If the depressed person is taking more than one medication for depression or medications for any other medical problem, each of the patient's doctors should be aware of the other prescriptions. Many of these medications clear from the body (metabolized) in the liver. This means that the multiple treatments can interact competitively with the liver's biochemical clearing systems. Therefore, the actual blood levels of the medications may be higher or lower than would be expected from the dosage. This information is especially important if the patient is taking anticoagulants (blood thinners), anticonvulsants (seizure medications), or heart medications, such as digitalis (Crystodigin). Although multiple medications do not necessarily pose a problem, all of the patient's doctors may need to be in close contact to adjust dosages accordingly.
Other health conditions. Some antidepressants may cause problems if you have certain mental or physical health conditions. On the other hand, certain antidepressants may help treat other physical or mental health conditions along with depression. For example, bupropion (Wellbutrin, Aplenzin, Forfivo XL) may help relieve symptoms of both attention-deficit/hyperactivity disorder (ADHD) and depression. Other examples include using duloxetine (Cymbalta) to help with pain symptoms or fibromyalgia, or using amitriptyline to prevent migraines.
But there’s more to the story. There are medications that help people feel better a lot faster than today’s antidepressant pills. And feeling better sooner means that people can take helpful actions sooner, developing helpful habits for long-lasting change and lifting themselves out depression. And there are other medications that might not work any faster, but have antidepressant effects without some of the most troubling side effects associated with medications like Zoloft (sertraline) or Paxil (paroxetine).
Fluoxetine is a commonly used SSRI and was the first of the SSRIs to become available in the United States. It selectively inhibits presynaptic serotonin reuptake with minimal or no effect on reuptake of norepinephrine or dopamine. It is commonly prescribed for many indications that are not FDA approved, including fibromyalgia, posttraumatic stress disorder, Raynaud phenomenon, social anxiety disorder, and selective mutism.
Measures of depression as an emotional disorder include, but are not limited to: Beck Depression Inventory-11 and the 9-item depression scale in the Patient Health Questionnaire. Both of these measures are psychological tests that asks on personal questions of the participant, and have mostly been used to measure the severity of depression. Several studies, however, have used these measures to also determine healthy individuals who are not suffering from depression as a mental disorder, but as an occasional mood disorder. This is substantiated by the fact that depression as an emotional disorder displays similar symptoms to minimal depression and low levels of mental disorders such as Major Depressive Disorder, thus researchers were able to use the same measure interchangeably. In terms of the scale, participants scoring between 0-13 and 0-4 respectively were considered healthy individuals. Another measure of depressed mood would be the IWP multi-affect indicator. It is a psychological test that indicates various emotions, such as enthusiasm and depression, and asks for the degree of the emotions that the participants have felt in the past week. There are studies that have used lesser items from the IWP Multi-affect Indicator which was then scaled down to daily levels to measure the daily levels of depression as a emotional disorder.
Self-help—For mild depression, or when moderate or severe depression begins to improve with other treatments, there are some things you can do on your own to help keep you feeling better. Regular exercise, eating well, managing stress, spending time with friends and family, spirituality, and monitoring your use of alcohol and other drugs can help keep depression from getting worse or coming back. Talking to your doctor, asking questions, and feeling in charge of your own health are also very important. Always talk to your doctor about what you’re doing on your own.
People who are depressed may reject your help because they feel they should be able to help themselves, and feel worthless when they can’t. Instead, they may withdraw or start an argument in an effort to resolve their difficulties. In addition, people with depression may have negative thoughts and feel so hopeless that they do not see recovery as a reality.
The nerve cells in our brain use various chemicals to pass on impulses. Even though not all details are known, experts believe that depression is caused by an imbalance of certain chemicals like serotonin which then affects some nerve connections. Antidepressants aim to increase the availability of these chemicals. The various drugs do that in different ways.
While some illnesses have a specific medical cause, making treatment straightforward, depression is more complicated. Depression is not just the result of a chemical imbalance in the brain that can be simply cured with medication. It’s caused by a combination of biological, psychological, and social factors. In other words, your lifestyle choices, relationships, and coping skills matter just as much—if not more so—than genetics.
Once diagnosed, a person with depression can be treated a number of ways. The most common treatments are medication and psychotherapy. Many studies show that cognitive behavioral psychotherapy is highly effective, alone or in combination with drug therapy. Psychotherapy addresses the thinking patterns that precipitate depression, and studies show that it prevents recurrence. Drug therapy is often helpful in relieving symptoms, such as severe anxiety, so that people can engage in meaningful psychotherapy.
Therapists and physicians generally attempt to treat antenatal depression with non-medication methods first, as there is evidence that antidepressants may pose a risk to fetuses. For women with severe antenatal depression, however, antidepressants may be essential. Women need to educate themselves and work with their physicians to balance the risks and the benefits to both themselves and their infants.
Express Yourself. Talk about what is bothering you with a therapist or with friends or family members. If you don't feel comfortable talking, then keep a journal and vent through writing. Expressive writing (such as in a journal) for 15 to 20 minutes three or four days in a row helps you get some perspective on what is bothering you. Writing about what you are feeling can also help decrease the pressure you may be feeling in the moment. Talking and journaling about what bothers you are both known to help raise mood.
Interestingly, the researchers propose that the way Botox may work is by preventing people from frowning. The facial feedback hypothesis — which dates back to Charles Darwin — proposes that using the muscles in your face can have an effect on your emotions. In other words, that smiling can make you happier, and frowning can make you sadder. Botox temporarily paralyzes the muscles that control frowning — and in effect, that might play a role in turning that frown upside down.
Mental health concerns among college students have increased in recent years—rates of depression, anxiety, substance use and suicidal behaviors have all increased. One in four college students had a psychiatric diagnosis in the past year, and racial-ethnic minority students maybe at high risk of undetected mental illnesses, according to new research published in Psychiatric Services.
Major depression, also often referred to as unipolar depression, is characterized by a combination of symptoms that lasts for at least two weeks in a row, including depressed and/or irritable mood (see symptom list), that interferes with the ability to work, sleep, eat, and enjoy once-pleasurable activities. Difficulties in sleeping or eating can take the form of excessive or insufficient of either behavior. Disabling episodes of depression can occur once, twice, or several times in a lifetime.
Behavioral activation is the practice of gradually increasing activity to experience more pleasure and mastery in life, according to Joel Minden, Ph.D., a clinical psychologist at the Chico Center for Cognitive Behavior Therapy. The therapeutic technique is relatively new, so it has a limited amount of research backing it. Nonetheless, it did spring from cognitive behavior therapy [CBT], which has mountains of research to support its efficacy.
Please Note: In some cases, children, teenagers, and young adults under 25 may experience an increase in suicidal thoughts or behavior when taking antidepressants, especially in the first few weeks after starting or when the dose is changed. This warning from the U.S. Food and Drug Administration (FDA) also says that patients of all ages taking antidepressants should be watched closely, especially during the first few weeks of treatment.