walk for 30 to 60 minutes every morning and bathe your face in the warm sunshine, the depression will disappear. The doctor's research confirmed that sunlight is an excellent natural antidepressant, and the sunshine in the morning has the best effect. Patients who lie in wards with windows facing east will recover several days earlier than those who lie in wards with windows facing north without taking medicine. "Sunshine therapy" is the most suitable treatment for seasonal depression. Many people's illnesses develop during the season change, showing indifference, depression, listlessness and decreased work efficiency. These symptoms will gradually disappear in the sun. Dr. Stephen Herman, the runner-up of Washington Watch and professor of psychology at Duke University, reported in the journal Psychosomatic Medicine that he had tested three treatments for depression in a six-month follow-up study: the first group took Zorro Frett, the second group took an exercise program, and the third group was a combination of the two. In this study, 156 experimental participants recovered between 60% and 70% after four months of treatment. Herman found that members of the exercise group were less likely to have a relapse of depression than the other two groups. A large number of recent studies in the United States show that exercise, especially aerobic exercise, helps to eliminate mild depression. Chuck, 76, insists on playing basketball with people half or younger than him every day. He said, "If I don't exercise five times a week, I will start to get tired of life. The perseverance I have gained from sports makes me optimistic about life. " "When we accomplish something by ourselves, we usually feel good about ourselves," Herman explained. This discovery is exciting for those who can't take it with antidepressants or have no effect after taking it. Herman didn't suggest using exercise instead of taking medicine to treat depression. He said: "Various studies have continuously proved that exercise as a reasonable alternative therapy is worthy of respect. Suffering from depression, try four treatments. Depression is a common mental illness. The incidence rate of women is two to three times higher than that of men, and patients suffer greatly. Here are four kinds of self-therapy: physical therapy? Exercise can give people a sense of relaxation and autonomy, which is conducive to overcoming the loneliness of depressed patients. However, exercise must have a certain intensity, duration and frequency in order to achieve the expected results. Take doing aerobics as an example, including running, skipping and fitness dancing. , at least three times a week, each lasting 15 to 20 minutes. Walking can also achieve the same effect as running. Experts advise patients to walk 1500m every day, and strive to walk within 15min. Then gradually increase the distance until you run 4500 meters in 45 minutes. When you start exercising, you must get the doctor's permission. ? Nutrition therapy? Many doctors believe that vitamins and amino acids contained in food have an important influence on people's mental health. Some experts believe that paranoid people can also cause depression if they lack a single nutrient, so he suggests that people eat more foods rich in vitamin B, such as coarse grains and fish. He also asked patients to take a certain dose of vitamin B complex. He thinks these are vitamins that people are easy to lack. ? Psychotherapy? Hypochondriacs often look at the world and themselves with colored glasses. In order to change this misconception, Gary Emmer of the Los Angeles Psychiatric Center put forward the "three A methods", that is, understanding, answering and acting. Because the English letters of the three words all start with a, they are called. ? Understand: first admit that you are depressed; Secondly, we should pay attention to our emotional changes, whether there are abnormalities in words and deeds, and the differences between feelings, thinking and physical reactions. ? Answer: Learn to identify and record mistakes in time when they occur. Write down your wrong ideas first, and then write a more practical choice answer, in order to test your ideas in practice. After writing, ask yourself, "Can this be true?" Then ask yourself: "How to look at it from another angle? " ? Action: If you don't feel valued, you should adopt a new way. If you are uncomfortable at work, you should take a course to improve your skills or find a new job. Plan more activities to make your life regular. ? Communication therapy? Research shows that people who are good at making friends with others are much happier in mental state than those who like to be alone. A mental health laboratory in the United States recently launched an activity with the slogan "Friends are good medicine". They think that social support can even make people live longer. Depression is a kind of brain disease, which has its own occurrence and development law. For many years, the study of depression and antidepressants has been an important research field of contemporary psychiatry. Although the etiology and pathophysiology of depression are still unclear, it does not hinder the effective treatment of this disease. There are many treatments for depression, such as psychotherapy, sleep deprivation therapy, phototherapy, electroconvulsive therapy, etc., but at present, medication is the main treatment, supplemented by psychotherapy. It should be pointed out that people with depression often have negative and pessimistic thoughts, and in severe cases, they have suicidal tendencies and world-weariness Doctors should be on high alert and warn their families to take strict precautions. If conditions permit, it is best to be hospitalized. Electrospasm therapy has direct resuscitation effect and should be used decisively and quickly. Antidepressants are a large category of many psychotropic drugs, which are mainly used to treat depression and various depressive states. Here, only two kinds of drugs with definite curative effect and generally recognized are introduced: 1, the first generation of classic antidepressants, including monoamine oxidase inhibitor (maoi) and tricyclic antidepressants (tca). 2. The second generation of new antidepressants: Due to the rapid development of new drugs, new drugs emerge one after another, such as venlafaxine and nafazodone, but at present, selective serotonin (5- HT) reuptake inhibitors are still the main ones, and these drugs are also the most widely used in clinic. However, the antidepressant effects of some antipsychotic drugs, such as sulpiride, alprazolam, roller, buspirone and methylphenidate, are still controversial, so they are omitted. There are two kinds of classic antidepressants in the first generation, namely monoamine oxidase inhibitors and tricyclic antidepressants. Isopropylhydrazine is a monooxygenase inhibitor and the first antidepressant in 1950s. Isopropylhydrazine is an anti-tuberculosis drug. 65438-0957 has been successfully tried in patients with depression because of its central excitatory effects such as talkativeness, hyperactivity, insomnia and euphoria. Animal experiments show that it can reverse the apathy and inactivity caused by reserpine, and at the same time increase the monoamine content in the brain. It is speculated that its central excitatory and antidepressant effects are due to the decrease of monoamine degradation caused by inhibition of brain singleton oxidase, which leads to the increase of singleton content in the burst release gap. Therefore, the relationship between animal behavior and brain receptors is put forward, which has important theoretical and practical significance and lays a foundation for the study of psychopharmacology and etiology of mental diseases. Also included in this category are isocarbohydrazide, phenelzine and amphetamine. These drugs used to be widely used, but they were soon eliminated because they interacted with certain foods and substances to produce serious adverse reactions such as hypertensive crisis and acute yellow liver atrophy. In the late 1980s, a new generation of half-day oxidase inhibitors appeared, which is a subtype of reversible monoamine oxidase (mao-a). Its characteristics are: 1 has high selectivity to mao-a, but low selectivity to another isoenzyme mao-b, so it can still degrade coolamine in food, thus reducing the risk of hypertensive crisis. The inhibitory effect of 2 on mao-a is reversible, and it takes only 8- 10 hour to restore the enzyme activity, while the inhibitory time of old amine oxidase inhibitor is as long as 2 weeks, which reduces the risk of interaction with food. The main product is moclobemide, the dosage is 150-450mg/d, and it is taken in batches. It is said that the efficacy is equivalent to tricyclic antidepressants. Although it is safer than the old half-day amine oxidase inhibitor, we should still pay attention to postural hypotension and the potential interaction between food and drugs, which are generally not the first choice. 2. Tricyclic antidepressants are another kind of antidepressants after monoamine oxidase inhibitors, represented by imipramine. Its chemical structure is similar to chlorpromazine. People think that it may be a new antipsychotic drug, but the clinical trial results are unexpected. This drug has no effect on schizophrenia, but it can improve depression. Later, it was confirmed by a large number of double-blind placebo-controlled studies that replacing monoamine oxidase inhibitors became the first choice for depression treatment, monopolizing the antidepressant market for 30 years. There are 10 kinds of tricyclic antidepressants. In addition to imipramine, there are amitriptyline, doxepin and clomipramine in China. Although maprotiline has a tetracyclic structure, its pharmacological effects are consistent with tricyclic antidepressants. The indications of tricyclic antidepressants are various types of depression, the effective rate is about 70%-80%, the onset time is 1-2 weeks, the dosage range is 50-250mg/d, and the dosage is slowly increased and taken in batches. Because of its strong sedative effect, the dosage should be large at night. The plasma concentrations of imipramine and amitriptyline are 50-250ng/ml. Tricyclic antidepressants have been used for the longest time in clinic, and their pharmacological effects have been studied most and fully. In short, their main pharmacological effects are: 1 blocking the reabsorption of monoamine transmitters (mainly adrenaline and 5-ht), increasing the content of synapses and producing antidepressant effects. Blocking a variety of transmitter receptors has nothing to do with the therapeutic effect, which is the main cause of many adverse reactions, such as acetylcholine M receptor stagnation, which can cause dry mouth, blurred vision, sinus tachycardia, constipation, urinary retention, glaucoma aggravation and memory dysfunction; Blocking adrenaline a 1 receptor can enhance the antihypertensive effect of prazosin, causing postural hypotension, dizziness and reflex tachycardia. Yin stagnation of histamine h 1 receptor can strengthen central inhibition, sedation, drowsiness, weight gain and blood pressure reduction; Yin stagnation of dopamine d2 receptor may lead to extrapyramidal symptoms and endocrine changes. If the side effects of antidepressants are serious, they should be reduced, stopped or switched to other drugs. Generally speaking, the combination of two or more antidepressants is not recommended. Because of the high recurrence rate of this disease, treatment should be maintained for 4-6 months after the symptoms are relieved to consolidate the curative effect and prevent recurrence. The common treatment of depression is an easily treatable disease. After proper treatment, almost 80% patients with depression can return to a normal and happy life. The following are the commonly used treatment methods: (1) Drug therapy: used to change the imbalance of neurochemicals in the brain, including antidepressants, sedatives, sleeping pills and antipsychotics. (2) Psychotherapy: it is mainly used to change inappropriate cognitive or thinking habits or behavioral habits, and can fundamentally solve problems. Psychotherapy, if the problem is minor, you can get help through telephone consultation or psychological consultation institutions. (3) Sunshine and exercise: Accepting more sunshine and exercise is beneficial to patients with depression; Doing more exercise can make your mood relax unexpectedly; Ultraviolet rays in the sun can improve a person's mood more or less. (4) Good living habits: A regular and stable life is what depression patients need most. Go to bed early and get up early, keep your body and mind happy, face every day with a cheerful mood, and hold a positive and optimistic attitude in everything, so as to increase the color and brightness of your life. Depression is one of the most common mental disorders in modern society. The World Health Organization has pointed out that depression is the leading cause of illness and death in women. In developed countries, this disease affects 20% of the female population. American research shows that 12% of women have suffered from severe depression in their lifetime, and this situation accounts for 6% of men. As for why so many depressed friends in China take medicine, it is because the knowledge of depression and mental health is not universal, and there are few institutions specializing in psychological counseling. Friends with depression usually go to the hospital, so taking medicine has become the main way to treat depression. In addition, it is usually when depression is serious that people think of treatment, which may not be taken seriously at first, or they may not know at all. In severe cases, the biochemical process of the brain usually changes, which is caused by the long-term accumulation of negative emotions in the brain and is in a process of gradual and continuous change. For some friends, taking medicine can quickly adjust the biochemical process of the brain and make it return to normal. Taking medicine is only a temporary solution, not a permanent cure (except for physiological reasons). If you don't change the factors that lead to depression in your personality through psychological counseling or self-reflection, it is not surprising that depression will recur again. Other psychological problems are the same. In my personal opinion, psychological counseling is the real solution to get rid of psychological problems such as depression. Too many friends have been taking medicine for many years, not only the problem has not been solved, but also the symptoms have been seriously seen, especially obsessive-compulsive disorder, which is even worse, leading to fixed symptoms and greater harm to personal influence. Through correct and timely treatment, we will be able to bid farewell to depression and other neurosis. Pain is not our life, happiness can actually belong to each of us! I. Definition of Depression Depression is a group of mood disorders or emotional disorders with depression as the main symptom caused by various reasons. It is a group of clinical symptoms or states centered on the self-experience of depression. Depression is an unpleasant mental experience. The so-called depression refers to an explicit depression or a long-term experience of depression. The concept of primary depression: refers to depression without other mental diseases and clinical diseases before the onset. 2. Characteristic symptoms of depressive episode (1) Persistent depression or depression, which generally lasts for more than two weeks, is an important manifestation and characteristic symptom of depressive mood. It is different from the depression caused by the frustration of normal people. 1. The characteristics of depression in normal people (1) have objective adverse life events, leading to depression. The nature of life events can explain the occurrence of depression. (2) The duration of depression is generally short, such as hours and days. (3) Depression does not exist every day, let alone all the time. (4) Depression can be improved by family and friends. (5) Changing the environment, such as going out to travel, visiting the park or encountering happy things, can dilute the unpleasant mood or make the mood happy. Or get better with the disappearance of life events. (6) Generally, as time goes on, there are fewer and fewer unhappy emotions. (7) generally does not affect work, life, study and social interaction. (8) No other symptoms of depression, such as cognitive disorder and physical disorder. 2. The characteristics of depression (1) In the absence of objective adverse life events, there can be a prosperous situation, which makes family and friends puzzled, and even the patients themselves can't find out the reasons. If they are confused, they are in a bad mood and depressed. (2) Before the onset of some depression, there may be social and psychological life events, but there is no obvious causal relationship between these life events and the occurrence of depression. Instead of getting better because of the elimination of life events. (3) Depression often lasts for weeks or months, and it can last for years or years if it is not treated. (4) Depression is almost daily, and it is difficult to eliminate it without treatment. (5) General comfort, persuasion and changing the environment can hardly improve their depression. (6) During depression, happy things can't improve your mood, and you are unhappy because of happy things. (7) Depression has not weakened, but has become more and more serious. (8) Depression affects work, study, life and social interaction. (9) Other symptoms of depression, such as cognitive impairment and fatigue. The occurrence of depression (10) has its pathological and biochemical basis. (1 1) Some depression (endogenous depression) has changes in the rhythm of morning weight and night light, which has its biochemical and metabolic basis. Depression is obvious in the morning and morning, but it begins to ease at dusk, and it is lighter at night. Exogenous primary depression is often in a good mood in the morning and heavier in the afternoon, especially at night. 3. The secondary symptoms caused by emotional depression (1) are low self-esteem, self-degradation, low self-evaluation, denying one's achievements and advantages, and only seeing one's own shortcomings. (2) The concept of inferiority thinks that you are inferior to others everywhere, but everyone is better than yourself. I feel very incompetent, and my study, work and life are not as good as others. (3) Self-confidence declines, thinking that you can't do anything well, or you don't have the ability to do a good job in work, study and social activities. It is better to retreat than to push. (4) the concept of self-blame and self-guilt (5) the concept and behavior of suicide think that living in this world has no contribution to society and family, and it would be better to die than to increase people's burden. Or think it's a big sin to die. (6) Attention disorder Active attention is easy to concentrate, which is fixed in the experience of depression and disease concept, that is, active attention is enhanced, while external things, especially those related to delusional concepts, also attract their attention, that is, passive attention is enhanced, while due to depression, attention is also concentrated slowly, so attention is slower. Pay attention to the experience of low mood and morbid concept, which is not easy to transfer to work, study and life. (7) Memory impairment caused by depression is easy to cause memories that can't be remembered and taken care of at ordinary times, which is manifested in the enhancement of distant memories, especially the memory of unpleasant things, feeling that the past is "mistakes" and "shortcomings", with nothing, nothing, and self-pity, sadness and sigh. Produce a lament that the past is unbearable. Because attention is fixed on the experience of inner depression, the experience of morbid concept is not easy to pay attention to things that need objective memory in daily life, and the concentration of attention and excitement is slow, which is easy to cause the decline of instantaneous memory and recent memory. Some people even feel strange and alienated from familiar people and things. The above symptoms of cognitive impairment caused by depression can be regarded as the secondary manifestations of depression or depression. These secondary symptoms are unique to everyone and may be different. The following is the second characteristic symptom of depression: (2) Emotional experience can't 1. Emotional experience can't be another characteristic symptom of depression. On the one hand, there is no happy experience, no happy experience. On the other hand, it may also be manifested in sadness, sorrow, anger and fear, and it is impossible to understand the corresponding feelings inside. Although I rationally realize the nature of the event and know that I should have corresponding inner emotional feelings, I have no corresponding feelings. I feel like "I have no feelings", "I have become another person, a heartless person" and "I am simply Woodenhead" ... 2. The secondary symptom of emotional experience failure (1) shows that I am not interested in all entertainment, hobbies and activities. (2) Passive attention loss; (3) Social withdrawal is manifested as unwillingness to participate in social activities and not to associate with relatives and friends, which makes him seem withdrawn; (4) Self-esteem and self-confidence are reduced, and the concept of inferiority and self-blame is obvious; (5) the concept of suicide; (6) Due to the lack of inner emotional experience, people feel that they are "walking dead", "only empty shells without souls" and "they no longer exist". (7) The disintegration of reality shows that objective things are unreal and specious. (3) Emotional expression cannot be 1. Emotional expression cannot be another important characteristic symptom of depressive mood disorder. It can also be the first symptom of depression, which can appear in the early stage of depression. It shows that we can understand the nature of joy, joy, sadness, anger and fear of objective things and have corresponding inner emotional experiences, but we can't express these inner emotional experiences with expressions, actions, behaviors, words and deeds, especially expressions. That is, emotional or emotional expression disorder. 2. The secondary symptom that emotions can't be expressed (1) Social withdrawal is unwilling to associate with people because it can't express emotions and is afraid of being misunderstood and accused. (2) Low self-evaluation of inferiority; (3) Self-reproach; (4) Decline in self-confidence; (3) This inability to feel and sadness is an important diagnostic sign of depression and the core of depression experience. (4) Lack of energy 1. Lack of energy refers to the lack of individual mental activity, physical activity, body visceral function or motivation or vitality, resulting in various symptoms. 2. The performance of lack of energy (1) decreased cognitive activities, such as sensory perception ability, comprehensive sensory ability, attention, memory, thinking ability, activity ability and effectiveness. The efficiency of work, study, life, social skills has obviously decreased. Emotional excitement or decreased excitement. (2) The inhibition of physical and mental activities or sports is manifested as the following symptoms: a. Physical decline or strength decline, especially fatigue and general weakness. Do some work, even if you do some housework, you will feel tired. B. The decline in mental activity is manifested in fatigue after a little mental activity and the decline in work and study efficiency. C. Poor initiative and enthusiasm, lacking initiative and enthusiasm in work, study, life and social activities, becoming passive, procrastinating, lazy and lacking enthusiasm, enthusiasm and vitality. D. Life is lazy and lazy to pay attention to daily personal appearance, clothing, daily diet and personal hygiene. F. lack of motivation and desire. There are some other symptoms, because they are not very common. In order to avoid misunderstanding by some friends, I frighten myself and worry too much about my own problems, so I don't provide this information. Because it is more appropriate to go to the hospital for treatment, there are many other physical diseases that can also have some symptoms of depression.