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Depression Series
Maria has been feeling depressed for at least two and a half years. About three years ago, her husband of 20 years left her for another woman. Devastated, she became despondent and tearful almost daily.
The treatment of depression is frequently straightforward. Occasionally however, various factors complicate it. For antidepressant to be effective, a psychiatrist should ensure that the diagnosis is correct, that co-morbid psychiatric disorders and medical problems are treated, and that psychosocial issues are adequately addressed. It was with keen interest that we got about to writing on anxiety resources. Hope you read and appreciate it with equal interest.
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For the past two years, Maria has tried four types of antidepressants. She has taken the usual adult doses of these drugs. Although she somewhat improves, she has virtually remained the same ' depressed and disabled.
Second, are there co-morbid disorders? Depression can exist along with other psychiatric disorders such as anxiety disorder, alcohol or drug problems, personality disorder, dementia, and psychosis. Depression will persist if these co-morbid disorders are not treated. For instance, depressive disorder with psychosis cannot be adequately treated just with antidepressant alone. You need an antipsychotic drug added to an antidepressant to treat the illness. Aiming high is our motto when writing about any topic. In this way, we tend to add whatever matter there is about anxiety resources, rather than drop any topic.
Third, is there an ongoing neurological or medical disorder that precipitates, aggravates, or complicates depression? Hypothyroidism, hyperthyroidism, vitamin B-12 deficiency, pancreatic cancer, brain tumor, Parkinson's disease, and stroke can all cause depression. If any of these disorders are present, antidepressants are less likely to help. The goal in these situations is to treat the underlying medical condition. A 65 year-old lady came to see me complaining of severe depression. On evaluation, she disclosed that she had been on three types of antidepressants for the past four years with minimal response. I checked her recent laboratory results which showed an abnormal thyroid! No wonder, she was not responding to the medication. We are satisfied with this end product on anxiety resources. It was really worth the hard work and effort in writing so much on anxiety resources.
There are many reasons why depressed patients like Maria don't improve on antidepressants. First, is the diagnosis correct? Depression can be caused by many clinical entities. Sometimes, knowing the right diagnosis is a challenge. Medical disorders, medications such as beta-blockers and benzodiazepines (e.g. clonazepam), and various psychiatric disorders can cause depression and they all require different treatment. If your doctor fails to identify and treat the true cause of your depression, you will remain depressed despite the use of antidepressant.
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Maria seems to be taking the medications regularly. But why is she not responding to her antidepressants? Maria is just one of the many depressed individuals who don't feel 'normal' despite treatment. Depression is a treatable disease but how come some people don't do well on medications? Enhancing your vocabulary is our intention with the writing of this article on anxiety resources. We have used new and interesting words to achieve this.
Eventually, her depression got worse associated with inability to function. Her appetite, energy, concentration, and sleep became impaired. She also felt hopeless and suicidal. Her psychiatrist put her on a starting dose of antidepressant. She responded initially but after a few days, she felt just like before taking the medication.
Maria's doctor should explore further the real problem and
provide the most appropriate intervention.
About the author:
Copyright ' All rights reserved. Dr. Michael G. Rayel '
author (First Aid to Mental Illness'Finalist, Reader's
Preference Choice Award , speaker, workshop leader, and
psychiatrist. Dr. Rayel helps individuals recognize the early
signs of mental illness and provide early intervention. To
receive free newsletter, visit www.drrayel.com. His books are
available at major online bookstores.
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