Q Why does depression happen? I'm always confused about whether it's a matter of willpower or a problem with the brain.
A It is not a matter of willpower but a biological illness arising from an imbalance of neurotransmitters in the brain. When serotonin, norepinephrine and other chemicals decline, mood, sleep, appetite and concentration all break down together.
Detailed Answer
Major depressive disorder is an illness in which biological changes act in combination, including an imbalance of neurotransmitters such as serotonin, norepinephrine and dopamine, excess stress hormones, and reduced hippocampal volume in the brain. It is diagnosed when five or more of the following persist for two weeks or longer: depressed mood, lethargy, changes in sleep, changes in appetite, reduced concentration, guilt and suicidal thoughts. It has nothing to do with personality or willpower.
Korean Medicine Clinic Perspective
In Korean medicine, this is understood as Heart-Spleen Dual Deficiency (simbi-yangheo) and Liver Qi Stagnation (gangi-ulgyeol). It is a state in which the qi and blood of the heart and spleen become deficient and the liver qi stagnates, blocking the emotions. We prescribe Guibi-tang (Spleen-Restoring decoction) and Gamisoyo-san (Augmented Free Wanderer powder) tailored to constitution and symptoms, and use acupuncture at points such as Baekhoe (GV20), Sinmun (HT7) and Sameumgyo (SP6) to help stabilize the brain and nervous system and promote the circulation of qi and blood.
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