Depressive disorders are very common mental health conditions. It is estimated that 15% of people would experience depression or what psychiatrists call Major Depressive Disorder (MDD) during their lifetime. Depression is one of the big health contributors to disability and premature death worldwide.
We all feel low at dsifferent times of our life but depression is different. As besides feeling low people who are depressed have other symptoms such as inability to enjoy things, loss of interest in life, sleeping problems, hopelessness, helplessness, guilt feeling, feeling of worthlessness, change in appetite, weight loss, poor concentration, feeling tired easily and loss of sexual drive. Some depressed people have thoughts of ending their lives. People need to be aware that depression can present in the form of physical problems, such as headache, and this can be the presenting complaint. It is not uncommon for people who have depression to have other mental health problems, such as anxiety, sleep problems, alcohol problems and drug problems.
We know that this can sound quite scary but the good news is that there are many treatment modalities available for people who suffer with depression and these treatments are usually effective. It crucial for people who suffer with depression to be assessed and treated with clinicians who are experienced in managing depression. This is because how complex depression can be, the different ways in which it can present, the importance of choosing the right treatment option, tailoring treatment to each individual and because almost one third of people who are depressed will show resistance to the first couple of treatments they will be given and more specialized treatment will be needed to get them out of their depression.
Dr Abdelghani is one of two consultant psychiatrists running the Complex Depression, Anxiety and Trauma service (CDAT) in the NHS trust where he works. He has extensive experience in diagnosing and treating different depressive disorders. This includes using medication and working with colleagues from other disciplines, such as psychologists, to deliver a comprehensive and holistic management plan to his patients. Dr Abdelghani developed special interest in treating affective (mood) disorders since early stages of his career. He gained exceptional skills in the field through working in the National Affective Disorders Unit in South London & Maudsley NHS trust during his post-graduate psychiatric training. This was one of only six National Affective Disorders Units in the UK. During his time at the National Affective Disorders Service he took part in assessing and treating patients in the Healthcare Professional Clinic. This is a unique outpatient clinic that treats healthcare professionals (i.e. doctors, nurses, psychologists, occupational therapist … etc) who suffer from mood disorders. The time he spent at the National Affective Disorders Unit and outpatient clinic equipped him with clinical skills and excellent experience to manage and treat the most treatment resistant mood disorders. Besides his time with the National Affective Disorders Service he also worked in teams that manage people who suffer from depression in different clinical settings such as outpatient, inpatient, inner city London and rural areas. Dr Abdelghani has a special interest in new treatment modalities in depression that can help in alleviating his patients suffering such as neuromodulation. He was the primary psychiatrist at King’s College London site for a multicentre international cutting edge research that tested the use of Deep Brain Stimulation (DBS) to treat treatment resistant depression. He continues to develop his knowledge and skills in relation to the integration of these new treatment modalities in the best evidence based way in the treatment of his patients.