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The following case study shows how mindfulness can help with serious depression (Part 1 of 2).
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Can someone ever fully “recover” from true clinical depression?
I have been diagnosed as clinically depressed in the last 2 years at age 25. The lack of focus and concentration that I feel as a result has caused me to leave several jobs, which has made me more depressed. Can intensive therapy and practicing mindfulness as well as other medical interventions restore me to somewhat normal functioning or is clinical depression something one just has to cope with?
Best answer:
Answer by mandalaybay15
yes…you have to be able to manage it. It’s in a way like alcoholism. It’s always going to be there. But like alcoholism..there is always ways to manage it.
The development of newer antidepressant medications and mood-stabilizing drugs has improved the treatment of depression. Medications can relieve symptoms of depression and have become the first line of treatment for most types of the disorder.
Treatment may also include psychotherapy, which may help you cope with ongoing problems that may trigger or contribute to depression. A combination of medications and a brief course of psychotherapy usually is effective if you have mild to moderate depression. If you’re severely depressed, initial treatment usually is with medications or electroconvulsive therapy. Once you improve, psychotherapy can be more effective.
Doctors usually treat depression in two stages. Acute treatment with medications helps relieve symptoms until you feel well. Once your symptoms ease, maintenance treatment typically continues for four to nine months to prevent a relapse. It’s important to keep taking your medication even though you feel fine and are back to your usual activities. Episodes of depression recur in the majority of people who have one episode, but continuing treatment greatly reduces your risk of a rapid relapse. If you’ve had two or more previous episodes of depression, your doctor may suggest long-term treatment with antidepressants.
Medications
Selective serotonin reuptake inhibitors (SSRIs). Doctors often consider selective serotonin reuptake inhibitors, such as fluoxetine (Prozac, Sarafem), paroxetine (Paxil), sertraline (Zoloft), citalopram (Celexa) and escitalopram (Lexapro), as the first-line treatment for depression because they have fewer serious side effects. They seem to work by increasing the availability of the neurotransmitter serotonin in your brain. Drugs similar to SSRIs include serotonin and norepinephrine reuptake inhibitors (SNRIs), such as trazodone (Desyrel, Trialodine) and venlafaxine (Effexor), and dopamine reuptake inhibitors, such as bupropion (Wellbutrin).
Tricyclic and tetracyclic antidepressants. These medications also affect neurotransmitters, but by a different mechanism than that of SSRIs. They may be used for any type of depression, be it mild or severe. Among tricyclic antidepressants are amitriptyline, desipramine (Norpramin), nortriptyline (Aventyl, Pamelor), protriptyline (Vivactil), trimipramine (Surmontil), and a combination of perphenazine and amitriptyline. Tetracyclics include maprotiline and mirtazapine (Remeron).
Monoamine oxidase inhibitors (MAOIs). These drugs, which include phenelzine (Nardil) and tranylcypromine (Parnate), prevent the breakdown of neurotransmitters. The drugs have potentially serious side effects if combined with certain other medications or food products. Doctors rarely use them unless other options have failed. Your doctor may prescribe them if you have chronic depression and eat or sleep excessively.
Stimulants. Your doctor may initially prescribe a stimulant such as methylphenidate (Ritalin, Concerta), dextroamphetamine (Dexedrine, Dextrostat) or modafinil (Provigil) if you can’t take antidepressants because they’re contraindicated due to another medical condition. These medications are also sometimes given in conjunction with antidepressants.
Lithium and mood-stabilizing medications. Doctors prescribe lithium (Eskalith, Lithobid), valproic acid (Depakene), divalproex (Depakote) and carbamazepine (Tegretol, Carbatrol) to treat bipolar depression. Medications called atypical antipsychotics such as olanzapine (Zyprexa), risperidone (Risperdal) and quetiapine (Seroquel) were initially developed for treatment of psychotic disorders. Doctors sometimes also use them to treat bipolar disorder.
Precautions for children, teens and young adults
In some cases, antidepressants have been linked to an increase in suicidal thoughts and behavior. The Food and Drug Administration requires that all antidepressants have black box warnings — the strongest health warnings possible on prescription medications — about their link to suicide in children, adolescents and young adults ages 18 to 24. These warnings don’t mean that people in these age groups should avoid antidepressants entirely. However, anyone in these age groups who takes antidepressants must be closely monitored by their loved ones, caregivers and health care providers.
The increased risk of suicidal thoughts and behavior doesn’t appear to apply to adults older than age 24. In fact, for adults age 65 and older, antidepressants can actually decrease the risk of suicidal thoughts and behavior.
Side effects of antidepressants:
As with any medication, antidepressants often cause side effects. You may notice side effects before you can feel the drug begin to ease your depression. Most of the side effects from antidepressants are temporary and will disappear as your body gets used to the medication. Let your doctor know about any side effects that interfere with daily functioning, or if they’re especially bothersome.
SSRIs. Side effects that may occur with SSRIs and other new antidepressants include headache, nausea, insomnia, agitation or a jittery feeling, and sexual difficulties.
Tricyclic antidepressants. Older medications, such as tricyclics, may cause dry mouth, constipation, sexual difficulties, blurred vision, dizziness, bladder problems and daytime drowsiness.
MAOIs. These drugs can cause a significant increase in blood pressure if you eat foods high in tyramine, such as wine, cheese or pickles, or if you take certain drugs, such as decongestants, while taking an MAOI. Ask your doctor or pharmacist for a list of foods and drugs to avoid.
According to the American Diabetes Association (ADA), certain antipsychotic medications may increase the risk of diabetes, obesity and high blood pressure. The ADA recommends that anyone taking Risperdal, Seroquel and Zyprexa be screened and monitored.
Alcohol can interfere with the way your body absorbs antidepressants. Talk with your doctor before drinking alcohol while you’re taking an antidepressant.
Not everyone responds the same way:
Most antidepressants have a similar level of effectiveness. But a medication that works for someone else might not work for you. Doctors choose antidepressants based on your family history and the match between your symptoms and the medication’s side effects. For example, if you have insomnia, a sedating antidepressant may help you. But if you’re lethargic, then a more energizing antidepressant may be more helpful.
It can take up to eight to 12 weeks before you feel the full effects of an antidepressant, though you may feel some changes earlier. If your response to medication hasn’t resulted in satisfactory progress after that time, your doctor may suggest either adding another antidepressant or replacing the first medication with another drug from a different chemical family.
Other treatments
In addition to medications, depression treatment may include:
Psychotherapy. There are several types of psychotherapy. Each type involves a short-term, goal-oriented approach aimed at helping you deal with a specific issue. Prolonged psychotherapy is seldom necessary to treat depression. If an underlying factor contributing to your depression is an inability to get along with others or difficulty finding your place in life, then prolonged psychotherapy could help you.
The success of therapy depends on finding a doctor, psychiatrist or psychologist you’re comfortable with. Both medications and psychotherapy can take weeks to have an effect. Specialized and supervised group therapy, such as bereavement groups, stress management classes, marital counseling and family therapy, also may help.
Electroconvulsive therapy. Despite the images that many people conjure up, electroconvulsive therapy is generally safe and effective. Experts aren’t sure how this therapy relieves the signs and symptoms of depression. The procedure may affect levels of neurotransmitters in your brain. The most common side effect is confusion that lasts a few minutes to several hours. Some people experience some transient memory loss. This therapy is usually used for people who don’t respond to medications and for those at high risk of suicide. It may be the only treatment available for severely depressed older adults who can’t take medications because of heart disease.
Light therapy. This therapy may help if you have seasonal affective disorder. This disorder involves periods of depression that recur at the same time each year, usually when days are shorter in the fall and winter. Scientists believe fewer hours of sunlight may increase levels of melatonin, a brain hormone thought to induce sleep and depress mood. Treatment in the morning with a specialized type of bright light, which suppresses production of melatonin, may help if you have this disorder.
Depression Is a State of Mind Treat It With Effexor
Depression can be defined as a state when your mood is low and you generally do not feel like carrying out any activities; not even what you necessarily have to do. When you are depressed you experience a feeling of sadness, you feel that you are vulnerable and absolutely hopeless. There are many symptoms of depression but the most common one is the feeling that you are down in the dumps and this is medically termed dysphoria. Other symptoms like anger or irritation, alteration in your sleep pattern, disinterest in even daily activities, loss of appetite and as a consequence loss of weight, lack of energy, fear of not being able to do things correctly etc are also what you can experience when you are depressed.
Effexor is one of the newer generation medications that is now available to treat depression. It is said to be a chemically different antidepressant that belongs to a class of antidepressants called selective serotonin norepinephrine reuptake inhibitors.
It is also used to treat social phobias, panic disorders and generalized anxiety disorder (GAD). This medication is believed to act on certain chemicals in the brain called serotonin and norepinephrine. No other medication acts on both these neurotransmitters without creating too much of damaging side effects.
It has been claimed that Effexor is less likely to stimulate seizures or to have any toxic effects on the heart or be the cause of any fatal reactions. This medication can be used even on patient who have just recently become depressed. Akin to many other antidepressant drugs Effexor too may take several weeks before you can experience the full impact of the drug. It is imperative that you give the drug enough time to work, so see that you do not discontinue its use.
Effexor is a well known drug and at the same time it is widely considered as the best option for most of the strange diseases that you might come along. It is always advised to buy these drugs at a reputed canadian pharmacy, as you can save a lot of time and money. You can click here to buy Generic Effexor.