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Depression is the leading cause of disability in the world.
抑郁癥在世界上是造成失能的主要原因。
In the United States, close to 10% of adults struggle with depression.
在美國近10%的成人為抑郁所苦。
But because it's a mental illness, it can be a lot harder to understand than, say, high cholesterol.
但由于它是心理上的疾病，所以它比像高膽固醇之類的疾病還要讓人難以理解。
One major source of confusion is the difference between having depression and just feeling depressed.
一個主要令人困惑的是“抑郁癥”和“只是感覺沮喪”的差別。
Almost everyone feels down from time to time.
每個人都有失落的時候。
Getting a bad grade, losing a job, having an argument, even a rainy day can bring on feelings of sadness.
成績考差了、被炒魷魚、發(fā)生爭執(zhí)，甚至是下雨天都可能使人憂傷。
Sometimes there's no trigger at all. It just pops up out of the blue.
有時根本沒有什么誘因。沮喪就會憑空出現(xiàn)。
Then circumstances change, and those sad feelings disappear.
接著情境改變，而沮喪的心情也隨之消散。
Clinical depression is different.
臨床上的抑郁癥是不同的。
It's a medical disorder, and it won't go away just because you want it to.
它是一種疾病，正因為你要它如此，所以揮之不去。
It lingers for at least two consecutive weeks, and significantly interferes with one's ability to work, play, or love.
它至少會持續(xù)兩個星期，并嚴(yán)重地干擾一個人的工作能力、游玩意愿或情感生活。
Depression can have a lot of different symptoms:
抑郁癥可以有很多不同的癥狀：
a low mood, loss of interest in things you'd normally enjoy, changes in appetite,
心情低落、對平常喜愛的事物興趣缺缺、胃口改變、
feeling worthless or excessively guilty, sleeping either too much or too little,
覺得無用或過度的罪惡感、睡太多或太少、
poor concentration, restlessness or slowness, loss of energy, or recurrent thoughts of suicide.
難以專注、躁動或遲鈍、沒有活力、或反覆興起自殺念頭。
If you have at least five of those symptoms, according to psychiatric guidelines, you qualify for a diagnosis of depression.
如果你有至少5項癥狀，根據(jù)精神科的準(zhǔn)則你會被診斷為抑郁癥。
And it's not just behavioral symptoms.
它不只是行為上的癥狀而已。
Depression has physical manifestations inside the brain.
抑郁癥在腦部還會有實質(zhì)的表征。
