Dalways and everywhere. In the well-attended arcade hall of the Frankfurt Goethe House, the audience could breathe a sigh of relief. "We are not facing an epidemic," said psychiatrist Brenda Penninx of Amsterdam University Hospital, who is in charge of the visiting professions of the Friedrich Merz Foundation at Goethe University. "However, the incidence does not decrease." It is now up to psychiatrist to find out which treatment is best for the patient. Andreas Reif from the Department of Psychiatry, Psychosomatics and Psychotherapy at Frankfurt University Hospital added: "Even in an ideal society, there is depression." In all countries, the proportion of people suffering from depression is about the same. There is much more to Afghanistan alone.
The application of personalized medicine in psychiatry has been the topic of a podium debate at Civic University, moderated by Goethe University Vice President, Manfred Schubert-Zsilavecz. The audience talked equally fervently and expertly. So, for example, they wanted to know why so many students today were ingesting psychotropic drugs. Although Jürgen Deckert, a psychiatrist at the University of Würzburg, cited multitasking as a new stress factor, he put such negative environmental effects in perspective: "The war is worse. And we have the longest peace phase in Germany." speak well of their limitations and weaknesses as in a 40-year-old. Learning to accept your own boundaries also has to do with education.
"Sadness is a part of life," Reif made clear in his speech. "Depression, on the other hand, thinks in color, and patients notice the difference." However, there is not always a cause and effect relationship, such as trauma, that often results in low stress tolerance. "Genetic factors work in the environment. However, it should also be noted:" The work of humans does not make them ill, it has more of a supporting function. "
Less stigma than before
Five to seven percent of the population needs clinical treatment within a year of depression. After all, since 1983 it is possible to reduce suicide rates by one-third by a combination of psychotherapy and psychotropic drugs. However, 30 percent of patients did not respond to medication.
Penninx referred to the so-called study paradox of depression. Although there was no epidemiological rise in depression, health insurance companies did register an increase in treatment. This goes back to increased population awareness. Depression is no longer as stigmatized as it used to be. Because of this, people went to the doctor more often.
The family doctor still has a difficult diagnosis that can only emerge from discussions, Reif said. But GPs would not be well prepared for basic psychiatric care. There are no guidelines for when a GP should refer a patient to psychiatry. Because neurotransmitters cannot be detected in the blood, there are no blood tests. The diagnosis is based on clinical features such as impaired urge and depressed mood over a period of time.