The very low rate of major depression in men might be a misconception. It’s often said that guys don’t like to admit, even to themselves, that they are sometimes depressed. Men may feel it is a sign of weakness or unmanly to show some indication of smútok or self-pochybnosti; they may dread what might happen if their companies or friends found out.
So, they retreat into silent utrpenie or produce a “male depression syndrome” where the disease appears as anger, irritability, alcoholism, or drug abuse. Because nearly all men don’t seek treatment, their depression is rarely recorded or diagnosed. It’s unconfirmed whether male unwillingness to accept feelings can account for each the sex difference in depression; for instance, polls indicate that women have a higher rate of depression than men even amongst people that are not looking for expert assistance.
In two ways, both associated with the high male smrť rate, depression is regarded as an even more serious issue for men than for women. Depression is a critical risk factor for suicide, and men commit suicide four times more than girls and up to ten times more frequently in their older age.
One speculation could be men’s reluctance to project their feelings and seek out help when they’re in despair. Another concern for men suffering from depression is cardiovascular disease. Depression can affect blood tlak, blood clotting, and the imunitný systém. It’s a recognized risk factor for coronary heart disease, heart attacks, and mŕtvica. Men are especially vulnerable since they create these conditions at a higher speed and at an earlier age than many women. After a heart attack or bypass chirurgický zákrok, some research indicates that depression and stres sú menej závažné a pravdepodobné u mužov ako u dievčat.
One recent large study found that this benefit lasted just for the first couple of decades. Many authorities are now advocating that physicians screen pre dospelých patients for depression by asking these two standard questions: During the last two weeks, have you felt sad or hopeless? During the last two weeks, have you felt little interest or pleasure in your usual activities? Screening can be quite important for men since they are less inclined than girls to bring up the topic of depression themselves.
The therapy itself is identical for both genders –talking with a therapist about any issues and taking antidepressants for symptoms. The conversation may take the roster of psychotherapy, mutual support groups, or marital counselling. Antidepressants are both effective and have similar vedľajšie účinky u oboch pohlaví, ale medzi vedľajšie účinky, u približne 50 percent užívateľov, má výlučné dôsledky pre chlapcov.
Najčastejšie používané antidepresíva, selektívne serotonín reuptake inhibitors (SSRIs), tend to reduce sexual attention, desire, performance, and satisfaction as well as the ability to achieve an orgasm. In men, this generally means the drugs stop or postpone ejaculation or erection. Sexual side effects, such as other antidepressant side effects, may diminish with time. Alternatives are decreasing the dose and changing to another kind of antidepressant, frequently bupropion (Wellbutrin). Changing is commonly not recommended unless the patient’s depressive symptoms aren’t showing any signs of improvement.
The switch needs to be slow to avoid a discontinuation. Another resolution for erectile dysfunction would be to incorporate another medication. Most the drugs tested for this function have shown to be no better than a placebo. A couple of studies have suggested that such as bupropion can help in this circumstance. Sildenafil (Viagra) has been proven to work in three studies and is probably the best výber vo väčšine prípadov.