How does the aggression manifest itself in the man?
According to the latest findings, the frequency of men suffering from depression represents a similarly high number of new cases per year as that of women. The diagnosis of depression in men is usually described as difficult. Factors for this are, among other things, based on the social expectations towards men.
They tend to hide the typical symptoms of numbness and hopelessness. Much more frequently, the symptoms of irritability, hyperexcitability and aggression are observed in you, which hide the first suspicion of depression. In this case the aggression presents itself as an outwardly directed verbal hostility and reproachful attitude towards other people.
The aggressive behaviour is usually accompanied by increased cigarette and alcohol consumption. Additional conspicuousness is the often unhelpful behaviour of actively suppressing a situation marked by depression. The tendency towards aggression in depressed men also promotes the willingness to take risks in the person’s actions.
The greater willingness to take risks increases the possibility of danger to others and oneself. Suicide attempts are three times more likely to succeed, although the number of suicide attempts is higher among women. This shows the more pronounced quality of auto-aggression in men to show more uncompromising behaviour.
What are the therapeutic approaches against aggression?
The therapeutic approach to aggression in the context of depression depends on the origin of the derailed behaviour. A distinction is also made between the severity of the illness and thus an outpatient or inpatient treatment is initiated. The treatment is based on medication according to a fixed schedule of antidepressants and/or mood stabilisers.
In addition, psychotherapeutic methods are used. If physical reasons are the triggering factor, these become the focus of the treatment approach, with simultaneous therapy of the resulting psychological problems of the patient. If acute attacks of aggression occur, they can best be countered in medical facilities.
In addition to the approaches already mentioned, the trained handling of the staff also contributes to de-escalation. Methods such as restricting visitors and banning them for a certain period of time support the course of therapy of drug and non-drug measures. The most important aspect is based on continuous monitoring through neutral discussions.
In pathological and uncontrollable conditions, such as delusions, the safety of patients and other persons must first be ensured. This can be done by means of sedative medication and fixation. The use of medication as an aid in aggressive behaviour must be questioned at all times and its effect evaluated.
The severity of the illness must be taken into account. If the patient is aggressively aggressive in the context of acute depression, but shows a constructive reaction during the patient-oriented and clarifying conversation, medication can be dispensed with if necessary. If the patient is in an uncontrolled state due to his or her mental illness, medication to shield the patient from stimuli and to reduce the psychological stress is beneficial.
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