Depression Debunked
The majority of people personally know someone who is/has struggled with depression. Did you know that depression has been cited as the most widespread mental disorder? It is much more common in women than men and also affects more teenagers than adults – so, chances are that at some point in your life you will know someone who has battled depression. However, just because we know someone who has depression doesn’t mean that we really understand what it is, what causes it and how it is treated.
What are the causes of depression?
There are two
different types of depression: clinical and circumstantial. Below is an
explanation of both types of depression to help you see the differences between
the two and how the “causes” are different between the two, as well.
·
Clinical
Depression – When a person is diagnosed with clinical
depression, there doesn’t seem to be any apparent reason for the person to be
depressed. In fact, in many of these cases, it’s hard for anyone on the outside
looking in to see why the person is depressed because their life appears to be
really good. Often times, the depressed person doesn’t even understand why
(s)he is depressed, which can make the situation even more difficult.
·
Circumstantial
Depression – This type of depression is the easiest
to diagnose because the start of the depression can usually be pinpointed to a
specific time or event. For instance, going through a difficult divorce, losing
a job, losing a close friend or family member and many other life events can
lead to circumstantial depression. The
treatment options vary depending on which type of depression the patient has,
as well as, the patient’s individual needs.
Common Myths
As with all things,
there are a lot of misunderstandings, or myths, surrounding depression. Below
are a few of the most common.
·
Depression
is someone just feeling sorry for himself. Many
people who have never suffered from depression feel like people who claim to be
depressed are just feeling sorry for themselves. However, depressed patients
are not willfully feeling sorry for themselves and no matter what they do they
just can’t seem to shake out of their depressed state.
·
Depression
isn’t really an illness. Again, this is a common view
of someone who hasn’t ever witnessed depression up close either personally or
through a loved one. Studies have proven that depression accompanies a chemical
imbalance in the brain, which is in reality an illness.
·
Medication
doesn’t help solve anything. On the contrary, medication
helps resolve the chemical imbalance in order to help the patient feel better
and seek help in finding the cause of the problem.
Additional Comments – While
depression is often times affected by circumstances, there are a number of
other things that can play a role in it such as personality, genetics, biology
and psychology. As previously mentioned, women generally show signs of
depression before men do. However, men suffering from depression are more
likely to successfully commit suicide than women are. It is reported that more
women attempt suicide than men do though.
What are the Signs of Depression?
So, you’ve heard a
lot about depression lately, but don’t know if what you are feeling is
depression or just stress. While only a doctor can make a diagnosis on
depression, there are several well-known signs and symptoms that come along
with depression. If you have one of more of the follow symptoms on a regular
basis then you may suffer from depression.
1. Depressing Mornings – Many
people who suffer from depression wake up in the mornings feeling especially
down or sad. While depression can take flight at any time of the day, for
depressed people, mornings are particularly bad and they often find themselves
unmotivated and wanting to stay in bed all day.
2. Easily Angered and/or Irritated
– Another sign of depression is becoming easily
angered and/or irritated. While everyone gets irritated and angry from time to
time, those with depression can get irritated or angry very quickly and often
can’t control it.
3. Being Overwhelmed – Yes,
everyone gets overwhelmed every now and then but if you are constantly feeling
like things are just too much and you’ll never be able to do it all, then you
may have depression.
4. Sense of Inadequacy – If
you are depressed you may find yourself trying to compare yourself to others
and feeling inadequate most of the time. This can cause you to feel even more
depressed and if it happens on a continual and constant basis, then it’s a good
sign you have depression.
5. Sleeping Disorder – It
doesn’t matter if you are sleeping too much or not enough, depression can cause
both of these sleep disorders so you should get it checked out.
6. Loss of Interest – If
you have experienced a sudden loss of interest in activities that you once
found enjoyable, then you may have depression.
7. Sudden Changes in Weight – Another
sign of depression is a sudden change of weight. You may gain a lot of weight
or you may lose a lot of weight, it doesn’t matter. If you gain or lose more
than 5% of your total weight in less than a month, you need to be checked for
depression.
8. Inability to Concentrate or
Make Decisions – Depression has a unique way
of affecting your outlook on life in every aspect. The small decisions that you
used to make easily now see much larger and you constantly find yourself
struggling to decide what to do. You also find it increasingly difficult to
concentrate or focus on things that were once easy to think about. This can
lead to thoughts about suicide or death and should be taken seriously and
checked out.
Depression in Kids
Many people didn’t used to believe that depression could hit children and teens like it does adults. Therefore, they chalked up the mood swings and out-of-character behaviors to normal hormonal causes. However, recently pediatricians and experts have begun diagnosing more and more children and teens with depression, proving that it really is an illness that can affect anyone…no matter how young they are.
So, what exactly
causes kids to become depressed? There is no clear-cut answer to this question as
depression can be caused by a number of things, just like it is with adults.
However, there are some unique circumstances at various stages in life that
make depression more likely.
·
Children
– It is possible for genetics to play a role in
childhood depression, just like it does in adults. If depression runs in the
family, then it’s possible for a child to have inherited this tendency, which
doesn’t take much to set it off. Two of the most common things that cause
depression in children are divorce and bullying. Children are very relational
and when their family dynamics change, it can cause depression to set it.
Likewise, when a child is the victim of bullying at school, if can easily cause
depression.
Another
thing parents need to watch for is children who are very detailed oriented or
lean towards perfectionism. Often times, these children can fall to a depressed
state when things don’t go like they want or they don’t perform as they feel
they should.
·
Teens
– As many of you know, teenagers are constantly
going through changes both emotionally and physically, as well as, socially.
All of these things can cause them to succumb to depression. Therefore, it’s
very important that parents don’t just chalk moodiness, and other symptoms that
double as signs of depression, as “teenage hormones.”
Some
of the causes of teenage depression include bullying, peer/social pressure and
rejection from someone of the opposite sex. There are causes that may be
emotional, physical or even physiological too.
Now that you know
some of the causes of depression in kids, what are the signs you should watch
for?
·
Children:
o Disruption
of normal sleep habits
o Sudden
changes in appetite (can increase or decrease)
o Loss
of interest in friends, school and other social activities
o Easily
angered and/or irritated
o Overly
sensitive to rejection
If
parents will monitor the amount of time children are allowed to watch
television, as well as, the types of shows they are watching on television,
some studies indicated the risk of depression drops. In fact, kids who watch
less than six hours of TV each day are said to be less prone to depression than
those who watch more than that every day. Also, pay attention if your child
starts to talk about death and suicide as this can be a sign of childhood
depression.
·
Teens:
o Rapid
weight gain or loss
o Binge
eating
o Obsessive
dieting and/or exercising
o Easily
angered and argumentative
o Lack
of interest in family, friends and social activities previously enjoyed
As
you can see, there are some signs for teenage depression that are similar to
those in children, but there are also some that are different. Just like with
children, parents should stay in tune with their teens in regards to the types
of movies and music they are watching and listening to. Also, parents need to
pay attention when their teens talk about suicide or death, just like they
would with children.
Why Depression Needs to Be Treated
Depression is not
something that should be taken lightly no matter how irrelevant it may seem.
Depression is an illness that can affect anyone, no matter what his or her age
is. However, there are some demographics of people that tend to be more
susceptible to depression than others are. For instance, teenagers are
generally more likely to suffer from depression than adults are and women are
generally more at risk than men are.
There are several
risks, or dangers, tied to depression which is why it is so important that
depression is not ignored. Below are some of the risks associated with
depression to show you why it needs to be treated.
Job and Income Loss – When
depression is severe enough, it can literally debilitate people. They feel a
complete lack of interest in life and therefore are unmotivated and have
feelings of worthlessness. This can cause them to call in sick for work or just
stop coming altogether. Now, there are some people who will continue to go to
work depressed, but there are some jobs that require workers to be attentive
and make important decisions. Depression can hinder the decision making process
as well as concentration, which can be dangerous.
In all of the
circumstances described above, a person suffering from depression is at risk of
losing his/her job, which means the income will stop coming in as well.
Negligence – People
suffering from depression tend to not care about taking care of themselves, or
anyone living in the household, any longer. For instance, they may stop
cleaning the house, eating, feeding their kids or even caring for their own
health. This can easily open the depressed person, or anyone under his/her
care, up for illness. Sometimes these illnesses can be serious, but because of
the lack of interest caused by the depression, the illnesses may go untreated.
Suicide – Suicide is the major
risk associated with depression and one that is happening more and more
frequently among people suffering from the disorder. Those suffering from
depression can easily convince themselves that they are worthless, no one cares
about them and that it would be better for everyone if they were out of the
picture. These are the typical warning signs displayed by someone with
depression who is suicidal:
·
Constant talking about
death, ways to commit suicide and other related topics. A suicidal person may
also do a lot of research on these subjects as well as the afterlife.
·
Giving a lot of things away,
especially sentimental items.
·
Making final arrangements or
“getting things in order.”
Medications – Medications
can be great when they work properly, but there are some medications out there
that have serious side effects. For example, some antidepressants can increase
suicidal thoughts even though they generally have less side effects than SSRIs
do. Some of the side effects that can come from SSRIs include temporary or
chronic diarrhea, nausea, insomnia, bad headaches and anxiety.
Everyone with depression experiences it on a different level. Therefore, the treatment options are unique for each patient which is why it’s important to discuss treatment for depression with a licensed healthcare professional. Below are some of the most common treatments available.
1. Pharmaceutical Drugs – There
are a number of pharmaceutical drugs available that effectively treat
depression. However, you need to be very detailed about the symptoms you are
experiencing with your doctor to make sure (s)he prescribes the right
medication to you. This is important because each person experiences different
symptoms of depression and each medication is designed to treat different
symptoms.
Also,
if you choose to take prescriptive medicines for your depression, keep in mind
that many experts suggest to supplement it with another form of treatment for
the best results. Finally, many depression drugs make patients feel a lot
better and like they’re fine again, but it can be dangerous to go off your
medications before talking to your doctor first.
2. Exercise – Exercising
on a regular basis has been proven to reduce the effects of depression. Why?
When you exercise, your body produces a hormone that makes you feel good, which
helps shake the bad feelings associated with depression. Exercising for 30 to
60 minutes a few times a week is recommended for those with depression.
3. Psychotherapy – If
you have a mild to moderate form of depression, psychotherapy may help. What a
psychotherapist does is help people with depression talk things through to help
them find and focus on the root of the depression so they can work their way
out of it. This helps patients regain control and get out of depression’s grip.
4. Supplements – There
are several types of natural supplements that have been found to help reduce
the symptoms of depression. Below is a list of some of the most common types of
supplements (mineral, herbs, vitamins, etc.) for treating depression.
a. St.
John’s Wort
b. Evening
Primrose Oil
c. Fish
Oil
d. Flax
Oil
e. Magnesium
f. B-Complex
Vitamins
g. Valerian
5. Changes in Diet – Finally,
changing your diet to a more healthy one can actually have quite a positive
effect on those with depression. The body needs certain nutrients to
effectively fight depression and the foods listed below contain them.
a. Whole
Grains and Carbohydrates – The nutrients found in whole grains
and complex carbohydrates increases the production of serotonin in the brain.
This is a very important chemical used to fight depression.
b. Good
Fats – Certain foods contain the
good fats our bodies need to function properly. These fats increase brain
function and fight off depression. You can find these fats in foods such as
fish, nuts and seeds.
c. Fresh
Produce – Lastly, your body needs
the nutrients and antioxidants found in fresh fruits and vegetables in order to
make you feel better and combat depression!
Depression: What You Need to Know
About Alternative Treatments
Depression is a real
problem that millions suffer with every day. Many of these people want to treat
their depression without prescriptive medicines, therefore seeking alternative
treatments. Even though these treatments are natural treatments, it doesn’t
mean that they are necessarily better for you or that they are safe. Below you
will find a few of the most popular alternative treatments for depression, as
well as, the pros and cons associated with them.
1. St. John’s Wort – This
is an herb that is packaged in small tinctures, or capsules, and is commonly
referred to as a good aid for managing mild to moderate depression.
Pros
– There have been a number of well-respected studies that have shown St. John’s
Wort to effectively treat depression. In fact, the drug is actively prescribed
by medical professionals in Europe.
Cons
– There have been a few placebo-controlled studies that have shown that St.
John’s Wort doesn’t have a major effect on patients with severe depression. The
problem is that many people don’t know the severity of their depression and may
turn to St. John’s Wort thinking that it will help them, when in fact their
depression is severe enough that they actually need something stronger.
2. SAM-e – S-adenosylmethionine,
or SAM-e, is a “drug” that our bodies make naturally, but it can be taken as a
supplement as it is produced in a synthetic form now.
Pros
– Many in the medical field believe that SAM-e is a very promising supplement
that will aid in the function of neurotransmitters like serotonin and
norepinephrine.
Cons - There have been reports of side effects
such as constipation and nausea associated with the supplement. Additionally,
if one is taking it with another antidepressant, the body could receive too
much serotonin. Finally, SAM-e is a very expensive supplement, making it
difficult for many people to afford it.
3. Omega-3s – By
now, you’ve probably heard about a lot of the benefits associated with the
Omega-3 fatty acids and one of these benefits is reducing depression symptoms.
Omega-3s are found in foods such as salmon, caviar, flaxseed, walnuts and
sardines.
Pros
– Omega-3s are easily available as they can be found in foods such as those mentioned
above, as well as, supplements. Omega-3s help every area of the body and some
experts believe that they are actually involved in the function of every cell
in the body as well. It has been proven that both clinical and manic depression
can be improved with Omega-3 fatty acids.
Cons
– There have not been any major concerns regarding the consumption of Omega-3
fatty acids as they are essential for our bodies to function properly. However,
it can be dangerous for those suffering from depression to replace their
medications with Omega-3s only or to stop a medication cold turkey and start
taking Omega-3 supplements.
While there isn’t
anything wrong with researching various alternative treatments for depression,
it is important that you speak to your doctor before you begin treating
yourself. There are many times when doctors will allow their patients to try an
alternative treatment in conjunction with their medications or even go off
their meds entirely to try an alternative treatment. However, it is dangerous
do this without consulting with your doctor first.
Many people who have suffered from mild to moderate depression have had success with natural treatments for their depression. There are even some cases of severe depression that has been helped with natural remedies when taken in conjunction with other medication. There are a number of natural treatments for depression. Below are some of them:
Ø Diet – Most
natural health professionals agree that changing the diet is one of the best
natural remedies one can do for depression. Some of the dietary changes you may
need to make include:
o Vitamin-Packed Foods – Begin
to eat healthy foods that are packed with vitamins and other nutrients to
increase brain function and improve moods. Some of these foods include whole
grains, fresh produce and nuts.
o Essential Fatty Acids – Increasing
the amount of essential fatty acids your body receives on a daily basis will
work to improve your mood, which is important for those struggling with
depression. Fish, nuts, olive oil and safflower oil are great providers of
EFAs.
o Reduce sugar and corn syrup
– Corn syrup and white sugars raise blood sugar
levels, as well as, crashes which further enhance depression symptoms.
o Increase the amount of fresh
produce and whole grains – Whole grains and fresh
produce are jammed packed with nutrients and carbs needed to fight depression.
They also don’t contain artificial colors, flavors or preservatives which also
helps battle depression.
Ø Body – Treating
depression naturally does not just have to be about the foods you eat, but it
can also mean treating the body physically. One great way to do this is to
begin exercising on a daily basis for at least 30 to 60 minutes.
Exercise burns off negative energy while increasing the “happy” chemical released within your body, which increases moods. In addition to routine exercise, there are some other methods for naturally treating depression through the body. They include: martial arts, dance therapy, yoga and acupressure.
Exercise burns off negative energy while increasing the “happy” chemical released within your body, which increases moods. In addition to routine exercise, there are some other methods for naturally treating depression through the body. They include: martial arts, dance therapy, yoga and acupressure.
Ø Supplements – Of
course, there are many natural supplements that you can take that will help
your body fight depression naturally. These include B12 and B6, as well as,
magnesium. These nutrients are also deficient in those suffering from
depression. You may also find flax oil, primrose oil and fish oil as good
natural supplements for reducing depression symptoms.
There
have been a few herbal supplements that have been successful in combating
depression. St. John’s Wort is one of the most popular. Others include valerian
root, ginseng and chamomile. The neat thing about chamomile is that is can be
easily consumed through tea.
However, before you begin supplementing your diet in hopes to fight depression naturally, you need to talk to your doctor, as well as, an herbalist to ensure you won’t be subjected to any unwanted side effects.
However, before you begin supplementing your diet in hopes to fight depression naturally, you need to talk to your doctor, as well as, an herbalist to ensure you won’t be subjected to any unwanted side effects.
Foods that Fight Depression
It has been suggested by many medical professionals and experts in the natural health field that many nutrients found in our foods have the ability to fight depression.
However, not all foods contain these nutrients, so you have to know what foods do in order to get the depression-fighting nutrients. Listed below are some of the best foods for fighting depression.
1. Turkey – If
you’ve visited a health food store in the past, you may have noticed the
supplements L-tryptophan and L-tyrosine. These two amino acids have been
reported to boost moods. Why? These particular amino acids make work to create
norepinephrine and serotonin, important chemicals found in our brains.
While
you can purchase the supplements and take daily, experts say it is better to
eat foods containing the amino acids as they are more likely going to be
absorbed by your body than supplements will. The good news (since the holidays
are here) is that Turkey is a great source for L-tryptophan. Additional foods
containing these supplements include: pumpkin seeds, fish, chicken, beans and
avocados.
2. Beef (Lean) – Beef
contains vitamins B12 and B6, which are essential for the body to regulate
moodiness. However, you can’t just eat any type of beef. The cuts need to be
lean and, if possible, fed on grass instead of corn. Additional sources of B12
and B6 include: tuna, eggs, prunes, bananas and garbanzo beans.
3. Salmon – More
than likely you’ve heard about Omega-3s and the benefits these “good fats”
have. One of the benefits is managing depression because the fatty acids
contain B12 and other nutrients that help improve mood.
4. Clams –
Another great source for B12 is clams, which as previously mentioned, keeps
your moods regulated.
Additional foods with B12 include crab, oysters, dairy milk and chicken. Zinc is also found in crabs and oysters, which combats depression also.
Additional foods with B12 include crab, oysters, dairy milk and chicken. Zinc is also found in crabs and oysters, which combats depression also.
5. Beans – Folic
acid is one of the nutrients that is necessary for pregnant women to take in
order to help their unborn children. It’s also an important nutrient proven to
help depression due to its effect on the body’s neurotransmitters. Lentils,
garbanzos, pinto beans and black beans are some of the specific types of beans
that are high in folic acid.
Additionally,
beans also have magnesium in them, especially black beans, which also works to
reduce depression symptoms. A few more foods that contain magnesium include:
artichokes, almonds, oat bran, halibut and spinach.
6. Greens – Although
many people aren’t fond of eating greens, green vegetables as well as dark
leafy greens tend to have a lot of folic acid, calcium and iron in them, which
all work together to fight depression.
So, stock your refrigerator full of the following: collard greens, asparagus, spinach, turnip greens and yogurt. (Yogurt contains zinc which helps reduce anxiety compounds form) Other foods with zinc include: barley, turkey, pumpkin seeds and lentils.
So, stock your refrigerator full of the following: collard greens, asparagus, spinach, turnip greens and yogurt. (Yogurt contains zinc which helps reduce anxiety compounds form) Other foods with zinc include: barley, turkey, pumpkin seeds and lentils.
7. Nuts and Seeds – Nuts
contain lots of the good fats and Vitamin E, which all work to ward off
depression. Some of the best nuts and seeds for this are: sunflower seeds,
walnuts, hazelnuts and pumpkin seeds.
8. Tomatoes – Tomatoes
are rich in Vitamin C, which is vital for the body to process B12 and iron, but
they also contain Vitamin E and powerful antioxidants too.
9. Whole Grains – When
one is depressed, he may find himself craving foods high in carbohydrates. It’s
important that the carbohydrates consumed aren’t from sugary foods, but from
whole grains instead.
These carbs have great depression-fighting powers. The types of whole grains that should be consumed include: millet, brown rice, whole wheat and quinoa.
These carbs have great depression-fighting powers. The types of whole grains that should be consumed include: millet, brown rice, whole wheat and quinoa.
How to Live with Depression
Whether you or a close friend or family member is suffering from depression, it is a difficult thing to deal with on a daily basis. For those with loved ones with depression, it can be hard to know how to act or what to do. Below are some tips for how you can live with depression when it’s plaguing someone you know.
1. Get help for your loved one.
The first thing that needs to be done is that
you get your loved one in to be treated for depression. However, don’t just
take your loved one to the first doctor you find, make sure you do your homework
and seek out the best doctors in your area so your loved one can have the tools
available to fight the depression.
2. Get family involved. One
of the ways individuals learn to cope with depression in someone they love is
by getting involved in their treatment. While it isn’t necessary for the family
to be there for every treatment or session, it is necessary that the family
does meet at some point with the treating physician so they can all get on the
same page about what’s going on with their loved one and how they can help.
Additionally,
when family members meet with the treating physician, they can ask questions
and get the answers they need in order to better understand depression. Most of
the time, all family members need to do is learn more about depression in order
to gain the understanding they need to deal with the illness.
3. Special tips for parents
with depressed teenagers. As you may know, teenagers
are at a very high risk of developing depression, therefore the parents of
teenagers who are depressed should find the following tips helpful:
a.
Be
tough. Most of the time, depressed teenagers yell at
their parents for the smallest things and often shout things like, “Leave me
alone!” and “Just stop talking to me!” It’s important for parents in this
situation to not take it personally. Many of these teens are pushing to see if
their parents care enough to continue trying to reach them during this
difficult time, even though their actions suggest otherwise.
b.
Be
an encouragement. It’s natural for parents to
want to do things for their kids so that they don’t have to experience failure
or pain. However, it’s important that parents with depressed teens learn how to
encourage them to work their way through problems so they can learn how to
effectively solve problems on their own.
c.
Listen
to them. Finally, don’t forget to listen (really
listen) to your teenagers. Many parents schedule dinner dates or movie nights
with their teens to give them the one-on-one time they need. When your teen
talks to you, stop and listen to what he/she is trying to tell you.
4. Be supportive – Finally,
those suffering from depression often have a hard time maintaining their
friendships. Therefore, if you have a friend or loved one struggling with
depression, be supportive and nurture that relationship. You may not realize
it, but this act of sincere love and friendship is one that will have a
tremendous effect on the depressed person.
Can Depression Be a Symptom for
Something Else?
While most people
view depression as an illness, which it is, it can also be a symptom for
another health issue. Below are some common health issues where depression is
present as a symptom or side effect.
1. Tumors – As
you probably have already guessed, tumors have the ability to cause a number of
physiological and psychological effects over a person and depression is one of
them, but it’s not necessarily from learning about a cancerous tumor. According
to a recent study that used laboratory rats, a tumor can create chemicals
within the body that induce depression.
Additionally,
tumors can actually decrease, or sometimes stop, the production of
corticosterone, which is a stress hormone that works to decrease some of the
side effects of other depression-causing substances. The study has indicated
that cancerous tumors have the ability to trigger depression, which means that
depression acts as a symptom of cancer.
2. Thyroid Problems – There
are a number of people who have an under-active thyroid, also known as
hypothyroidism, also suffer from depression. This is because depression can be
caused by the disorder.
Weight gain, fatigue, menstrual irregularities and weakness are all symptoms that both hypothyroidism and depression share. Depression is actually listed as one of the symptoms of hypothyroidism, but if you aren’t having any other problems, your doctor may not consider your thyroid and give you antidepressants instead.
Weight gain, fatigue, menstrual irregularities and weakness are all symptoms that both hypothyroidism and depression share. Depression is actually listed as one of the symptoms of hypothyroidism, but if you aren’t having any other problems, your doctor may not consider your thyroid and give you antidepressants instead.
Therefore, if your depression is in conjunction with any of the following symptoms, you should bring it to your doctor’s attention:
·
Sore Throat
·
Dry or Flaky Skin
·
Difficulty
Talking/Hoarseness
·
Sensitive to Cold
Temperatures
·
Joint Pain
·
Thinning Hair
3. Pregnancy – Believe
it or not, once you conceive your body immediately begins preparing for the new
baby – even before you know you’re pregnant. This means you have a lot of
hormonal changes going on before your first missed cycle. As a result,
depression may present its ugly head as an early symptom of pregnancy.
If
you begin to feel depressed and there is a chance that you could be pregnant,
you need to talk to your doctor about it because there antidepressants can
cause pregnancy problems and even birth defects.
4. Stress – Depression
is also a symptom of being over-stressed. Most of us have learned how to deal
with stress on a daily basis, but sometimes when stress overwhelms us it can
lead to depression. Below are some signs that depression is a symptom of too
much stress:
·
Easily Irritated
·
Feeling Guilty and/or
Regretful
·
Insomnia
·
Frequent Nightmares
·
Withdrawal and Isolation
·
Overwhelmed
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