Thursday, May 15, 2014

Depression - Causes And Remedies


Depression can take various forms. Some people lie in bed all day, others weep constantly while many people feel as if a large black cloud hovers overhead. Yet others are affected with physical symptoms and are left feeling exhausted by the simplest of acts and have insufficient energy to take a few steps. There are even reports of depression causing blindness.

Depression is often difficult to diagnose and the usual treatment, on diagnosis, is the prescription of mind altering drugs, some of which have been found to be extremely addictive. Counselling is now a popular treatment, including cognitive behavioural therapy. Such treatment needs to be undertaken on a regular basis which is not always available to some patients due to a lack of funds and counsellors. Private treatment is, of course, always available but at a price.

Counselling can be extremely effective when carried out regularly and has the added benefit of being drug free. A counsellor will listen to the patient's problems without being judgemental. He or she then gently guides the patient to view his/her problems from a different perspective, thus enabling the patient to cope more efficiently. For someone who has experienced a major life changing event such as losing a home, counselling may not always work. Being asked to view that experience from a different perspective is sometimes easier said than done. Losing one's home is a traumatic event and no amount of counselling will help the patient to view it as anything other than disastrous, let alone trivial. The only comfort available from such counselling sessions for the patient may be in the realisation that many others are in the same boat. This knowledge alone can help the patient to understand that he/she is not completely isolated thereby sometimes helping the patient to feel less vulnerable which can be of considerable benefit.

Everyone should be aware of certain symptoms which may indicate depression. You may feel constantly tired, irritable or lack motivation. Loss of energy or changes in sleeping habits such as experiencing difficulty in sleeping, sleeping too much or waking too early can all signal the onset of depression. In addition, feelings of guilt and low self-esteem are particularly common as is the inability to make decisions. Suicidal tendencies and thoughts of death are almost always indicative of depression. `Post Partum depression is a type of depression which sometimes occurs in women who have recently given birth but can take up to a year to manifest itself. The symptoms are typical of most depressive disorders. Often there is no single cause of depression as it often results from several factors. Many people are unable to pinpoint a particular reason for feeling depressed. We know that during depression physical changes take place in the brain which proves that depression is not all in the mind.

Research has established that there is a chemical imbalance which affects the way in which signals are transmitted to the brain and nervous system. The chemicals involved are known as neurotransmitters. We also know that relationships, the death of someone close and financial problems can all contribute to depression. So also can life changing events such as marriage, employment and moving house which is reputed to be one of the most stressful events in life apart from death and divorce. Severe health problems can be another factor which can lead to depression due to stresses and strains which accompany ill-health, thus weakening the immune system.

Depression can strike at anytime and makes no distinction between rich and poor, young and old although women are twice as likely as men to succumb to depression. Hormonal changes in women caused by adolescence, the onset of periods, pregnancy and the change of life are thought to play a large part in the incidence of depression. Men suffer considerably less from depression than women but men often refuse to seek help. Consequently the condition frequently remains undiagnosed. This often leads men to turn to drug or alcohol in an attempt to conceal the condition. It should give us serious pause for reflection to learn that men are 25% more likely to commit suicide than women.

Elderly people are also prone to suffer from depression but they often attribute depressive symptoms to the ageing process. They are therefore at considerable risk of not receiving suitable treatment to alleviate their feelings of depression.

It is important to emphasise that anyone who feels depressed or down for more than a couple of weeks should see a doctor as the symptoms could point to a depressive illness. Many different drugs are available today which can help enormously in the treatment of depression and are free from the addictive effects associated with previous drugs. Overcoming depression can take time and effort and may seem insurmountable at times but please believe me it can be done. I know from personal experience that depression can be conquered so, however low you may be feeling right now you must never give up. There is a light at the end of the tunnel no matter how dark it seems at this moment.

When is Fatigue a Problem?


Today we tend to live life at a faster pace than our ancestors did. This killer pace is often accompanied by tiredness. Sometimes the fatigue lasts for more than two weeks and maybe longer.

There are many reasons for fatigue such as overwork, too many personal demands, the inability to say no, the inability to manage one's time efficiently, and the stress that accompanies all of these. However fatigue can be a symptom of a more serious health problem that requires medical attention.

Some health problems, which cause fatigue, are:
depression, diabetes, hepatitis, iron-deficiency anemia, thyroid disease and sleep deprivation.

Depression is often mis-diagnosed. Also, people often try to hide or deny depression due to shame. Depression is characterized by a feeling of hopelessness, the inability to follow your usual routine, being hyperemotional, tired upon awakening and overwhelmed by tiredness. Depression may be caused by grief, relationship problems, financial problems or many other problems. People with symptoms of depression should not hesitate to seek medical help, as there are many medications available.

Fatigue is a red flag for diabetes but is also accompanied by other symptoms such as more frequent urination, thirst and changes in vision. Physicians can detect diabetes through a blood sugar test. Glucose levels are normal between 70 and 120 mg of glucose per 100 ml of blood. Glucose levels in excess of 300 indicate extreme risk. Although fourteen million Americans have Type II diabetes, fifty percent of them are not aware of this.

Hepatitis also causes fatigue. It is accompanied by loss of appetite, aching muscles and joints, and fever. Hepatitis is often mistaken for flu and while the other symptoms disappear, the fatigue continues.

Iron-deficiency anemia patients are usually pale and often report a craving to chew on ice. Iron-deficiency anemia is easily diagnosed by a simple blood test and easily cured by ingesting daily iron supplements. Iron-deficiency anemia is far more common in women than in men due to the female menstrual cycle.

Sleep deprivation often occurs in people who work rotating shifts. Our bodies have a circadian rhythm with certain times the best for certain activities. Sleep time between 9:00 PM and 9:00 AM is most advantageous for most people. The body needs sleep and will be less efficient if denied proper sleep.

The thyroid gland regulates the body's metabolic system and muscle strength. If the thyroid produces too little hormone, a person has hypothyroidism. Too much hormone production results in hyperthyroidism. Hypothyroidism is the most common of the two and many people are unaware that they have it. Women, especially those over forty years of age, are much more likely to have hypothyroidism than men. A blood test which measures thyroid-stimulating hormone (TSH) will immediately identify thyroid problems even if no symptoms are present.

Sleep deprivation, particularly if due to rotating shifts, can often be solved by installing room darkening drapes, reducing noise factors, and arranging for at least seven hours of sleep.

The other medical problems require testing and diagnosis by a health care provider. All are curable by medication.

Symptoms of Severe Depression - Scary If Not Detected!


We are facing constant problems everyday such as stress, grief, tragedy, lost job and several other factors that can make us miserable. Several symptoms of severe depression are due to factors that you may or may not know of. So, you ask yourself: Is it getting harder to get over my problems? Is this affecting my job performance or studies Do I prefer to stay at home more than interact with my colleagues, neighbors or family members more often?

Most of us can handle daily stressful events and move on. However, there are still some who suffer from depression for whom daily challenges become an ordeal.

Picture yourself living that happy and normal life again. Remember, you're not the only one having this problem. There is a solution to this and the first step is to talk about it. Depression is never embarrassing to open up to a close friend or your a mental health professional. The following steps would reveal to you how you can fight off depression fast and effectively.

There are two types of depression: endogenous and neurotic. Endogenous depression is experienced from within. This type of depression may be hereditary in nature; if not, from unknown origin. Neurotic depression is triggered due to precipitating factors such as death in the family, job loss or other significant events leading to depression. It's important to see if you're experiencing symptoms of severe depression before it gets worse.

Depression is not only a feeling of being sad. However, symptoms of severe depression such as inability to focus on tasks and activities of daily living are some you need to look out for.

This may make it harder for you get through the challenges of every day life. This can be a burden for you and everyone around you. Prolonging depression can lead individuals to try or commit suicide, thus the need to seek professional help before it gets this way.

So, how do you know you're having symptoms of severe depression?

Depression is not only limited to adults. Elderly and children are prone to having depression as well. Depression would last for at least two weeks with five or more of the following indications:


  • Feeling 'down' all the time

  • Frequent crying

  • Loss of appetite

  • Considerable weight gain or weight loss

  • Excessive or lack of sleep

  • Agitation

  • Irritability

  • Exhaustion

  • Low self-esteem

  • Suicidal tendencies

Most individuals suffering from severe depression will have distorted thought patterns such as slow thinking process, crowded, or racing thoughts. Also content related delusions are prevalent such as becoming poor, or feeling guilty. This may lead to disturbed thoughts posing a high risk for suicide.

Individuals with significant changes in appetite, stamina and sleep patterns will usually crave for carbohydrate-rich foods (usually chocolates). This may be a sign that they might be irritated or agitated on top of being depressed.

People with severe depression have a hard time getting back to their normal activities. People in this state would usually require help in activities such as bathing, eating, dressing and other activities of daily living.

Symptoms of severe depression may linger for days to years. People in this state would have a difficulty leading a normal life if not treated immediately. Prevention is the best way to avoid further psychological deterioration. Depression is not a battle you can fight alone. If you're suffering from any of these symptoms, start seeking professional help immediately.

Andrea Yates and Post Partum Depression


Can postpartum depression become so invasive as to cause a mother to kill her children? Since this very rarely happens, many scoff at the prospect. Interestingly enough, postpartum psychosis was first recognized as a disorder as far back as 1850. According to Pregnancy Infonet, (2007), studies on the rates of the disorder have shown that the number of women experiencing postpartum psychosis hasn't changed since the mid 1800s. Expert psychologists, psychiatrists, and behavioral scientists are discovering that postpartum depression can, if not treated promptly and properly over an extended period of time most definitely can escalate to psychosis. Doctor statements and evaluations, insufficient treatment, and failed suicides are things that must be considered in determining Andrea Yates mental defect at the time of her crime.

It has been argued that due to some of Yates' logical and thought out actions that these prove she was sane at the time of the incident. The fact that, on two occasions she refused medication and on another occasion she stopped taking her medication. The fact that she had done a "practice run" of filling up the bathtub and, individually tracked her children down and drug them to their death are all arguments that are being touted as evidence that she had full knowledge of what she was doing.

To understand the concept of Postpartum depression and Postpartum psychosis, one must first realize that the two illnesses are not synonymous. Postpartum depression is described as something that can start at anytime within one year of birth. There is usually sadness, common after such an ordeal as birth, and of course a loss of energy, also a common thing after giving birth. Sometimes there will be a bout with the inability to concentrate, especially for first time mothers and along with that, anxiety about motherhood. All these are symptoms of postpartum depression. Not every woman experiences these and some may experience only a few of them. However, these symptoms are quite different than those of postpartum psychosis. Catherine Roca, (April, 2005)

Dr. Dan Williams, Psy.D., PA-C, "Peace and Healing", (2006), describes post partum psychosis as "very rare". He goes on to say that "It is characterized by homicidal and suicidal impulses, hallucinations, delusions, disorganized and bizarre thinking." Dr. Williams goes on to further describe some of the consistent characteristics of one who suffers postpartum psychosis.

"The dilemma is that these individuals usually refuse treatment. This is a medical emergency situation. If post-partum psychosis is suspected, families need to call 911 as emergency intervention is necessary. Medication most likely will be prescribed. The ultimate goal is to keep the baby and mother safe." "Peace and Healing", (2006)

Yates was first diagnosed July 21, 1999 as having severe major depression by Eileen Starbranch, MD. This diagnoses, came after her attempted suicides. During her week stay at Methodist Hospital Psychiatric Unit, she was diagnosed as having severe major depressive disorder, recurrent with psychotic features. Additional problems diagnosed were social withdrawal and minimal verbal communications. It was during this psychological evaluation that Andrea Yates admitted to having thoughts of hurting herself or someone else.

Eileen Starbranch, MD, Court TV, Psychiatric Evaluation July (1999) On August 5, 1999, Dr. Starbranch along with Dr. Arturo Rics, M.D., had a consultation regarding continued care of Andrea. The findings of this consultation revealed that the onset of her depression began about six week prior along with symptoms of psychosis. Much of the documentation that was reviewed by both physicians indicated that Andrea remained reclusive, guarded and still had a persistent, depressed mood. Eventually Andrea did respond to some degree to her medication but was warned by Dr. Starbranch not to have another child as this could bring on another psychotic episode.

Dr. Arturo Rics, M.D., Dr. Starbranch, MD, Methodist Hospital Psychiatric Center July (1999) Another psychiatrist, Dr. Melissa R. Ferguson, former medical director of psychiatric services at the Harris County Jail, gave testimony that in her opinion, Yates was suffering from psychosis. According to Dr. Ferguson, Yates told her she believed that the cartoon characters on television were telling her how bad she was for giving her children "too much candy and cereal". Ferguson also testified that she believed that Andrea was incapable of understanding the consequences of what she did. Dr. Milissa, Former Director, Harris County Jail.

Andrea Yates had all the classic symptoms of post partum psychosis. Even though medication was administered, there was little supervision to ensure that she followed doctor's orders. Her hospital stays were short and therefore not effective in a medically supervised environment assuring that at best the possibility of her harming herself or others was sufficiently minimized.

There is absolutely do doubt in anyone's mind that Andrea Yates did in fact drown her children in a bathtub. There is no doubt that the "how" was too horrible to fathom. Because of the rarity of this condition and its horrendous results if not treated, many Americans, particular women, will judge women like Andrea Yates without compassion for the suffer or the effort to learn and understand the illness. What those individuals should realize is that by understanding this catastrophic illness, it in no way condones the actions done as a result of that illness.

In conclusion, the state of Texas is to be applauded in its efforts to recognize this rare, yet debilitating and extremely dangerous illness. The Andrea Yates bill became affective September 3, 2003 and it states the following:

"Postpartum depression (PPD) is a serious disorder, each year affecting 10% to 15% of women who have delivered children. This disorder, despite its high prevalence, often goes undetected and untreated. In an attempt to address this public health problem, the State of Texas has enacted legislation, House Bill 341 (also known as the "Andrea Yates Bill"), which went into effect on September 1, 2003. This law requires healthcare providers who treat pregnant women to provide them with resource information regarding counseling for postpartum depression and other emotional traumas associated with pregnancy and parenting."
Blue Corss/Blue Shield of TexasPostpartum Depression and House Bill 341

References:

BlueCross BlueShield of Texas; Postpartum Depression and House Bill 341

(2007) Retrieved on September 9, 2007 from the World Wide Web:
http://www.bcbstx.com/provider/postpartum.htm

Ferguson, Dr. Melissa R. Former

Medical Director of Psychiatric Services at the Harris County Jail. Retrieved on September 8, 2007
from the World Wide Web: http://crime.about.com/b/a/257021.htm

Roca, Catherine , Chief, Women's Programs, (2005) Depression During and After Pregnancy

National Institute of Mental Health, (April 2005). Retrieved on September 7, 2007 from the World
Wide Web: [http://www.4woman.gov/faq/postpartum.htm#5]

The Pregnancy-Info Team, Postpartum Psychosis (2007) Retrieved on September 7, 2007 from the World Wide Web:
http://www.pregnancy-info.net/postpartum_psychosis.html

Starbranch, Eileen, M.D. Court TV

Retrieved on September 9, 2007 from the World Wide Web:
http://www.courttv.com/trials/yates/docs/gifs/psychiatric6.gif

Williams, Dan Psy.D., PA-C, (2006) Peace and Healing.

Retrieved on September 7, 2007 from the World Wide Web:
http://www.peaceandhealing.com/psychosis/postpartum.asp

Bipolar Disorder, Depression - Information and Support For Sufferers, Not a Substitute For Treatment


We all have our good days and our bad days, our "up" days and our "down" days but for anyone suffering from bipolar disorder, these offs and ons are more serious. The symptoms of bipolar can hurt your job and school work performance, spoil your relationships and upset your daily life. Although this disorder is treatable, most people do not recognize the warning signs and therefore do not get the bipolar disorder treatment they really need. As bi polar disorder tends to degenerate without treatment, it's important to know what the symptoms are like. Recognizing the disorder is the first step towards getting it under control.

Bi polar disorder, sometimes known as manic depression, causes serious changes in moods, vitality, and other behaviour going from the heights of mania on one level, to the depths of depression on the other. More than just a momentary good or bad mood, the bi polar disorder cycle last for days, weeks, or even for months and unlike normal mood swings, the mood changes of bi polar disorder are so intense that they affect your ability to function.

During one of their manic episodes, a person might quite easily quit a job, go on a spending spree, charging huge amounts on credit cards, or feel completely refreshed after only sleeping two hours. During a depressive period, the same person might feel too tired to get out of bed and be full of self-loathing and feel utterly hopeless over being out of a job and deeply in debt.

The causes of bi polar disorder are not fully understood, but it may sometimes run in families. The first occurrence of bi polar disorder is usually in the teenage years or in the early years of adulthood. The symptoms of bipolar can be confusing and easily missed which is why so many people with bi polar disorder are misdiagnosed and overlooked resulting in unnecessary suffering but had they been given proper bipolar disorder treatment and support, they could lead a rich and fulfilling life.

Facts And Fiction About Bi-polar Disorder

Fiction: People with bi-polar disorder can't get better and go on to lead a normal life

Fact: A lot of the people with bi-polar disorder have successful careers, lead happy lives, and enjoy satisfying relationships. Living with bi-polar disorder is a big challenge but with proper bipolar disorder treatment and a solid support system, it is possible to live a full life while managing the symptoms.

Fiction: Those people who suffer with bi polar disorder go back and forth between highs and lows

Fact: Some may alternate between extreme periods of mania and depression but more often than not they are depressed more than they are manic. The mania may even be so slight that it can go unrecognised. For some people with bi polar disorder there can be long stretches when they are without any symptoms.

Fiction: Bi-polar disorder only affects ones mood

Fact: Bi-polar disorder can affect energy levels, judgement making, memory recall, awareness, eating, sleeping rhythms, sexual appetite and self-esteem. Additionally, bi-polar disorder has been linked to anxiety attacks, solvent/substance abuse, as well as health problems like diabetes, heart disease, severe headaches and high blood pressure.

Fiction: Apart from taking medication, nothing can be done to control bi-polar disorder

Fact: While taking medication makes up the bulk of bipolar disorder treatment, therapy and self-motivating strategies will also play an important part in the overall treatment. By exercising regularly you can help control your symptoms, getting a good nights sleep, healthy diet, monitoring your moods, minimise stress levels, and having supportive people around.

Signs and symptoms of bipolar disorder mood episodes

Bipolar disorder symptoms can be very different in different people. The symptoms of bipolar vary widely in their pattern, severity, and frequency. Some people are more prone to mania and some are more prone to depression, while others switch equally between the two types. Some may have regular mood changes, while others may experience a few over a lifetime.

There are four types of moods experienced in bipolar disorder:- mania, hypomania, depression and then there are mixed episodes. Each has a unique set of symptoms.

Signs and symptoms of mania

In the manic phase feelings of high energy, creativity, and euphoria are common. During a manic episode people often talk a mile a minute, are hyperactive, and sleep very little. They often feel like they're invincible and destined to do great things.

While mania may feel good at first, it usually ends up spiralling out of control. People behave recklessly during a manic episode, doing things like, gambling away savings, engaging in abnormal sexual activities, or making disastrous business decisions. They can also become angry and aggressive, picking fights or lashing out when other people don't agree with their decisions. They can blame everyone for being against them when their behaviour is criticized. They may even become delusional or start hearing things.

Some common signs and symptoms of mania include:

Unusually "high" feeling and optimism or being extremely irritable Unrealistic, beliefs about one's own abilities or powers Having very little sleep, but still feeling extremely energetic Talking so rapidly that others can't understand what you are saying Racing thoughts; switching quickly from one idea to the next Easily distracted and unable to concentrate Making bad judgements and being impulsive Acting without thinking about the consequences or dangers involved Delusions and hallucinations (in the most severe cases)

Hypomania symptoms

Hypomania is a lesser form of mania. When in a hypomanic state they feel on top of the world, full of energy and prolific but they are still able to carry on with their normal day-to-day lives and they never quite lose touch with reality. Other people may think that people with hypomania are just in a very good mood but hypomania can result in making bad decisions and can harm relationships, work and reputations. In addition, a period of hypomania often turns into full-blown mania or it is followed by major depression.

Signs and symptoms of bipolar depression

Depression is a state of low mood and aversion to activity. There are also strong arguments for seeing depression as an adaptive defence mechanism. A low or depressed mood can increase an individual's ability to cope with situations in which the effort to pursue a major goal could result in danger. In such situations, low motivation may give an advantage by inhibiting certain actions. It is normally accepted that a depressed person can be defined as experiencing feelings of sadness, helplessness and hopelessness. However a growing body of research suggests that there are significant differences between bipolar depression and regular depression, especially when it comes to their recommended treatments. Most people with bipolar depression do not respond well to antidepressants. In fact, there is a risk that bipolar disorder can be made worse by antidepressants, by triggering mania or hypomania and causing rapid swings between moods or by interfering with other stabilizing drugs.

Signs and symptoms of a mixed episode

A mixed episode of bi polar disorder features symptoms of both manic or hypomanic episodes and depression. Common signs are depression combined with agitation, irritability, anxiety, insomnia, easily distracted and racing thoughts. This combination of heightened energy level and depressive mood makes for a particularly high risk of suicide.

Signs and symptoms of bipolar depression

Despite having many similar symptoms, some symptoms are more common in bipolar depression than in normal depression, eg. bipolar depression will more than likely involve signs of irritability, guilt, as well as unpredictable mood swings, and feelings of restlessness. There is also a tendency for people with bipolar depression to move and speak slowly, they would sleep a lot and put on weight. They may even develop a psychotic depression in which they lose contact with reality and find it hard to function well at work and in social contacts.

Common symptoms of bipolar depression include:

Hopelessness, sadness, or feeling empty Feeling irritable Unable to experience pleasure Tired or lacking energy Drained both physically and mentally Loss of appetite Fluctuating weight Poor sleep Unable to concentrate Poor memory Feeling guilty and worthless Thoughts of dying and suicide

The different faces of bipolar disorder

Bipolar I Disorder (mania or a mixed episode) The classic manic-depressive form, consisting of at least one manic episode or mixed episode and sometimes Bipolar I Disorder has at least one attack of depression.

Bipolar II Disorder (hypomania and depression) Bipolar II disorder doesn't involve full-blown manic episodes, instead, it involves episodes of hypomania and deep depression.

Cyclothymia (hypomania and mild depression) Cyclothymia is a less severe form of bipolar disorder. Usually it involves cycles of mood swings, with less severe symptoms than full-blown mania or depression.

At the first signs of bipolar depression in yourself or someone else, get help at once. Pretending it's not happening won't make it go away; in fact, it will almost certainly make things worse. Leaving it untreated can lead to problems in everything part of your life, your career, your relationships, and your health. Early diagnosis and getting treatment can help prevent these complications.

If you put off getting treatment because you like the feeling you get when you're having a manic episode, just remember that these feelings of being energetic and the euphoria have a high price to pay, as they can and often do, turn destructive, hurting yourself and the people you care about the most.

Basics of bipolar disorder treatment

Bipolar disorder needs long-term and continuous treatment. Since it is a chronic, recurring illness, it is vitally important to continue the treatment although you may be feeling better. In most cases people with bipolar disorder will need medication to stave off new episodes and stay symptom-free.

Medication alone for bipolar disorder is usually not enough to fully control the symptoms. The most effective treatments involves a combination of medication, therapy, changes of life style, with family and social support. Diagnosis can be tricky and treatment is often difficult, therefore it's best to work with an experienced psychiatrist. For safety reasons, medication should be closely monitored, and a psychiatrist who is skilled in treatment of bipolar disorder can help you get through the difficult times.

Learn more about treatment

The aim of treatment for bipolar disorder is about more than just the relief of symptoms. It is about getting to the point where it no longer disrupts your life. With the right treatments you can reach this goal. It isn't easy, dealing with bipolar disorder but it doesn't have to control your life and in order to successfully deal with bipolar disorder, smart choices have to be made. Your daily routine has a significant impact on your moods. Learn everything you can about bipolar disorder. The more you know, the better you'll understand how, by persevering with the treatment, you are assisting your own recovery.

Avoid high stressful situations, balance your working time and social life, try some relaxation such as meditation, yoga, or deep breathing. It is important to have friends and family you can turn to for help and encouragement. Try joining a support group. By having healthy sleeping, eating, and exercising routines you can help to stabilize your moods. Having and keeping a regular sleep routine is particularly important. Take note of your symptoms and in particular, watch out for any signs that your moods are getting out of control so you can deal with the problem before it begins. Therefore helping yourself and your loved ones to live with and cope with bipolar disorder.

Bipolar disorder and suicide

Bipolar disorder depression is often very severe and one of the major risk factors is suicide. In fact, some people suffering from bipolar disorder depression are more than likely to attempt suicide than those suffering from normal depression. The more frequent the episodes of bi polar depression, and mixed episodes of depression are occurring, the higher the risk of suicide is. A family history of suicide, a history of alcohol or drug abuse, or the early stages of the disease can also heighten the risk of suicide.

Possible warning signs of suicide include:

Talk of death, self-harming, or suicide Feelings of hopelessness or helplessness Feeling useless and incapable Taking unnecessary risks Acting as if going away and not returning, by getting affairs in order Abnormal interest in weapons and harmful medications

It is important that any talk of suicide is taken seriously. If you have good reason to think that someone is suicidal, always get professional help.

Depression - A Test To Know If You Have One


Self depression test is just like a boon for those who want to know whether they have depression. The test is a great way to analyze the traces of depression in an individual. This is usually known as self-test.

Everyone experiences some amount of depression in one's life. However, for some people, the amount tends to increase with time. When this amount increases to a great extent, it is not normal. The stage affects a lot in a person's mental and physical status.

When it comes to the normal blues, these are sometimes triggered by anything from a particular thing someone had seen, said, thought or feared. Sometimes, these blues occur without any valid reason, warning or explanation. This is the time where one just waits for the bad period to just pass by quietly.

However, if you are keen on knowing whether you have serious depression, it is a wise idea to go for some kind of self tests. These self depression tests will explain you clearly about whether you have a serious depression or plain blues.

Answer the following questions to do self depressions test:

a)

Are you feeling totally withdrawn from pleasures of life? This is actually the most accurate self depression's test. All you require to do is to try out something that you are aware of and used to give a lot of happiness in earlier days.

This may be anything from your favorite movie, hobby, shopping venture etc. in case, you find out that all these things do not have anything to do with your pleasure now, then this is definitely a sign of serious depression.

b)

Have been forgetting a lot of things off late? Remember that depression tends to cause hiccups in your memory and you would come to know that certain things are completely wiped out from the memory. The often leaves you totally baffled. This is another test that works towards providing you exact results.

c)

Is it becoming difficult for you to skip at night? Or have you been sleeping very little during the night? If yes, then it may be due to a lot of coffee or stimulants. Why do you like coffee or stimulants too much? If you don't have an answer for this, than the self depression test is going to provide you a great answer for it.

d)

Have you lost your appetite lately? There are times when one does not feel like eating. This is normal. However, if it becomes a common affair, the self depression test, confirms that it is a 'yes'.

e)

In case, your answer to all the questions mentioned above is in 'yes', then you are definitely suffering from a serious depression. Here, it is really important for you to get some hold or yourself and go for a professional help.

f)

There are some other tests you may go for. One of the most popular tests remains the gold berg test. This test was designed by Dr. Ivan Goldberg. The test consists of some eighteen questions. Each question is supposed to be answered by the individual. The use of a sliding scale of responses is mandatory. This actually shows how they have felt during the week that has just gone by.

As soon as all the questions are answered, scores are added for the final score wherein each score has a specific significance. The final score settles whether you are depressed or not.

Wednesday, May 14, 2014

Trainspotting Analysis


Trainspotting adapted from Irvine Welsh's novel and made by the Shallow Grave team of writer John Hedge, producer Andrew Macdonald, and director Danny Boyle, giving us characters and moments that are unforgettable. Ewan McGregor plays Renton, an on-and-off heroin addict who can't decide whether to clean up or regress in the company of his loser friends in working-class Edinburgh, and later in London. The film was produced in 1996.

Trainspotting in reality refers to a session of dark linear mark or track that is left in the veins after shooting heroin. The first thing is that heroin users mainline along their arms and inject up and down on the main vein. "Station to station," they call it. For addicts, everything narrows down to that one goal of getting drugs. "Trainspotters" are like that, obsessively taking down the numbers of trains.

The five main actors in this film are all males and with a life threatening drug habit. Trainspotting can be classified under four different types of film genre including: drama, comedy, crime and drug culture. "Trainspotting" is classified as drama since it is a serious story due to the drug habit and several scenes that showed the real lives of junkies, and graphic images of injecting heroin. On the other hand it can be classified as comedy especially when Spud goes to an interview high on speed and other funny moments that are there to lighten up the seriousness of the film. This can be classified as black humour. Surely Trainspotting can also be out under the crime and drug culture genre due to the story in itself and the characters This film gives us a very vivid and real picture of a heroin addict's every day routine.'Choose Life...' the film's most famous quote means a lot. Those portrayed in Trainspotting are the ones that need to understand choosing life; they are the ones that this phrase was penned for and who are these people living a life less ordinary? They are addicts in Scotland, living lives that are synchronized around getting what they need. For three of them, heroin is their mode of addiction, for another passivity, and for the last aggression. They are a mad quintet, pissing away lives that could maybe amount to something.

In the beginning as we are introduced to our humble narrator Renton (McGregor). We can see that he is on a road to nowhere, stealing CDs from a shop in hopes of making a little cash to pay for the next hit. His home away from home is a drug dealer's apartment ( Mother Superior) where he is issued a regular platter of needle, spoon, lighter, and heroin beside his best mates Sick Boy (Miller) and Spud (Bremner). They are as troublesome as he is, though Spud is helpless in his addiction while Sick Boy is just there to compare metaphorical sizes.

Movies about drug addiction are certainly nothing new, but this film makes everything look different, almost like it is the first film to deal with the subject. Trainspotting is brave and frequently hilarious; it's dark, smart and stubborn. It's more than one of the best 'drug movies' ever made; it's arguably the finest film to come out of the UK

Ewan McGregor plays the main character; Mark Renton. He introduces the film Trainspotting with an extremely energetic scene, the former scene accompanied by Iggy Pop's 'Lust for Life', along with Renton's sarcastic narration, which rejects our weak, mechanical existence in favour of the joys of heroin. Iggy pop is Renton's hero. He even has a poster of him in his room. When he goes clubbing, we notice that his heroin habit has been going on for a long time as he doesn't recognize any of the new songs at the club. Diane makes him notice this, and Renton starts to realize that heroin has taken so much out of his life.

"People associate it with misery, desperation and death, which is not to be ignored. But what they forget is the pleasure of it, otherwise we wouldn't do it" He is undoubtedly appalled by society and the materialistic satisfactions it offers. He later compares heroin: 'imagine the best orgasm you ever had and multiply it by a thousand and you're not even there' However, after a few minutes into the film he decides to quit heroin. The viewers may conclude that it is time to move on in life, yet he could not live life without heroin as we see through out the film his various unsuccessful trials at quitting his habit

Renton has a serious drug habit, and due to his unemployment must sustain is by shoplifting and petty theft. When he was on methadone, he had his 'last hit' and this resulted in an overdose. This simply shows an effort to avoid being compliant. In fact, it is this determined attitude which possibly explains heroin's over Renton. He states, "We'd inject Vitamin C if they made it illegal"

Even though he manages to kicked his heroin addiction and starts a new life in London, his old circle of friends are not easy to get rid of and Renton ends up getting involved in a drug deal, and sells 4 kilos of heroin with his 'so-called' friends. Towards the end of the film, he betrays the others by escaping with the money. This shows the viewers that he decided to 'choose life', be 'just like us' which is a doubtful aim; the qualities of which the film questions the whole time

Renton is dreamy, sharp, troubled, and calm, seemingly all at the same time, and you never know where you are with him, as he never knows where he is with himself. It's an understated portrayal of an essentially rootless character - yet a magnetic one.

Johnny Lee Miller plays the part of Sick Boy who is portrayed as a handsome guy who has the habit of talking nonsense and bombarding his mates with trivia about Sean Connery. He is a womanizing James Bond wannabe, who is highly intelligent. Sick Boy is the one who seems least affected by his heroin habit. In fact, when Renton tries to quit heroin, Sick boy does the same just to spite him In the film Trainspotting Sick boy is the one who trivializes heroin and seems to have no problems with his addiction contrary to the rest of the crew.

"The film only touches on the question of how far his persona is genuine or just social camouflage" . Sick Boy's behaviour in the final parts of the film show how the death of his baby has affected him and made him more crime prone. He starts to deal in drugs, pimping and becomes an all round con. Renton states that when Sick Boy's child passed away, something inside Sickboy must have died and never came back .

Later in the film, Renton escapes to London to start a new life, while Sick Boy and the rest of his friends remain in the Scottish capital. When he visits Renton unexpectedly, he immediately sells Renton's television without consent and he also offers to sell Renton's passport. Sickboy is so fixated with his new criminal career that he never even bothers to think about Renton's feelings. "He becomes obsessed with developing useful contacts for that elusive 'big deal', and sticks a finger in any pie on offer" He becomes a manipulative pimp and drug-pusher at every opportunity and wouldn't hesitate about taking advantage and manipulating anyone for the purpose of self-advancement. All through out this ordeal Sick boy remains as vain as always.

Tommy, played by Kevin McKidd, contrasts vividly with the other main characters. He is portrayed as athletic, finding pleasure walking in the countryside, weight lifting and watching football rather than making use of drugs. As the film progresses, there is a drastic change in Tommy, turning him into the worst of the bunch with a "rapid and fatal" descent .

Tommy's relationship with his girlfriend Lizzie does not seem to be progressing well. The strain of finding their homemade porn film missing because Renton "borrowed" is the final straw for Lizzie and breaks off the relationship. When his efforts to patch up his relationship fail, Tommy falls in a depression and resorts to drugs. Sadly enough (black comedy), it is Lizzie, the very person whom Tommy loves that causes his death. With the increased use of heroin, Tommy contacts HIV. His initially clean and tidy apartment becomes filthy. His final tentative to regain Lizzie sees him getting her a kitten, which she refuses. Tommy is found dead due to an infection from the kitten's faeces . This has a social connotation as HIV and AIDS due to heroin abuse was on the increase and booming in 1996.

Clarke considers this character's story helps to create an ethical perspective in this film, giving the audience something to think about. Anyone can fall victim to drug abuse, even youths considered as 'good'. Clark states that Tommy is portrayed as free from drugs on film whereas makes use of amphetamines in Irvine Welsh's novel. This could be credited to the fact that certain individuals would prefer watching the film rather than reading the book thus the message has to be harsher to get across. The same can be said of Tommy's behind-the-scene drug use. As the film proceeds, Tommy's health aggravates thus shocking the audience. In the end, without Lizzie, Tommy "chose not to choose life" but heroin and death .

Begbie considers himself better than any of the rest. This is seen clearly when he lectures his friends after Renton narrowly escapes imprisonment , and trys to appear mature in front of Renton's parents and when he claims that never would he "poison" himself with chemicals. Alcohol can also be considered as a harmful chemical to the body, but Begbie doesn't see it as such. Begbie takes a commanding attitude when with his friends, for example in the final pub fight scene when he orders Renton to bring him a cigarette or during the hallucination scenes as well as during his stay with Renton in England.

Spud, the "amiable, childlike loser" as described by Clarke, is played by Ewen Bremner . Clarke considers Spud's life as brimming with wrong choices, including his choice of drugs which is considered unsuitable to his weak character . During his six-week relationship with Gail, they never had sex. On the night she wanted to have sex with him, Spud was too drunk to do anything. On awaking in Gail's bed the following morning, he finds the sheets soiled. Spud's bowel contents end up smeared on Gail and her parents whilst eating breakfast .

Clarke compares other scenes from the film. Spud gets incarcerated for shoplifting while Renton emerges practically scot-free. Similarly, Diane sees Spud lying intoxicated under the pavement during the letter scene whilst the others appear lucid . Also, despite various threats, Spud is the only member of the group to be injured by Begbie. Nonetheless, it is inevitable for everyone to love Spud. The audience sympathise with him. Renton wishes he ended in prison instead of his friend. In the end, he leaves money only for Spud because he pities him.

Kelly Macdonald starring as Diane is young but wise beyond her actual years. This is shown especially when she deals with men. At first, Renton sees her at a nightclub rejecting the advances of a man by drinking both drinks and leaving, and secondly when Renton approaches her outside the club and responds to his weak chat with a coldly cruel speech that leaves him completely dejected. However, when she leaves the taxi door open for Renton to go in, it becomes clear that the negative response may have been purely a tool to create sexual power over him.

Later in the film, after a night of passion with Renton in her bedroom, Renton and the audience are amused and disturbed to see Diane changing from her silver dress into her school uniform. The audience understands the position Renton has found himself in. He ought to escape from this situation or else face the consequences since she is underage. However, Diane has once again the power over Renton in this situation because if she tells the police, Renton will face prison. She knows the law and blackmails him to meet her again . Diane also seems to be more knowledgeable about modern culture. In fact she emphasizes that shooting heroin, listening to Iggy Pop and the fact that Renton and the main protagonists are still in Edinburgh are outdated, "Times are changing, music is changing, even drugs are changing" .

Establishing sexual power over men is also seen in other women in the film. In a nutshell, Trainspotting's male characters are ready to drop their usual secure façade and jeopardize embarrassment to fulfill their sexuality. The women in Trainspotting seem to be more than happy to coerce. For instance Spud's girlfriend refused to sleep with Spud during their six-week relationship but she later admitted to Lizzy that she wants to sleep with Spud yet she loves watching him suffer. Lizzy is also seen as ridiculing and sexually controlling her men. She would not deny herself from having sex with Tommy since it is her only pleasure she gets from him. However, later in the film, when Thomas could not find the highly intimate private video, Lizzy was ashamed. She was so furious with him that she left him .

Alison, played by Susan Vidler, is a typical drug-craving mother. She is self-centred, completely neglecting her daughter. When the baby is found dead in her cot, Renton narrates that they did not know who father her baby. This furthers the belief that she is quite immature and lacking in morals, having sexual contact with all male members of the group. On discovering her daughter's death, one of her initial reactions is to take heroin.

Mother superior is the group's heroin provider. Although he is seen administering the drug to the friends, he himself is never viewed making use of it. Mother superior cannot be considered completely as friend to them because he ultimately wants money for the drugs he provides. However, when Renton overdoses, Mother superior calls for a taxi and provides money for it. This can be interpreted as a friendly gesture but also as helping Renton to avoid getting in trouble. Mother superior knows the different characters of the group. This can indicate that they have all be using drugs for quite a while, thus frequenting Mother superior's place often. During the film, the characters are seen shoplifting to sustain their drug habit. The need to steal might have been initiated by Mother superior demanding hard cash.

The bond Renton has with his friends is just the common goal of shooting the next hit. When he is not on drugs he has to face reality, which is, maintaining relationships, meeting girls and everyday responsibilities. The film portrays what seems to be united group. However, there is a fear of Begbie because of his violence and alcoholic tendencies as well as him being the older of the lot. Sickboy, Renton, Spud and later on in the film Tommy all have a heroin addiction, thus their preferred method to solve problems is taking a hit. Begbie solves his by drinking and fighting. The group share stolen money and tend to shoplift in groups. When they go to the clubs, they party together. Still, in the end Renton calls the rest of the group "so-called friends".

The relationship between Renton and Spud can be thought of the best within the characters. As mentioned before, Renton cannot help liking Spud. Renton is seen giving his friend hints before Spud's job interview. Even though it is considered wrong, Renton offers Spud some speed to put him at easy. When both of them are caught shoplifting, Renton wishes he went to prison instead of Spud. In the same scene, he admits feeling lonely, although being surrounded with family and friends. At the end of the film, Renton felt sorry for Spud because he never harmed anyone or said a bad word about his friends. Thus, he left money only to Spud. This relationship is further supported by the fact that Renton asks Spud if they would take the money and go. Renton could have more easily grabbed the bag and left before Spud would have reacted in any way.

Renton has a good relationship with Tommy as well, thinking of him as one of his best friends. Tommy also considers Renton a friend by confiding with him the problems he had with Lizzie. Renton felt sorry for Tommy when he found his HIV positive friend living in a horrible, filthy apartment. He tried to make amends by giving money to Tommy to pay the rent. This relationship is somewhat ironic because Tommy's downfall is caused by Renton when he stole Tommy and Lizzy's video. From the beginning, Renton and Sickboy's relationship does not seem strong. Renton is slightly jealous of Sickboy. This impression is born by the fact that Sickboy can easily overcome heroin just because Renton is trying to quit. Sickboy does not seem to have any problems dating girls in the disco scene whereas Renton did not like the females around him, except for Diane. Towards the end of the film, Renton states that Sickboy would betray him off as well if he thought about it first. Sickboy himself admits the fact.

Spud and Tommy are seen alone talking about sex a highly private issue since they both have a girlfriend. Their girlfriends also seem to be in confidence with each other. They are comfortable sharing problems: Spud - no sex in a six-week relationship; Tommy - forgetting Lizzy's birthday. He had a ticket for Iggy Pop for the same night. When Tommy dies, Spud sings him a song. This little act shows how much Spud cared for Tommy. Begbie's relationship with Renton is slightly contradictory. Begbie trusts Renton enough to confide with him when he went out with a transsexual without knowing at first. However, Begbie threatens Renton on several occasions, his aggressive nature taking over all emotions. Renton pleases Begbie mainly because he fears him. Renton tries not to oppose Begbie because he is "a psycho" At the end of the film Renton states that he did not care that he betrayed Begbie.

The relationship portrayed between Mother superior and Renton cannot be termed as a friendship because ultimately Mother Superior's business consists of selling drugs to Renton and the rest of the group. Still their relationship runs deeper than the normal dealer-user relationship. Mother superior could have easily dumped Renton somewhere instead of calling a taxi to take him to hospital. However, some may doubt the gesture as generated due to friendship. The audience could believe that paying for the taxi is a little price to pay when compared to all the trouble Mother superior could get if found with a dead body.

Trainspotting could be described as conveying an anti-drugs message, which is portrayed through "character studies rather than a patronizing preach" This film presents its audience with more than one view of drug Throughout the film, the youth characters are frequently seen cooking heroin and injecting the latter into their bodies (, however it also portrays the pain, agony, melancholy and unhappiness that are derived from this drug addiction . One could say that this film is a warning about the fears and perils of drug addiction, mainly heroin addiction .

Trainspotting's anti-drug message mainly lies within the film's ability to illustrate and tackle the reason as to why young people are attracted to drugs. Furthermore the film's power and success into presenting the audience with the negative results, damage and consequences that derive from this type of addiction convey this anti-drugs message more clearly. The film portrays these negative results and damages constantly throughout the film. The film and its characters enter a world of neglect, dieing babies, AIDS, anxiety, depression, boredom and hopelessness. Moreover the other anti-drugs message that derives from this film "goes beyond causes and consequences in explaining that serious drug abuse is itself beyond cause and consequences: Renton asks, "Who needs reasons when you've got heroin?" .

Trainspotting deals with the mid 80's heroin subculture of Edinburgh, "when Pakistani smack had glutted the UK market, becoming, for thousands of ordinary people mired in unemployment, a cheaper means to oblivion than alcohol". It analysis the likelihood of youth subcultures to surpass "their social class contect and form(ing) a class of their own" In this film even "nonravers" are portrayed as drug users, both in a literal sense ("state-sanctioned chemicals like alcohol or tranquilizers") and in a metaphorical sense ("TV, videos, computer games, the adrenaline rush of football violence") .

Hebdige (1979:100) maintains that "style is an intentional communication." Barthes (N.D.) as cited in Hebdige (1979:100), differentiates between "subcultural" and "normal styles." The subcultural style collects those insistent mixtures of clothing, music, jargon and so on, and nearly exhibits a corresponding connection to "the more conventional formulae (normal suits, ties, twin sets, etc.)". The clothes that individuals wear are selected within the constraint of preference, taste, cost etc. Such choices embrace a wide range of messages, which are communicated through the delicately assorted distinctions of a number of "interlocking sets" such as status, self-image and class. Subcultural styles distinguish themselves from normal styles as "they are fabricated and they display their own codes," and this is constantly portrayed throughout the film (Hebdige, 1979:100-101). Through the clothes worn by the characters in the films, they are portraying the message that they do not belong to the "normal culture" but they belong to a class or subculture of their own; "I speak through my clothes" (Eco, 1973 as cited in Hebdige, 1979:100).

Trainspotting can be described as dark humor, but junkies' world over priced the film heartily. It's a film that is mainly about people that do not want to belong. Trainspotting is not the first film about heroin, but the first one that is a 'slap in our faces are both the grim realities of life at the tip of a needle and a freewheeling, pop-music-fueled glorification of the addicts' smack-happy existence' .

The Trainspotting soundtrack was wildly successful in the international charts after the release of the film itself, in the 1990's. The music score is mainly composed of popular music. Sometimes the film takes the semblance of a music video, with conversation kept at a bare minimum. The scene and the soundtrack are complete and enough for the viewer to understand. This is used several times and for different purposes .

In the first ten minutes of the film, we are transfixed; watching as the anti hero Renton and Spud race through the streets and a voice over begins:"Choose life. Choose a job. Choose a career. Choose a family. Choose a fucking big television; choose washing machines, cars, compact disc players and electrical tin openers. Choose good health, low cholesterol and dental insurance. . . ."

This litany goes on and then we get a view of Renton lying in heroin stupor and the voice over ends with:

"But why would I want to do a thing like that? I chose not to choose life: I chose something else. And the reasons? There are no reasons. Who needs reasons when you've got heroin?"

Accompanying this powerful scene is Iggy Pop's 'Lust for Life'. 'Lust for Life', in which the lyrics, are markedly subordinated to Renton's voice-over after the thumping opening few bars, so much so that the only lyrical fragments that can be heard are the opening line 'Here comes Johnny Yen again...' and the choral refrain ('I gotta lust for life'). Incidentally, Iggy Pop is renowned for his past heroin abuse and is mentioned quite a lot in the film. The two eventually come to signify each other - Mark Renton is the central character of the film, and Iggy Pop is the most prominent artist on the soundtrack album. Iggy Pop's music also lends a sense of rebellion to the film. We can notice Iggy Pop's poster in one of the scenes too

Renton's knowledge of new music is limited and this is seen when they go clubbing. Renton is ill at ease; he hasn't been out for a long time and is not in touch with the current music scene. This is where we have the inclusion of the songs Born Slippy and 'For what you dream of'. All this shows how Renton has been so wrapped up into his heroin habit that he is totally put of touch. The only song Renton recognizes is a song originally by Blondie called "Atomic' (an 80's song). The shift in emphasis is evident in Trainspotting itself as, although the musical character of the score gradually shifts from the proto-punk of Iggy Pop through to the more recent waves of dance music

Some of the music was recorded purposely for the film. For example Pulp's "Mile End", which accompanies Mark Renton's moving into a London flat. The lyrics of the song describe the state of the flat he moves into:

"It smelt as if someone had died
The living room was full of flies.
The kitchen sink was blocked
The bathroom sink not there at all..."

Another song created by the group Leftfield for the film is ironically called 'The final Hit'. Throughout the film Renton takes many of his so called final hits. It is mainly an instrumental track, with harmonic chords which contrast with a dark, almost overpowering rhythm track. The contrast between harmony and rhythm may represent Mark Renton's mixed feelings at this point in the film - he desperately wants to give up heroin, but the feeling it gives him is too pleasurable.

As a whole the music used in the film is full of irony. For example when Renton is hallucinating that he is disappearing down the 'dirtiest toilet in Scotland', we hear a mellow piece of ambient music by Brian Eno, aptly called Deep Blue Day. The film takes a surreal twist here and we enter a world of soft sounds and images as Renton swims in a blue ocean. This all contrasts harshly with the reality of Renton digging into a filthy toilet to find his heroin suppositories, while he vomits uncontrollably

All of the songs in the soundtrack of Trainspotting have become significant to people who saw it and associate the songs to the film; to heroin. At this time, the term heroin chic was having great impact in the world. Heroin chic was a trend in the 90's that characterized the "thin, sickly look of junkies. Blank expression, waxy complexion, dark circles under the eyes, sunken cheeks, excessive thinness, greasy hair" were seen on runway models showing the 'heroin chic' look and promoted in popular magazine and fashion circles as 'chic'. This fragile, thin, and drug-addicted look was well-liked in the fashion world. In fact, in 1997 it was the basis of the advertising campaign of Calvin Klein. The heroin chic fashion provided debate and anti-drug groups protested. "Fashion designers, models such as Kate Moss and James King, and movies such as Trainspotting were blamed for glamorizing the heroin chic look and lifestyle"

Former US President Bill Clinton condemned the heroin chic look and the 'heroin chic' fashion photography for sending a message that using the drug is 'glamorous' and 'sexy'. He said, "You do not need to glamorize addiction to sell clothes." As he saw it, the glorification of heroin "is not creative. It is destructive. It is not beautiful. It is ugly. And this is not about art. It is about life and death. And glorifying death is not good for any society" Not surprisingly much of the mainstream press and the dailies were horrified by the apparent glorification of heroin use in the film Trainspotting. Junkies were presented as righteous heroes choosing freedom over the tyranny of consumer society. Suddenly all values were inverted as viewers and readers were invited to identify and empathise with low-lifes who would think nothing of spending all day watching telly and shooting heroin. Trainspotting helped a new morbid fascination with the drug heroin by portraying powerful role models in the movie. For years heroin has been very popular in the lives of young celebrities for example River Phoenix (who died of an overdose in 1992).

Trainspotting was a great hit and could be seen of more than advertisement than a film. Even years after the film was released, the film about heroin addiction is was of the best marketed films that portrays cultural images of the heroin subcultures. Trainspotting has received a cult following. The film addresses both the problems of heroin addiction from a user point of view to an anti-drug point of view. Trainspotting manages to shock us, terrify and disgust us one moment and make us laugh the next. Trainspotting does not really have a plot but simply follow the daily lives of this group of junkies

Drugs are the main focus of this film. In the 1990's a new wave of music and drugs started to emerge. Heroin was seen as old-fashioned (Iggy Pop). With the film Trainspotting heroin was given the spotlight. Characters like Sick Boy and Renton became idols for rebellious teenagers who wanted to experiment in drugs, felt disillusioned, unattached from society. Trainspotting became the bible to this new generation of heroin junkies. They had a soundtrack and idols to emulate. On the other hand one could have viewed the film as it is; an ironic and cynical peep hole into the lives of a group of heroin addicts. The tragedy of the film is apparent to the viewer, but than it is up to the individual to interpret it.