I feel I have the depression. I feel sad without any reason. can I go for allopathic or ayurvedic treatment?
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Answers:
Hi Robin, u have already seen an epic which r probably copied from some wiki or something like that. Now listne to the experience of a real patient. Depression is a severely painful disease. All the pains are physical, like feeling severely tired without any reason at all, racing thoughts, being frightened of early mornings........... How can racing thoughts be severely painful? I can't be explain that, because only 30% of humankind suffers from it and those who suffers r usually recognised as weak people or lunies and it is customary to laugh at them. So there is no abstraction(name) for this severely painful feeling.
What should u do?
1>Go to a good psychiatrist immediately. There are variety of depressions with different symptoms. Early and correct diagnosis is very important. Go to a psychiatrist who has passed very recently, say 2/3 years. The old and established ones practice outdated theories and medicines, and are usually reluctant about patients because they r already too bored of their profession and too assured of their earning. U may try NIMHANS Bangalore. or PGI Chandigarh.
2>Consult several psychiatrists to ensure that the diagnosis is correct. This is very important. The first 3 psys I consulted, diagnosed me wrongly as a patient of anxiety depression while I am in fact a bipolar and that ruined my life. Mind it they all were reputed psys with roaring practices.
3> When u know the name of ur disease, ask the psys for a list of the symptoms of the disease. Consult other patients, self help
groups, internet, forums to know in detail about the symptoms.
Then think out your exact pattern. The docs can't tell u those because the fools themselves do not know those. The recognition of the symptoms is what going to save u in the long run.
4>Never trust psys rosy pictures about medicins. Ayurveda simply doesn't work. Allopathy works (as I have heard from patients of ist world country) but never when prescribed by INDIAN DOCTORS (PSYS). I haven't seen a single Indian patient who's leading a moderately comfortable life. Because INDIAN DOCTORS do not know anything about psychiatry not even the right doses. All they do is hits and misses and lots of tall talks.
I have same experiences with 6 INDIAN DOCTORS all from premier INDIAN institutions and each treated me atleast for 2 years without slightest improvement. The disease always took its
own course.
5> Be very careful about side effects of medicines. They may be horrible and may ruin ur life. Sometimes the side effects r so very similar to the symptoms that u never know what r u suffering from.
6>Force the doc to give u lists of side effects of each medicine he prescribes. That's his responsibility, at least in civilized lands.
7>Force the doc to change a medicine if u suspect a side effect. If he denies smash his nose. He can't do u anything legaly or ethicaly since u r the person who is suffering either from pains of disease or from side effects. His duty is to cure u, relieve u of ur pain, not to force u to take medicines, nor to fool u with rosy pictures of imminent cure after the brief period of suffering from side effect.
8>Always ask the doc to specify how long he is going to take to restore u to a moderately normal and painless life and tersely remind him to follow his schedule. Docs in civilized lands give such schedules.
8> Always keep in touch with other patients who r fighting the pains valiantly and discuss ur problems with them, so that u may work out your correct lifestyle to keep the disease at bay.
9> Always reason, never whine and determine that u will lead a dignified life despite all ur agonies.
If u need further helps feel free to mail me.
Depression typically cannot be shaken or willed away. An episode must therefore run its course until it weakens either on its own or with treatment. Depression can be treated effectively with antidepressant drugs, psychotherapy, or a combination of both.
Despite the availability of effective treatment, most depressive disorders go untreated and undiagnosed. Studies indicate that general physicians fail to recognize depression in their patients at least half of the time. In addition, many doctors and patients view depression in elderly people as a normal part of aging, even though treatment for depression in older people is usually very effective.
A. Antidepressant Drugs
Common Psychotherapeutic Drugs
Up to 70 percent of people with depression respond to antidepressant drugs. These medications appear to work by altering the levels of serotonin, norepinephrine, and other neurotransmitters in the brain. They generally take at least two to three weeks to become effective. Doctors cannot predict which type of antidepressant drug will work best for any particular person, so depressed people may need to try several types. Antidepressant drugs are not addictive, but they may produce unwanted side effects. To avoid relapse, people usually must continue taking the medication for several months after their symptoms improve.
Commonly used antidepressant drugs fall into three major classes: tricyclics, monoamine oxidase inhibitors (MAO inhibitors), and selective serotonin reuptake inhibitors (SSRIs). Tricyclics, named for their three-ring chemical structure, include amitriptyline (Elavil), imipramine (Tofanil), desipramine (Norpramin), doxepin (Sinequan), and nortriptyline (Pamelor). Side effects of tricyclics may include drowsiness, dizziness upon standing, blurred vision, nausea, insomnia, constipation, and dry mouth.
MAO inhibitors include isocarboxazid (Marplan), phenelzine (Nardil), and tranylcypromine (Parnate). People who take MAO inhibitors must follow a diet that excludes tyramine—a substance found in wine, beer, some cheeses, and many fermented foods—to avoid a dangerous rise in blood pressure. In addition, MAO inhibitors have many of the same side effects as tricyclics.
Selective serotonin reuptake inhibitors include fluoxetine (Prozac), sertraline (Zoloft), and paroxetine (Paxil). These drugs generally produce fewer and milder side effects than do other types of antidepressants, although SSRIs may cause anxiety, insomnia, drowsiness, headaches, and sexual dysfunction. Some patients have alleged that Prozac causes violent or suicidal behavior in a small number of cases, but the U.S. Food and Drug Administration has failed to substantiate this claim.
Prozac became the most widely used antidepressant in the world soon after its introduction in the late 1980s by drug manufacturer Eli Lilly and Company. Many people find Prozac extremely effective in lifting depression. In addition, some people have reported that Prozac actually tranforms their personality by increasing their self-confidence, optimism, and energy level. However, mental health professionals have expressed serious ethical concerns over Prozac’s use as a “personality enhancer,” especially among people without clinical depression.
Doctors often prescribe lithium carbonate, a natural mineral salt, to treat people with bipolar disorder (see Lithium). People often take lithium during periods of relatively normal mood to delay or even prevent subsequent mood swings. Side effects of lithium include nausea, stomach upset, vertigo, and frequent urination.
B. Psychotherapy
Psychotherapy Session
Psychotherapy Session
A psychologist listens to her client during a psychotherapy session. Psychotherapy can be an effective treatment for many mental disorders. Some forms of psychotherapy try to help people resolve their internal, unconscious conflicts, and other forms teach people skills to correct their abnormal behavior.
Studies have shown that short-term psychotherapy can relieve mild to moderate depression as effectively as antidepressant drugs. Unlike medication, psychotherapy produces no physiological side effects. In addition, depressed people treated with psychotherapy appear less likely to experience a relapse than those treated only with antidepressant medication. However, psychotherapy usually takes longer to produce benefits.
There are many kinds of psychotherapy. Cognitive-behavioral therapy assumes that depression stems from negative, often irrational thinking about oneself and one’s future. In this type of therapy, a person learns to understand and eventually eliminate those habits of negative thinking. In interpersonal therapy, the therapist helps a person resolve problems in relationships with others that may have caused the depression. The subsequent improvement in social relationships and support helps alleviate the depression. Psychodynamic therapy views depression as the result of internal, unconscious conflicts. Psychodynamic therapists focus on a person’s past experiences and the resolution of childhood conflicts. Psychoanalysis is an example of this type of therapy. Critics of long-term psychodynamic therapy argue that its effectiveness is scientifically unproven.
C. Other Treatments
Light Therapy
Light Therapy
People with this disorder experience episodes of depression that usually begin during the winter months. Daily exposure to bright light helps prevent or lift depression for many people with the disorder.
Electroconvulsive therapy (ECT) can often relieve severe depression in people who fail to respond to antidepressant medication and psychotherapy. In this type of therapy, a low-voltage electric current is passed through the brain for one to two seconds to produce a controlled seizure. Patients usually receive six to ten ECT treatments over several weeks. ECT remains controversial because it can cause disorientation and memory loss. Nevertheless, research has found it highly effective in alleviating severe depression.
For milder cases of depression, regular aerobic exercise may improve mood as effectively as psychotherapy or medication. In addition, some research indicates that dietary modifications can influence one’s mood by changing the level of serotonin in the brain.
Count Dracula
i have had depression for many years now. i went to the doctors a couple of mounths ago now im on tablets called cipralax i feal loads better. you should ask for them.
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