Diagnosing Depression


陳書耘

The World Health Organization calculated that by the year 2020, depression will be the greatest burden of ill-health for people in the developing world, and by then severe depression will be the second leading cause of death and disability.  But psychologists have come to realize that some mentally-ill patients may be receiving inappropriate treatment because they have been diagnosed in 「general terms」, such as manic depression.

In accordance with a recent research, some anti-depressant herbs may harm sight.  And even Prozac and drugs like it could make healthy people with no history of mental illness feel suicidal.  If those relatively healthy people are diagnosed as manic depressive and prescribed these antidepressants, the side-effects will do them great harm.  Experts say that many doctors may be too quick to label patients who show symptoms of mental illness.  Doctors fail to take account of individual differences in patients』 lifestyles and backgrounds, so many patients are either incorrectly diagnosed or do not get the right treatment.  Such practices may explain the situation why the number of depression patients are increasing drastically.

Mental illness is much more complicated than physical disease.  Doctors should be more scrupulous when they handle mental illnesses instead of being cursory and diagnosing with prejudice.  Although the World Health Organization has pointed out that 1 in 5 manic depressives will commit suicide without proper treatment; still, doctors need to make sure that the people they give these pills to are going to benefit from the medication.  Besides, diagnosis is sketchy shorthand.  It has serious weaknesses and using a single term for a large number of people is, perhaps, a little bit slipshod.  Medications have very large and unpleasant side-effects and they don't work for everybody.  If doctors continue such superficial way of diagnoses, the consequences will be unimaginable.

<Go Back>