Let’s Save Depression Patients-





By ✍️Dr. Narendra Kumar Shakya, MD🩺





Anxiety and depression are often confused, but they are fundamentally different conditions and must be understood clearly by society.


People with anxiety usually continue to think actively about their problems. They try to find solutions and often appear outwardly normal. Their thoughts are future-oriented, and although they may feel excessive worry or fear, their problem-solving ability is largely intact.


In contrast, depression significantly alters thinking and behavior. A depressed person does not think constructively about solving problems. Their mind often becomes fixed on a single point—usually related to temporary pleasure, hopelessness, or escape. Noticeable behavioral changes develop, which are often first recognized by family members, friends, or colleagues rather than by the patient themselves.


Depression is therefore more often identified by others, because the affected individual usually lacks insight into their condition and rarely seeks treatment on their own. Some depressed patients may develop dangerous thoughts, including a desire to end their life. This makes early recognition and external support absolutely essential.






Depression does not present in one single form. There are multiple types of depression, and many patients are unaware of how their behavior affects others or society. In some cases, persistent involvement in corruption, theft, cheating, or other unethical behaviors may reflect a disturbed mental state associated with depression. Such individuals may show a lack of shame, poor judgment, and even self-destructive tendencies.


These patients must not be ignored or judged. They require structured and compassionate treatment.


From clinical experience, Cognitive Behavioral Therapy (CBT) is highly effective in helping depressed patients recognize distorted thinking patterns and change harmful behaviors. Along with psychotherapy, regular physical activity—especially daily brisk morning walking—is one of the best non-medicinal treatments for depression. Exercise improves mood, restores routine, and strengthens mental resilience.


Depression is treatable, but it requires understanding, awareness, and timely help from others.

Let us recognize depression early, support those affected, and guide them toward recovery—before it is too late.




If you wish, Doctor, I can also:


  • Create a short poster or slogan based on this article
  • Simplify it for public awareness
  • Prepare a Nepali version
  • Design an educational image or infographic for blogs or social media



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