警惕抑郁症 注意出现征兆

Dear Annie:
Today I mourn the loss of a dear friend. She was vibrant, energetic and full of life, but on a crisp autumn afternoon, she committed suicide.

亲爱的安妮：
今天，我悼念我去世的一位好朋友。她曾经活力四射，精力充沛，充满生机。但是，在一个秋高气爽的下午，她自杀了。

I do not know what transpired in the final hours of her life, but I do know she had been under a tremendous amount of stress. I have been in the health care profession for many years and am ashamed to say I missed the warning signs.

我不知道在她自杀的前几个小时里发生了什么，但我知道，她进来一直承受着巨大的压力。我从事医疗行业多年，但我只能很惭愧地说，我没有注意到（她患上抑郁症）的征兆。

I ask your readers to take the time to really listen to others and be aware of the warning signs of depression.－Michelle in Greensboro, N.C.

恳请让你的读者花点时间去倾听别人，注意抑郁症的征兆。-米歇尔于格林斯伯勒。

Dear Michelle:
Our condolences on your terrible loss.

亲爱的米歇尔：
我为你痛失好友而感到难过。

According to the National Institutes of Health, symptoms of depression include: persistent sad or anxious feelings; feelings of hopelessness and/or pessimism; feelings of guilt, worthlessness and/or helplessness; irritability, restlessness; loss of interest in activities or hobbies once pleasurable; fatigue and decreased energy; difficulty concentrating and making decisions; insomnia, early-morning wakefulness or excessive sleeping; overeating or appetite loss; thoughts of suicide; persistent aches or pains, headaches, cramps or digestive problems that do not ease even with treatment.

据美国国立卫生研究院，抑郁症的症状包括：顽固性情绪低落或是焦虑；绝望和/或悲观；有负罪感，觉得自己没有存在价值，以及/或感觉自己很无助；易怒，烦躁不安；对曾经感兴趣的活动或爱好失去兴趣；易疲劳，精力衰退；难以集中注意力，做事犹豫不决；失眠，清晨觉醒，或者嗜睡；暴饮暴食或者食欲不振；有自杀念头；持续性疼痛，头疼，痉挛或消化不振，经治疗依然不见好转。

It is easy to miss the signs if you aren't looking because your friend or family member seems fine, but depression increases during the winter months. Please tell your loved ones how much they mean to you.

如果你不注意观察，很容易错过这些迹象，因为表面看来你的朋友和家人似乎都很健康。但抑郁症在冬季的几个月里会加重。请让你所爱的人知道，他们对你有多重要。

Notes:
vibrant:活泼的
crisp：凉爽的；清爽的
to transpire：发生
tremendous：沉重的
condolence：哀悼，慰问
persistent：持续的，不断地
pessimism：悲观主义
irritability：易怒
insomnia：失眠