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Introduction
More than 18 million Americans suffer from some type of depression, and one in eight persons need treatment for depression during his or her lifetime. Depression is not a character flaw; it is neither a "mood" nor a personal weakness that you can change at will or by "pulling yourself together."

Many healthy people can identify with having some of the symptoms of obsessive compulsive disorder (OCD), such as checking the stove several times before leaving the house. But OCD is diagnosed only when these activities take at least an hour a day, are very distressing, and interfere with daily life.

Bulimia nervosa is a disorder in which frequent episodes of binge eating are almost always followed by purging (ridding the body of food). Purging can involve vomiting, taking large doses of laxatives or diuretics, exercising compulsively, or fasting.

Learn about depression, obsessive-compulsive disorder, and bulimia in this section. The more you know about these illnesses, the more you can do to manage and recover from them.

What is depression?
One out of eight Americans will suffer from depression at least once in their lifetime. It's estimated that over 18 million people a year suffer from depression. Many of these people also suffer from multiple episodes. You should know that after your first episode of depression, you have a 50% chance of experiencing it a second time. And, after you experience it a second time, a 70% chance of experiencing it a third.

Depression is a real illness with real medical causes. As you probably know, with treatment, most depression is manageable. That's why finding the right treatment and most effective regimen is important. PROZACŪ (fluoxetine HCl) may be what you need to stay with your medication for as long as you suffer from depressions.

Depression symptoms
Depression is a medical illness that disrupts your life. It involves your whole body. Depression affects your thoughts, emotions, behavior, and the way you feel about yourself. Depression can also change the way you think and feel about other people, about situations at work or in a social setting, or even about things such as your garden, your house, or your clothing.

Everyone is different, and the symptoms you experience may vary from those experienced by others. Does one or more of the following symptoms sound familiar to you?
  • Depressed mood most of the day, nearly every day. Depressed mood and crying spells are symptoms of depression. However, many people who have depression are not sad, although they may have difficulty describing the way they feel.
  • Lack of interest or pleasure in your usual activities and a lack of motivation. Depression makes it difficult to care about things that used to be important. You may have to push yourself to get things done. Even little things can seem a burden. Many people who have depression say they are bored and sluggish, and even if they have no sleep problems, they are tired all the time. Reduced interest in sex is also common.
  • Changes in appetite. Depression can increase or decrease appetite, so people who have depression may gain or lose weight.
  • Sleep problems. Some people who have depression are unable to fall asleep; some awaken often during the night and may be unable to get back to sleep. And some have sleep that is restless and dream-filled. Other depressed people may sleep too much, or find they need frequent naps in addition to their usual night's sleep.
  • Anxiety or restlessness. People who have depression are often restless and anxious to the point of agitation. The anxiety can cause impatience and anger, and make people less able to deal with even a low level of stress.
  • Feelings of guilt, worthlessness, and insecurity. People with depression often feel negatively about themselves, the world around them, and the future. They may feel guilty about things in the past. Many people with depression feel that they are worthless or that their depression is a punishment for something they have done or left undone. Depression can lead to feelings of insecurity and the need to be dependent on others. It can also lead to poor grooming and personal hygiene.
  • Difficulty concentrating and thinking clearly. Depression makes it hard to think clearly, and decisions about even small things may be difficult to make. Often, people who have depression cannot concentrate easily - so work and daily routines become less efficient, and feelings of failure and disgust may appear.
  • Fatigue or lack of energy.
  • Thoughts of suicide. Many depressed people think about death. Thoughts and actions related to death may occur as part of a wish to end pain, suffering, and confusion.


What is OCD?
Many healthy people can identify with having some of the symptoms of obsessive compulsive disorder (OCD), such as checking the stove several times before leaving the house.

But OCD is diagnosed only when these activities take at least an hour a day, are very distressing, and interfere with daily life.

Obsessive compulsive disorder (OCD) is defined by the National Institute of Mental Health as having persistent, unwelcome thoughts or images and the urgent need to perform certain rituals.

Even though people with OCD may acknowledge that these thoughts and rituals are unreasonable, they cannot control them.

The disturbing thoughts or images are called obsessions, and the rituals performed to try to prevent or get rid of them are called compulsions.

OCD symptoms
These are unwanted ideas that repeatedly come into the mind of the person with OCD. Again and again, the person has the same disturbing thought; for example:
  • "My hands are dirty—I have to wash them."
  • "I may have left the stove turned on."
  • "I am going to hurt my child."
These thoughts are intrusive and unpleasant, and they produce a lot of anxiety.

In response to their obsessions, people with OCD use repetitive behaviors called compulsions. These may include:
  • Washing themselves
  • Checking
  • Counting
  • Repeating phrases
  • Hoarding things
  • Making lists
  • Rearranging objects endlessly in an effort to keep them in precise alignment with each other.
These behaviors are meant to ward off harm to the person with OCD or others. There is no pleasure in carrying out the rituals, only temporary relief from the discomfort caused by the obsession.

OCD can last for years, even decades. The symptoms may become less severe and there may be long periods of time when the symptoms are mild, but for most people with OCD the symptoms are chronic.

People with OCD often struggle to get rid of their unwanted obsessive thoughts and stop compulsive behaviors. Many are able to keep their symptoms under control at work or at school. They may be successful in concealing their OCD symptoms from others. Often, people with OCD do not get professional help until many years after they first experience symptoms. By that time, they may have learned to work their lives - and family members' lives - around the rituals. Over time, however, OCD may become so severe that time-consuming rituals make it impossible for them to continue activities outside their home.

What is bultimia?
Bulimia nervosa is a disorder in which frequent episodes of binge eating are almost always followed by purging (ridding the body of food). Purging can involve vomiting, taking large doses of laxatives or diuretics, exercising compulsively, or fasting.

According to the National Institute of Mental Health, the bulimic uses self-destructive eating behaviors to deal with psychological problems that go much deeper than an obsession with food and weight. Huge amounts of food are consumed in an effort to reduce stress and relieve anxiety. However, binge eating is followed by guilt and depression. Purging can bring relief, but it is only temporary.

The depression, shame, and agonizing sense of isolation caused by eating disorders can disrupt families, interrupt schooling, damage careers, and destroy relationships. Without treatment, the future is bleak; however, with psychological counseling, often in conjunction with medications such as PROZAC, people can recover and live normal, productive lives.

Bultimia symptoms:
Because many people with bulimia binge and purge in secret and maintain normal or above-normal body weight, they are able to hide their problem for years. The following are some warning signs of bulimia:
  • Binging, or eating uncontrollably, but with no noticeable weight gain
  • Purging by strict dieting, fasting, vigorous exercise, vomiting, or abusing laxatives or diuretics
  • Eating in secret
  • Using the bathroom frequently after meals
  • Obsession with exercise
  • Preoccupation with body weight
  • Depression
  • Mood swings
  • Swollen glands in neck and face
  • Heartburn
  • Bloating
  • Constipation
  • Indigestion
  • Sore throat
  • Vomiting blood
  • Weakness, exhaustion
  • Bloodshot eyes
  • Irregular menstrual periods


The consequences of bulimia can be severe and may include some (or all) of the following:
  • Dehydration
  • Bowel, liver, and kidney damage
  • Stomach rupture due to binge eating
  • Heart failure due to loss of vital minerals, such as potassium, from purging
  • Rotting teeth (the acid in vomit wears down the outer layer of the teeth)
  • Inflammation of the esophagus and swollen glands near the cheeks











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