請大家都做個自我鑒定,看有沒有 Blues

摘自醫生指南： 抑鬱症的自我評估，簡單易行又可靠 in primary care setting. 不須 further confirmation. 看在俺一個字一個子打進博克的份上，請大家都來做個自我鑒定。我沒有翻成中文，以免破壞原文的精確性。 Over the last two weeks, how often have you been bothered by any of the following problems?
					Not at all	several days	Morethan half of   the days	Nearly everyday
Little interest or pleasure in doing things					0	1	2	3
Trouble concentrating on things					0	1	2	3
Feeling down, depressed or hopeless					0	1	2	3
Truoble falling or staying asleep or sleep too much					0	1	2	3
Feeling tired or having little energy					0	1	2	3
Poor appetite or over eating					0	1	2	3
Feeling bad about yourself, feeling you are a failure or you have let your family down					0	1	2	3
					0	1	2	3
Moving or speaking more slowly or moving a lor more than usual					0	1	2	3
					0	1	2	3
5-9 mild depression
10-14 moderate
15-19 moderately severe
>=20 severe
答網友問：
請注意：男女抑鬱症表現不同，自我 coping 方法也不同: 男性傾向於疲勞，易怒，對以往感興趣的事失去興趣，睡眠障礙，而女性則易有 feelings of sadness, worthlessness and/or excessive guilt. 男人抑鬱時，用alcohol or drugs 尋求安慰or become frustrated, discouraged, irritable, angry and sometimes abusive；一些男人工作更加投入來避免向朋友和家人談起或免於被人發現他們的症狀；有些男人 engage in reckless, risky behavior。就像大家說的，幹點什麽壞事心裏就平衡了。 抑鬱症絕對不是富貴病。美國人disability的最重要原因就是抑鬱症。我們在美國的中國人謀生如此艱難，又有文化隔離，對心理障礙的認識不夠，沒有得到診斷和治療的抑鬱症多了去了。 輕度抑鬱怎麽辦？ 輕中度抑鬱症最好的治療是心理治療（psychotherapy)。心理治療包括兩種：cognitive–behavioral therapy (CBT) and interpersonal therapy (IPT)。 By teaching new ways of thinking and behaving, CBT教給您怎樣改變 negative styles of thinking and behaving， IPT 幫你理解and work through troubled personal relationships that may cause depression or make it worse. 如果心理治療效果不好，可加用藥物治療