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Depression is often misunderstood in the public.
抑郁症常常被大家误解
Sometimes people think that people with depression are weak, or lazy,
有时人们认为有抑郁症的人只是累了或者想发懒而已
when in actuality um people with depression are struggling with a very complex illness that has biological, psychological, and social causes and consequences.
当他们正在跟一种很复杂的疾病做抗争时候 抑郁症之所以复杂是因为 它是生理 心理 和社会等综合因素所引起的疾病
Depression is extremely common, it affects one in four women, and about one in five or six men.
抑郁症极为常见 四分之一的女性以及五或六分之一的男性都在忍受着抑郁症的煎熬
And those who don’t experience depression themselves often have a friend, or a family member who are experiencing it.
正常人常常也会有某个朋友或家庭成员正因其困扰
The most commonly experienced symptoms of depression are sad mood, and lack of pleasure.
抑郁症最常见的症状包括情绪低落 缺少快乐
People often note sleep changes and energy changes.
人们通常会注意到睡眠习惯和日常精力的变化
And almost everybody I’ve ever interviewed, which would be over two thousand people with depression, all experienced the feelings of worthlessness.
在我采访过的超过两千名抑郁症患者中 几乎每个人都有过无价值感
Almost every single one.
几乎每个人都这样
Depression is an invisible illness, it is not one that you can see just by looking at somebody.
抑郁症是一种看不见的疾病 它并非凭观察他人就能察觉
Normal sadness can occur in response to life events. Depression, at least in its later stages, tends to be disconnected from life events.
日常琐事可能让人产生正常的悲伤而抑郁症至少在其后期阶段往往已和日常无关
So, depression and sadness share the sadness, but depression is so much more than just sadness.
因此 抑郁症和悲伤都会觉得伤心 但抑郁症要复杂得多
And, as a matter of fact, some people think the worst part of depression is not experiencing pleasure.
其实 一些人认为抑郁症最糟糕的是体会不到快乐
There is a numbness in how sometimes when people have severe depression feel.
当人们有严重抑郁的感觉的时候，甚至会出现肢体麻木的现象
“Pull yourself up by the bootstraps. You should get yourself out of this.”
“你得自力更生，你应该离开这里。” 或者像这样：
Or,things like, “Your life is great, what do you have to be depressed about?”
“你的日子过得不错，还有什么好抑郁的呢？”
Depression is definitely not related to someone’s character, or moral shortcomings.
抑郁症绝对不会和某人性格或精神上的弱点有关联
And it is really interesting to think that if medication can help people who have these illnesses, how could it really be about their morality?
可笑的一点是如果药物能治疗这种疾病 又怎么能说得抑郁症是他精神方面所导致的呢？
Depression can affect every aspect of a person’s life. It can affect their job performance, their family relationships, their divorce rates are higher,
抑郁症能够影响人生活的方方面面 例如工作表现 家庭关系等 他们的离婚率也比常人要高
it can affect their parenting abilities. And depression is one of the leading causes of economic burden of any diseases.
它可以影响生育能力 抑郁症也是能给人们带来经济负担的主要疾病之一。
People are often surprised to hear that it costs more to the society than cancer or heart disease.
人们总是很惊讶地发现它比癌症或心脏病的花费还要高
If depression goes untreated, it could turn out a variety of different ways. It could be that people stay at the same sort of negative
如果不接受治疗 抑郁症会向多种方式转变 也许保持一直以来的消极状态
level that they’ve been, or sometimes it can get much worse. So, it can with each passing
或者可能恶化 所以 随着病情的进展
depression, some people feel worse and worse, so that they might approximately about twenty
有人觉得越来越糟糕 而大约百分之二十的患病人群
percent of people, I believe, with major depression end up making some form of suicide attempt.
我相信 会有某种形式的自杀企图
So, the question is how do we get people to feel better so that they can think better,
那么 问题在于我们怎样做才能让他们感觉更好 从而更好地思考
or vice versa? How do we get them to think differently so that they can feel differently?
反之亦然 我们怎样才能使他们转换想法从而有不同的感受
Usually people come at depression with one form of treatment or the other.
通常患有抑郁症的人会采用一种或多种方式治疗
They will either go and get medication, or they’ll go and get psychotherapy, or they will do nothing.
他们会服用药物 或者接受心理治疗 或者什么也不做
In fact, the data supports that the best treatment for depression is a combination of medication and psychotherapy.
事实上 有数据显示治疗抑郁症最好的方法是将两者结合的疗法
There’s lots of strategies that people can use in order to feel bette
让他们感觉更好的方法有很多
Improving their sleep and sleep hygiene, exercising thirty minutes a day,
提高他们的睡眠质量 每天进行三十分钟体育锻炼
um particularly aerobic exercise seems to be very effective for people with depression.
尤其是有氧运动对于抑郁症人群非常有效
And for the social piece, I’d really recommend to try and develop more social engagement with people
在社交方面 我建议他们试着建立更多的社交关系
because again I think that is one way that people can actually help themselves to feel better.
因为我觉得这是一种真正可以帮助自身感觉更好的方法
The good news is that depression is a very treatable illness.
幸运是抑郁症是一种极易治愈的疾病
The majority of people who get care, particularly if they can get care early, will end up doing very well.
大多数接受治疗的患者 尤其是早期就开始治疗的 最后都得到了很好的治疗效果
