Archive for the ‘Depression’ Category

Depression – Symptoms, Causes and Treatment options

Friday, April 30th, 2010

Depression is a complex of psychological and physical symptoms. Low mood level or sadness is often the most prominent symptom. The common property of these symptoms is a decreased activity level in parts of the brain.

THE SYMPTOMS OF DEPRESSION

Depression may give one or more of these symptoms:

-Low mood level or sadness.

-Lack of joy or interest in activities that were joyful before.

-Pessimism.

-Feel of guilt of something without any substantial reason to feel so.

-Inferiority thoughts.

-Irritability.

-Slowness in the thought process.

-Slowness in interpreting sensorial stimuli.

-Slowness of digestion or other internal physical processes, and symptoms caused by this slowness, for example inflated stomach, constipation or difficulties by urination.

-Slow physical reactions.

Depression can be a mild disease that only causes some annoyance in the daily life, but can also get very serious and make a person totally unable to work and unable to participate in social life. By depression of some severity, there is also a greater risk of suicide.

Depression can occur in all age classes. In teenagers lack of interest in school work, withdrawal from social life and difficult mood can be signs of depression.

THE PHYSIOLOGICAL CHANGES THAT PRODUCE THE SYMPTOMS

By depression there is a decreased amount of neurotransmitters in parts of the central nervous system, mainly deficiency of serotonin, but also to some extend of noradrenalin, acetylcholine, dopamine or gamma-amino-butyric acid (GABA), or the nerve cells do not react properly by stimulation from neurotransmitters. A neurotransmitter is a signal substance that transmits the nerve signal through the junctions between two nerve cells.

Serotonin and noradrenalin cause nerve cells to send impulses along to other nerve cells, and thus increase the activity in the brain. Deficiency of these substances causes slowness in parts of the brain, and that again causes the depressive symptoms.

The role of GABA is the opposite, namely to slow down some nerve impulses, mainly those causing anxiety and panic response. Lack of GABA causes higher anxiety and easier panic response. Yet, lack of this transmitter also seems to cause depressive symptoms. This is because a too high activity in some brain processes may slow down other processes.

There are many causes and subtypes of depression with different physiological mechanisms involved.

TYPES OF DEPRESSION

Depression is often divided into subtypes according to exhibited symptoms.

1. Mono-polar depression and dysthymic disorder

By mono-polar depression there are pure depressive symptoms. Mild cases of mono-polar disorder that do not affect a persons ability to work and to participate in social activities are often called dysthymic disorder.

2. Bipolar disorder (manic-depressive disease) and cyclothymic disorder

In this condition there are periods with symptoms of depression – the depressive phase, alternating with periods of elevated mood level with increased mental and physical activity – the manic phase. In the manic phase, the affected person also sleeps poorly and has concentration difficulties. A mild form of this disease is called cyclothymic disorder.

3. Manic disorder

This condition is characterized by abnormally elevated mood, by unrealistic optimism, by lack of sleep and by hyperactive behaviour. Many psychiatrists think that this disorder is simply the same disease as bipolar disorder where the depressive face has not yet occurred.

4. Depression with mainly physical symptoms

Sometimes the physical symptoms of depression are alone or dominant, as for example: Digestive problems, constipation, difficulties with urination, slow response to sensorial stimuli or slow physical reactions.

CAUSES OF DEPRESSION

Two or more factors can have an effect simultaneously to cause depression. Depression can be an independent disease, or a part of other disease. Depression is also divided into different subtypes according to cause.

1. Reactive depression

This disease is simply a result from psychological stress, physical struggle or mental straining without proper rest or sleep over a long time period. The straining will simply wear out the nervous system or deplete the organism from nutrient necessary for the nervous system to work properly.

2. Endogenous depression

When there has not been any period of stress, straining or lack of rest that can explain the condition, the condition is often called endogenous depression. Inheritance is thought to be a part of the cause.

3. Depression by physical disease

Depression or depressive symptoms may be a symptom of physical disease. This is perhaps the most common cause of depression.

Diseases often associated with depression are: Heart disease, Parkinson’s disease, stroke, hypertension or Cushing’s syndrome.

Mononucleosis or flu may trigger depression that continues after the infection has gone.

By lack of thyroid hormones, hypothyroidism, the metabolism in the whole body is slowed down, including the production of neurotransmitters in the brain. Therefore depression is an important symptom of hypothyroidism.

4. Depressive symptoms as a consequence of unsound lifestyle

A general unsound lifestyle with too less exercise, too much of stimulants like alcohol, coffee or tea, too less of important nutrient and too much of sugar and fat may give depressive symptoms, as well as physical problems.

5. Postnatal depression

Women will often have a period of depression after pregnancy and berth of the baby Pregnancy and berth is physically and mentally exhausting, and may drain the body for nutrient. This in turn can cause depressive symptoms

6. Seasonal affective disorder

Depression can occur in cold and dark periods of the year and go away in warm and light periods. Light stimulates brain activity, and lack of light is a causative factor.

TREATMENT OF DEPRESSION

Serious or prolonged depression is often treated with anti-depressive medication. Medicines used against depression generally increase the level of neurotransmitters like serotonin in the central nervous system, or they mimic the neurotransmitters.

The medications mostly used today increase the serotonin concentration by decreasing the removal of serotonin from the space around nerve cells. Examples of this medication type are: Fluoxetine (Prozac), fluvoxamine (Luvox), paroxetine (Paxil), escitalopram (Lexapro, Celexa), sentraline (zoloft).

By bipolar disorder in the manic face, heavy tranquilizers (neuroleptica) are used to stop the manic symptoms. By bipolar disorder, lithium salts are sometimes used to stabilize the condition, and prevent new outbreak of depressive or manic faces.

Psychotherapy is sometimes used by depression, usually in combination with medication.

Sometimes serious depression is treated by applying electric shock through the head, electroconvulsive therapy. The shock induces epileptic eruption of nerve signals through the brain and this gives cramps throughout the body. The cramps are alleviated or stopped by applying anaesthesia before the electroshock. This form of treatment is controversial, since it can cause memory loss and is suspected of causing brain damage. The possibility of brain damage is however denied by most psychiatrists.

By seasonal depression, light therapy maybe useful.

Adjustment of lifestyle should always be considered by depression or depressive symptoms. Lifestyle measures can sometimes be enough to cure depressive symptoms before a serious depression develop. Lifestyle adjustments can be:

- To slow down a stressful life with too much work or activities.

- Enough rest and sleep.

- A good diet with enough of necessary nutrients.

- Some physical exercise.

- Meditation.

- Supplement of vitamins, minerals, antioxidants, lecithin, amino acids and essential fatty acids.

- Stimulants like coffee or tea may help against depressive feelings in moderate amount. However, if you are a heavy user of these stimulants, you should cut down on your consumption.

There exist nutritional products in the marked to help against depressive symptoms. These contain ingredients that the brain uses as building blocks for neurotransmitters, for example amino acids and lecithin. They also often contain vitamins and minerals that the brain uses as tools to produce neurotransmitters, especially vitamin B6.

Supplements may further contain herbal extracts that trigger higher brain activity much like anti-depressive medications, but may have fewer side effects.

Author: Knut Holt
Article Source: EzineArticles.com
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Causes of Depression and the Bad Side of a Possible Good

Monday, February 8th, 2010


Let there be no doubt that depression is a serious mental illness that sometimes requires months and years of treatment on the road to a cure. Hippocrates referred to depression as melancholia, which literally means black bile. Black bile, along with blood, phlegm, and yellow bile were the four humors (fluids) that described the basic medical physiology theory of that time. Depression, also referred to as clinical depression, has been portrayed in literature and the arts for hundreds of years, but what do we mean today when we refer to a depressive disorder? In the 19th century, depression was seen as an inherited weakness of temperament. In the first half of the 20th century, Freud linked the development of depression to guilt and conflict. John Cheever, the author and a modern sufferer of depressive disorder, wrote of conflict and experiences with his parents as influencing his development of depression.

Each year, millions of people come to the realization that they suffer from depression. To make things worse it is estimated that only a third of those who suffer the disease will ever seek treatment. Because depression is considered a mental affliction, many sufferers shy away from seeking help from a doctor. Instead of being considered mentally ill, people try to manage the problem themselves. Depression is more common- place than you might think and it will not go away on its own.

Depression has no single cause; often, it results from a combination of things. You may have no idea why depression has struck you.

Whatever its cause, depression is not just a state of mind. It is related to physical changes in the brain, and connected to an imbalance of a type of chemical that carries signals in your brain and nerves. These chemicals are called neurotransmitters.

Some of the more common factors involved in depression are:

* Family history. Genetics play an important part in depression. It can run in families for generations.

* Trauma and stress. Things like financial problems, the breakup of a relationship, or the death of a loved one can bring on depression. You can become depressed after changes in your life, like starting a new job, graduating from school, or getting married.

* Pessimistic personality. People who have low self-esteem and a negative outlook are at higher risk of becoming depressed. These traits may actually be caused by low-level depression (called dysthymia).

* Physical conditions. Serious medical conditions like heart disease, cancer, and HIV can contribute to depression, partly because of the physical weakness and stress they bring on. Depression can make medical conditions worse, since it weakens the immune system and can make pain harder to bear. In some cases, depression can be caused by medications used to treat medical conditions.

* Other psychological disorders. Anxiety disorders, eating disorders, schizophrenia, and (especially) substance abuse often appear along with depression.

Why do people get depression? The answer can get very complicated because you have to take many factors into consideration. The list is quite long. Let’s list a few of the contributing factors to depression. A chemical imbalance is widely considered to be the main cause for depression. Why does this chemical problem in the brain happen? Typically the causes stem from biological, genetic, physical, mental and environmental implications. In many cases the underlying cause is never identified. Depression often follows diagnosis of other medical conditions, particularly those that result in imminent death or are chronic.
Scientists do not know why the hippocampus is smaller in those with depression. Some researchers have found that the stress hormone cortisol is produced in excess in depressed people. These investigators believe that cortisol has a toxic or poisonous effect on the hippocampus. Some experts theorize that depressed people are simply born with a smaller hippocampus and are therefore inclined to suffer from depression.

Another cause of depression can be the emotional pain felt after losing a loved one. In many cases the loss can be very traumatic. Long periods of emotional, sexual or other physical abuses can result in depression. When people abuse drugs and/or alcohol the result is often depression. People’s mental states are fragile. If exposed to the wrong pressures, depression can result. There can also be a genetic element to depression. Those afflicted have a family history of the disease . Oddly, many drugs including those that regulate depression or anxiety can cause depression. High blood pressure medication can result in depression.

One of the major causes of depression is stress. Stress can derive from many different areas in our life. It’s not well known, but it’s true, that stress can result from the pressures associated with positive events such as a new, high paying job. The unknown is often the root cause of this stress, whether it be positive or negative. Arguments with family members, disputes with business clients can both cause stress.

The causes of clinical depression are likely to be different for different people. Sometimes a depressive episode can appear to come out of nowhere at a time when everything seems to be going fine. Other times, depression may be directly related to a significant event in our lives such as losing a loved one, experiencing trauma, or battling a chronic illness.

Research indicates that depressive illnesses are disorders of the brain. Brain-imaging technologies, such as magnetic resonance imaging (MRI), have shown that the brains of people who have depression look different than those of people without depression. The parts of the brain responsible for regulating mood, thinking, sleep, appetite and behavior appear to function abnormally. In addition, important neurotransmitters-chemicals that brain cells use to communicate-appear to be out of balance. But these images do not reveal why the depression has occurred.

Scientists believe genetic factors play a role in some depressions. Researchers are hopeful, for instance, that they are closing in on genetic markers for susceptibility to manic-depressive disorder.

Depression in adolescence comes at a time of great personal change-when boys and girls are forming an identity distinct from their parents, grappling with gender issues and emerging sexuality, and making decisions for the first time in their lives. Depression in adolescence frequently co-occurs with other disorders such as anxiety, disruptive behavior, eating disorders or substance abuse. It can also lead to increased risk for suicide.

Teen depression cannot always be prevented, but there are some things that can help reduce the chances of an episode of depression in a teen who is at risk.

Teen Depression is presented for troubled teens or parents of teens. We offer information on teenage depression, issues, and other teen problems. Our articles were written to educate parents and teens about adolescent depression, the warning signs, and various treatment options available.

Some of the causes of depression in teenagers seem to be genetic, and those cannot be changed, but other triggers of teen depression can be avoided. Some of the risk factors for teen depression include:

* A family or personal history of depression
* A long-term illness or disability, whether physical or mental
* Experiencing a trauma or loss, including abuse, divorce of parents, death of a loved one, or a break-up
* Difficulties at home, at school, or with friends

If you know a teen who suffers from or is at risk for depression, you can help the teen by:

* Talking and listening to him or her
* Encouraging him or her to be involved in positive activities and to take good care of him or herself
* Being fair when dealing with or disciplining the teen
* Setting a good example by taking good care of yourself and getting help if you feel depressed or overwhelmed.

The majority of older adults with depression improve when they receive treatment with an antidepressant, psychotherapy, or a combination of both.18 Research has shown that medication alone and combination treatment are both effective in reducing the rate of depressive recurrences in older adults. Psychotherapy alone also can be effective in prolonging periods free of depression, especially for older adults with minor depression, and it is particularly useful for those who are unable or unwilling to take antidepressant medication.

Additional research data indicate that people suffering from depression have imbalances of neurotransmitters, natural substances that allow brain cells to communicate with one another. Two transmitters implicated in depression are serotonin and norepinephrine. Scientists think a deficiency in serotonin may cause the sleep problems, irritability, and anxiety associated with depression. Likewise, a decreased amount of norepinephrine, which regulates alertness and arousal, may contribute to the fatigue and depressed mood of the illness. Other body chemicals also may be altered in depressed people. Among them is cortisol, a hormone that the body produces in response to stress, anger, or fear. In normal people the level of cortisol in the bloodstream peaks in the morning, then decreases as the day progresses. In depressed people, however, cortisol peaks earlier in the morning and does not level off or decrease in the afternoon or evening.

There is mounting evidence that depression takes a serious toll on physical health. The most recent studies exploring health and depression have looked at patients with stroke or coronary artery disease. Results have shown that people with depression who are recovering from strokes or heart attacks have a more difficult time making health care choices, following their doctor’s instructions, and coping with the challenges that their illness presents. Another study found that patients with depression also have a higher risk of death in the first few months after a heart attack.

Some people have a low threshold for stress. They’re affected by events and activities that to others seem to not be stressful.The good news is that very effective treatments are available to help those who are depressed. However, only about one-third of those who are depressed actually receive treatment. This is unfortunate since upwards of 80-90% of those who do seek treatment can feel better within just a few weeks. Many people do not seek treatment for depression for a variety of reasons. Some believe that depression is the result of a personal weakness or character flaw. This is simply not true. Like diabetes, heart disease, or any other medical condition, clinical depression is an illness that should be treated by a mental health professional or physician. Another reason why many people do not seek help for depression is that they simply do not recognize the signs or symptoms that something may be wrong.

Knowing is half the battle. If you or someone you love suffers from depression-please seek medical assistance.

Author: Jay Wyshak
Article Source: EzineArticles.com
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Depression Medications Are in the Hands of the Beholder

Wednesday, December 9th, 2009


Depression is caused by a variety of factors. It can by biological, genetic, physical and emotional. Simple daily life and surroundings are important. Stress and other negative influences have been known to contribute. Complicated diseases like depression aren’t easy to crack. We also recognize the intricacy of man’s mind.

The medical profession is working steadily in an attempt to study the mind and how it works. A chemical imbalance in the brain causes depression, that’s known. We are learning more every day about how the whole process works. Better treatments come from more knowledge. Depression treatment comes from a variety of medications on the market. Quick fix schemes exist too, but they don’t work. You have to be careful to seek medications that have been clinically studied and have been proven to display positive effects in the treatment of depression.

There was a time in our history if you were afflicted by anything that was associated with mental illness you were thrown into a mental ward and lost in the system. It’s good to know that’s no longer the case. In 1988 the anti-depressant ‘Prozac’ first hit the market in the United States. It was proven to work, and thus is still prescribed today even though it can have serious side effects. There are several types of depression medications (antidepressants) used to treat depression and conditions that have depression as a component of the disease, such as bipolar disorder. These drugs improve symptoms of depression by increasing the availability of certain brain chemicals called neurotransmitters. It is believed that these brain chemicals can help improve emotions.

Major types of antidepressants include:

* Tricyclic antidepressants (TCAs) are some of the first antidepressants used to treat depression. They primarily affect the levels of two chemical messengers (neurotransmitters), norepinephrine and serotonin, in the brain. Although these drugs are effective in treating depression, they have more side effects, so they usually aren’t the first drugs used.

* Monoamine oxidase inhibitors (MAOIs) are another early form of antidepressant. These drugs are most effective in people with depression who do not respond to other treatments. They are also effective for other mental illnesses. Substances in certain foods, like cheese, beverages like wine, and medications can interact with an MAOI, so these people taking this medication must adhere to strict dietary restrictions (see below). For this reason these antidepressants also aren’t usually the first drugs used.

* Selective serotonin reuptake inhibitors (SSRIs) are a newer form of antidepressant. These drugs work by altering the amount of a chemical in the brain called serotonin.

* Serotonin and norepinephrine reuptake inhibitors (SNRIs) are another newer form of antidepressant medicine. They treat depression by increasing availability of the brain chemicals serotonin and norepinephrine. Medications affect your brain chemistry in different ways, so you may try several different medications or combinations of medications to find treatment that works for your depression. Most people find a drug that works within a few tries, but for some people, depression can be more difficult to treat. In some cases, a combination of antidepressants may be necessary. Sometimes an antidepressant combined with a different type of medication-such as an antiseizure, mood stabilizer, or antianxiety drug-is effective.

Since that time more and more use has been made of a new class of anti-depressants. The SSRI or (Selective Serotonin Reuptake Inhibitors) like Paxil, Zoloft, Lexapro, Celexa, and Luvox are all being used to treat depression today. All have been proven effective but come with varied side effects. Most antidepressants are believed to work by slowing the removal of certain chemicals from the brain. These chemicals are called neurotransmitters. Neurotransmitters are needed for normal brain function. Antidepressants help people with depression by making these natural chemicals more available to the brain. Antidepressants are typically taken for at least 4 to 6 months. In some cases, patients and their doctors may decide that antidepressants are needed for a longer time. Antidepressants are put into groups based on which chemicals in the brain they affect. There are many different kinds of antidepressants, including:

* Selective serotonin reuptake inhibitors (SSRIs)
o citalopram (brand name: Celexa)
o escitalopram (brand name: Lexapro)
o fluoxetine (brand name: Prozac)
o paroxetine (brand names: Paxil, Pexeva)
o sertraline (brand name: Zoloft) These medicines tend to have fewer side effects than other antidepressants. Some of the side effects that can be caused by SSRIs include dry mouth, nausea, nervousness, insomnia, sexual problems and headache. * Tricyclics
o amitriptyline (brand name: Elavil)
o desipramine (brand name: Norpramin)
o imipramine (brand name: Tofranil)
o nortriptyline (brand name: Aventyl, Pamelor)
Common side effects caused by these medicines include dry mouth, blurred vision, constipation, difficulty urinating, worsening of glaucoma, impaired thinking and tiredness. These antidepressants can also affect a person’s blood pressure and heart rate. * Serotonin and norepinephrine reuptake inhibitors (SNRIs)
o venlafaxine (brand name: Effexor)
o duloxetine (brand name: Cymbalta) Some common side effects caused by these medicines include nausea and loss of appetite, anxiety and nervousness, headache, insomnia and tiredness. Dry mouth, constipation, weight loss, sexual problems, increased heart rate and increased cholesterol levels can also occur. * Norepinephrine and dopamine reuptake inhibitors (NDRIs)
o bupropion (brand name: Wellbutrin) Some of the common side effects in people taking NDRIs include agitation, nausea, headache, loss of appetite and insomnia. It can also cause increase blood pressure in some people.
Some of the common side effects in people taking NDRIs include agitation, nausea, headache, loss of appetite and insomnia. It can also cause increase blood pressure in some people.

* Combined reuptake inhibitors and receptor blockers
o trazodone (brand name: Desyrel)
o nefazodone (brand name: Serzone)
o maprotiline
o mirtazpine (brand name: Remeron) Common side effects of these medicines are drowsiness, dry mouth, nausea and dizziness. If you have liver problems, you should not take nefazodone. If you have seizures, you should not take maprotiline. * Monamine oxidase inhibitors (MAOIs)
o isocarboxazid (brand name: Marplan)
o phenelzine (brand name: Nardil)
o tranlcypromine (brand name: Parnate) MAOIs are used less commonly than the other antidepressants. They can have serious side effects, including weakness, dizziness, headaches and trembling. Taking an MAOI antidepressant while you’re taking another antidepressant or certain over-the-counter medicines for colds and flu can cause a dangerous reaction. Your doctor will also tell you what foods and alcoholic beverages you should avoid while you are taking an MAOI. You should not take an MAOI unless you clearly understand what medications and foods to avoid. If you are taking an MAOI and your doctor wants you to start taking one of the other antidepressants, he or she will have you stop taking the MAOI for a while before you start the new medicine. This gives the MAOI time to clear out of your body.

The market is also ripe with herbal medications and treatments. The majority of these that have been proven to work as well as the anti-depressants contain the St. John’s Wort extract ingredient called ‘hyperforin’. Some herbal remedies don’t contain this ingredient in the proper strength so they don’t work. Be careful, do your research and you will find effective medications to treat depression.

In this context it has to be said that the common misconception that herbs for depression are natural and thus do not have any side effects is outright wrong and the depressive patient should be aware of the potential risks of taking herbs for depression without consulting a medical professional.

Conclusion: Although the use of herbs for depression is widely spread, on the whole there is (maybe with the exception of St. Johns wort) no definitive evidence for the usefulness of herbal treatments for depression. Especially when compared to standard prescription drugs for depression herbs for depression usually cannot prevail as a first choice treatment option. However, when other more established treatments fail, in cases of mild depression, using herbs for depression may be worth a try. In any case the user should realise the limitations and not underestimate the risks of using herbs for depression. While antidepressant drugs such as Prozac increase serotonin levels in the brain, this doesn’t mean that depression is caused by a serotonin shortage. After all, aspirin may cure a headache, but it doesn’t mean that headaches are caused by an aspirin deficiency.

Furthermore, many studies contradict the chemical imbalance theory of depression. Experiments have shown that lowering people’s serotonin levels doesn’t always lower mood, nor does it worsen symptoms in people who are already depressed. And while antidepressants raise serotonin levels within hours, it takes weeks before medication kicks in to relieve depression. If depression were due to low serotonin, there wouldn’t be an antidepressant medication lag. Studies agree that both antidepressants and psychotherapy are effective treatments for depression. There is even agreement that a combination of the two may be more effective than either alone. It may well be that one treatment is likely to be more effective than the other for a particular person. The art and science of mental health are not yet refined enough to be able to predict which treatment will be more effective for a given person.

We have compiled and consolidated the latest information on depression (including anxiety, adhd) signs and symptom of depression, depression causes, diagnosis, and depression treatment and cure for teen, adult and child. We have also gathered important information on coping with the personal and social effects of a depression, which can become difficult without the proper knowledge.

depression-guide has information on anxiety depression related disorders and medicine library, depression self help, depression support and health care professional, etc. It is possible that an individual’s episode of depression may be caused entirely by a major stressful situation or event. For others, stressors may ‘set off’ or trigger an episode that was ‘waiting to happen’. Alternatively, a depressive episode may be completely unrelated to a stressful event. It is therefore not surprising that, in many written accounts of depression, the role of stressful events as a trigger is difficult to determine. Often, the explanations provided by therapists are just as speculative. Herbs for depression are often seen as a viable alternative to pharmaceutical treatment of depression. However, actual data showing an effectiveness of herbs for depression is rare and thus it is currently hardly possible to make a final verdict on the usefulness of herbal treatment for depression in general. Also, there seems to be only limited interest from western medicine to study the effects of herbs for depression in a clinically relevant setting. So from a patient’s perspective the question remains: What is the evidence that herbal treatment for depression works? By far the best studied herbal treatment for depression is without doubt St. Johns wort. St. Johns wort (Hypericum Perforatum) is the most well-known and best studied of the herbs for depression in use.

It has been known as herbal treatment for depression and cure for other diseases for many centuries. In Europe, where this herbal treatment for depression is commonly prescribed by medical professionals, various clinical studies have demonstrated a positive effect of this best known member of the herbs for depression in use in cases of mild to moderate depression. However, two clinical studies in the US, one of them funded by a pharmaceutical company, have recently indicated that St. Johns wort extracts were no more effective than a placebo in major depression. In America, herbal products and dietary supplements amount to a billion-dollar business. Most supermarkets have sections that resemble a natural pharmacy. They are stocked with row after row of popular herbal therapies, vitamins, minerals, natural enzymes, organ tissues, metabolites, extracts, or concentrates, and more. Some see this “back to nature” trend as part of an increasing demand from people who want to take charge of their own health and healing. And to do that, many of them want to use complementary and alternative medicine — CAM — therapies.

What is St. John’s wort?

St. John’s wort is a wild yellow flower considered to be a weed throughout most of the United States. It has been used for medical purposes in other parts of the world for thousands of years. Today, St. John’s wort is continually being studied to try to validate its alleged mood-improving benefits. More than 30 clinical studies have been conducted over the past 22 years to evaluate the effectiveness of St. John’s wort. While the true benefits of St. John’s wort are still being explored, if you do choose to use it, be sure to learn all you can and check with your doctor before taking it. There is some scientific evidence that St. John’s wort is helpful in treating mild to moderate depression. However, two large studies, one sponsored by the National Center for

Complementary and Alternative Medicine (NCCAM), showed that the herb was no more effective than placebo in treating major depression of moderate severity. NCCAM is currently studying the use of St. John’s wort in a wider spectrum of mood disorders, including minor depression. If used appropriately, CAM might boost your sense of control over your health, and that can be essential for wellness. Proponents of complementary and alternative treatments claim that these nondrug interventions could allow you to take less medication, have fewer laboratory tests and surgeries, and be an active participant in your own care. However, if used haphazardly, some complementary and alternative medicines are toxic, and some can interact with other medications you are taking.

As some have learned the hard way, taking the wrong dietary supplement and having an adverse reaction can add to your laundry list of health problems.Further studies with this herbal treatment for depression are currently conducted, but it may take years before a final verdict can be made on St. Johns wort. The exact mode of action of this herbal treatment for depression is not fully understood, although there is some evidence that it acts on serotonin production or -activity. Despite open questions and demonstrated limitations, St. Johns wort currently stands as the only one of the herbs for depression with a clinically demonstrated positive effect at least in mild cases of depression.

Author: Jay Wyshak
Article Source: EzineArticles.com
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What You Need to Know About Depression

Friday, November 13th, 2009

What does depression mean to you? Depression is a very serious mood disorder that can affect anyone regardless of age, gender, race, social status or ethnicity. Depression is an illness that affects your body, mind, disposition, sleep and your thoughts. This condition can be caused by many factors. There can also be a genetic component to depression.

Have you been told that you have diagnosis of depression? Do some of the feelings and experiences listed here get in the way of living your life the way you want to? For example, do you feel like your life is hopeless and you are worthless? Do you feel anxious or feel like something bad is going to happen? Do you feel out of touch with the world? Have you lost interest in pleasurable activities? Do you feel that others are against you? Are you experiencing a lot of stress, intense sadness, loss of energy and burn-out? Are you having trouble concentrating and have low energy?

When you are depressed it is very hard to think clearly or make decisions. It may be hard to think of anything to do to help yourself feel better. If you are feeling blue most of the time you may have a type of depression. There are three main types of depression: major depressive disorder, manic-depressive disorder and dysthymic disorder.

Major depression is also referred to as unipolar depression and can interfere with a persons ability to function. A person may have marked difficulty in functioning as this type of depression can disrupt social or occupational functioning.

A second type is manic-depressive disorder and is also known as bi-polar disorder. This type involves episodes of major depression that alternates with episodes of mania. This type can be extremely disruptive and concerning. Everyone has good days and bad days and ups and downs. Therefore, this type must be sufficiently severe that it causes marked impairment in occupational functioning or marked impairment in relationships with others. With this type of depression a person may display different symptoms during different periods of the illness.

NN-SerenityThe third type is a milder form of depression called dysthymic disorder. This type is diagnosed when a depressed mood is present almost every day for at least two years. This type is referred to as a low-grade depression and can start in the early teen age years and later in life. Dysthymia may be accompanied by social aloofness, lack of assertiveness and even periods of more severe depression. Psychotherapy and anti-depressant medication can be effective.

If depression is not treated it can get worse. The first step to obtaining treatment for depression is to obtain a medical examination by a physician as there are certain medical conditions that have symptoms similar to depression. A person may not be aware that they are depressed and do not understand why they are experiencing various physical symptoms. A skillful doctor can diagnose the true situation. Psychiatrists are trained to differentiate depression from other medical conditions. At your initial visit a history of your present difficulties will be taken. Other symptoms, family history, past medical problems are other basic steps that may be taken so an accurate diagnosis can be made. If medication is prescribed it is important to learn what you can about the medication and any possible side effects. If you are experiencing side effects it is critical to consult with your physician. It is important to give medication a chance to work and the side effects may be temporary. Do not stop taking an anti-depressant without consulting your doctor. It is important to safely discontinue the medication. Some medications must be stopped gradually.

Finding the right treatment is important. The choice of treatment varies with the kind and severity of the depression. If treatment is needed it is important to find out about the therapists qualifications. Having a trained therapist listen carefully can be very helpful in relieving depression. A therapist can help you gain insight into and resolve your problems.

The benefits of treatment include partial or complete remission of the symptoms of depression and reduction of pain and suffering. Treatment can enhance your general well-being. Other helpful strategies include learning all you can about depression. Educate yourself! It is important to express your feelings and accept them.

It is important to obtain an appropriate diagnosis and treatment if needed. Depression is not a character flaw or a sign of personal weakness. Depression is a treatable illness and be assured that with time and good care you will feel better. Involve your family members and friends. If there are community resources take advantage of them. There may be support groups in your area. Do not go through this alone. The best time to address depression is now as the sooner you receive treatment – the sooner you will feel better. Your life is waiting!

Author: Debra Tullis
Article Source: EzineArticles.com
Provided by: Cellphone news

General Depression Information: Understanding Depression Symptoms and Treatments

Sunday, November 1st, 2009

The first thing to know about depression is that it is not just in your head. Depression is, in fact, a whole body disease that affects multiple systems.

In addition to feeling sad, hopeless, or helpless, a person may suffer from extreme fatigue, decreased motor (muscle) coordination, changes in appetite and weight, and a loss of interest in activities that are usually pleasurable–just to name a few of the more common symptoms.

Anxiety, which is commonly understood to consist of fear without any direct cause, is highly correlated with depression. Anxiety is an imbalance not just of brain chemicals, but of the entire nervous system, which is over-responding throughout the body as if a physical threat is impending. This can often cause the depressed person to feel very jittery, and some people experience extra clumsiness as they go about their day.

Only a doctor can diagnose depression, and if you are suffering from what you believe to be depression, you should make an appointment immediately. (If you need help sooner, please dial 9-1-1.) When you speak to a doctor during a formal assessment, he/she will ask you questions like the following, which are adapted from the Diagnostic and Statistical Manual of Mental Disorders IV:

1. Are you experiencing a depressed mood?

2. Have you lost interest in most or all of your normal activities, including normally pleasurable ones?

3. Have you experienced a dramatic change in your appetite, leading to noticeable weight gain or weight loss in the last month?

4. Have your sleep habits changed? Do you sleep much more or much less than normal, or do you have trouble getting to sleep or waking up?

5. Do you feel agitated or jumpy, or have others noticed that you are more irritable than normal?

6. Have you had trouble concentrating or thinking clearly?

7. Do you feel abnormally tired throughout the day?

8. Do you have overwhelming feelings of worthlessness, guilt, or hopelessness that things wont improve?

9. Have you been thinking about death or suicide more than usual, or have you tried to commit suicide?

If you answered yes to questions 1 and/or 2, plus any four of the other questions, and these symptoms have persisted for at least two weeks with little change, you may be suffering from clinical depression.

Your doctor will also want to make sure that these symptoms are not due to what would be considered a normal reaction to a life situation, like a death in the family. It is completely normal to feel those things after a traumatic life event, unless those feelings persist for longer than two months without seeming to become easier to handle.

Additionally, the doctor will want to know whether these symptoms are causing you great difficulty in completing your normal daily activities. Depression is serious enough that it can cause a person to miss work and be unable to fulfill family obligations.

Risk Factors

People who suffer from depression are much more likely to suffer from other life threatening diseases, including diabetes, cancer, and heart disease. Much focus has been put on discovering why depressed patients are about four times as likely as their peers to suffer a heart attack within 14 years of their first depressive episode.

Underscoring the whole body effect of depression is the research finding that depressed patients have lower heart rate variability (HRV) than normal. HRV is lowered when the parasympathetic branch of the nervous system is not fully functioning, and people with low HRH are at high risk for suffering heart attacks.

The malfunctioning of the parasympathetic branch may be a key in understanding how mental perception of events that lead to depression affect the entire body.

Causes of Depression

Depression can be caused by any number of circumstances. For some, genetics may play a role (this is especially true for bipolar disorder, or manic depression, which is not covered in this article). For others, it could be the result of their life situation, such as an overly stressful stretch of time or a disease.

Many times, depression can be caused by uncontrollable stress. In this case, a person is going through a negative event in which they perceive their efforts will not affect the outcome. Caregivers are especially prone to this. With the advent of disease such as Alzheimers, a patient may need constant attention from a family member for years, causing great disruption in the caregivers life.

In cases of stress, it should be repeated that the effects will be on the whole body, not just the mind. Stress can cause the secretion of excess cortisol, which in turn can damage tissues in the brain and body. Stress hormones can also cause the nervous system to become overworked in trying to maintain balance, eventually causing it to shut down due to exhaustion.

Depression Treatment Options

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One of the great advances in pharmaceutical medicine was the advent of the SSRI class of anti-depressants. Depression can cause an imbalance in the brain chemical called serotonin. Serotonin is a neurotransmitter that helps us feel calm and relaxed with a sense of wellbeing.

In people who are depressed, serotonin production may be lowered, or it may not be utilized most effectively in the brain.

Neurotransmitters are secreted into the spaces between the brain cells. SSRIs, or Selective Serotonin Reuptake Inhibitors, prevent the serotonin from being absorbed back into brain cells as quickly, and brain researchers believe that leaving more of the serotonin in between the cells has a mood-enhancing effect.

Examples of SSRI class anti-depressant drugs include Prozac, Zoloft, and Paxil. They have been shown to be highly effective for alleviating depression and anxiety in a wide range of people, though their safety in children has recently been questioned.

Counseling

In addition to medication, patients are usually also referred to a counselor for what is often referred to as talk therapy, or more formally as cognitive behavior therapy. With this type of counseling, the depressed person learns to notice their negative thinking patterns and challenge them. Over time, patients are able to prevent negative moods by intervening in their own to reflect a more positive outlook.

Exercise

Research has shown that consistent aerobic exercise in a specific heart rate zone has very beneficial effects in fighting depression in both the short- and long-term.

While it may be difficult for someone experiencing a major depressive episode to rally the energy necessary to exercise, most people who do experience at least some relief from depression within just 10 minutes of starting.

Though not widely publicized, the effects of exercise have been repeatedly shown to result in decreases in depression that are on par with both drug and counseling therapies. For more information on an exercise program that may help alleviate depression symptoms, please go to www.hrh-for-depression.com.

Herbal Therapies

Interest in herbal therapies for depression has always been high, and in some countries, such as Germany, herbal therapies are preferred over medicinal therapies, according to the National Institute of Mental Health. Many people prefer herbal therapies in general, because they believe the side effects of anti-depressants may affect them negatively.

Herbs such as ginseng and gingko biloba have been used to treat depression, but the only herb to be tested in a large scale study is St. Johns wort. Patients who were followed for 26 weeks of St. Johns Wort use did experience a reduction in depression that was nearly comparable to sertraline, an SSRI.

Researchers warned, however, that St. Johns wort may utilize the same metabolic pathways as other drugs for depression, heart disease, seizures, and some cancers. As a result, patients need to be certain to consult their doctors on the use of St. Johns wort with other medications.

Getting Help

Nearly 10% of Americans will experience a depressive illness in any given year. If you feel you are in the throes of depression, please understand that there are very effective treatments available to you. Modern SSRI medications, which are the most commonly prescribed anti-depressants, can start working within 2 weeks of taking the first dose. By engaging in some moderate exercise, you might even feel somewhat better by the end of today.

Though doing anything while suffering from depression is difficult, please do make it a priority to seek some sort of help. If you need others to intervene on your behalf, please communicate that to them.

If you are feeling depressed, chances are that people around you have noticed, but they may not want to say anything about it to you. With a small overture on your part, they will likely jump at the opportunity to help you seek treatment.

If you would like more information on depression, you can go to the National Institute of Mental Health web site at http://www.nimh.nih.gov/publicat/depression.cfm. There you can download information about depression and search for topics related to depression and depression treatment.

Author: Craig Wilcox
Article Source: EzineArticles.com
Provided by: Digital Camera Times

Depression – Am I Crazy?

Thursday, October 1st, 2009


Let’s talk about happiness. Most of us want to be happy, all the time, no matter what is going on around us! It’s plain and simple. But, being happy, how do you do that, get there, be that?

Maybe happy is not really what you are looking for. After all, happy is just like any other emotion… it comes and it goes. Perhaps what you seek is the ability to feel joy. Not just alive and surviving, but energized, excited, and living the life of your dreams. Imagine feeling joy beyond your wildest dreams as you live in your body, glad to be you, putting energy into your life’s work, and creating stimulating experiences. Joy also means accepting your human emotions, experiencing the ups and downs of life, while learning to breathe and let things pass in their own time.

So how do we gain this feeling of joy? As paradoxical as it may sound, perhaps for some of us the path to joy leads us first through depression.

What does depression look like?

Let’s imagine we have a friend named Jane. Lately Jane just doesn’t feel like herself. She lacks energy and doesn’t have enthusiasm for much of anything. Jane lies around a lot, feeling empty and not sure which way to go. Decisions seem overwhelming. She often cries although nothing in specific is wrong. Jane feels shame, wonders what is wrong with her, and thinks she must by crazy. Everyday she asks herself, “why do I feel this way?” and “why can’t I make this go away?” She musters up enough energy to make it through the day and creates a happy facade so people will not see the pain she is in. Jane is depressed.

Depression is not the same thing as feeling sad, blue, or down. Most of us have our ups and downs, our good days and bad. Everyday events, and our reactions to them, sometimes interfere with our peace of mind. Some unhappiness, the blues, or an occasional low mood is common when disappointed. This sadness is all part of life.

In contrast, depression affects the entire body, not just the mind. It can lead to an imbalance in the delicate chemistry of your brain and affect your emotions, feelings, thoughts, behaviors, physical functioning, and health. It can also affect the way you eat and sleep, the way you feel about yourself, and the way you see the world. With depression, the misery can be so great, and persist for so many weeks without relief, that a person may begin to think that life is not worth living anymore.

Symptoms of Depression

Depressed mood for most of the day

Persistent sad or “empty” feelings

Loss of appetite or loss of weight

Eating more than usual and gaining weight

Trouble sleeping, insomnia, or oversleeping

Anxiety

Feeling tired all the time or finding everything is an effort

Not caring anymore about work, hobbies, friends, or sexual activity

Difficulty concentrating or thinking clearly, or indecisiveness

Feelings of hopelessness or pessimism

Feelings of worthlessness

Excessive or inappropriate guilt

Thoughts of death or suicide, or suicide attempts

Other problems people experience during a clinical depression may include:

Frequently feeling on the verge of tears

Waking up early in the morning, with difficulty returning to sleep

Feeling worse in the morning

Feeling anxious or irritable

A gloomy view of the future

Physical pain or headaches

Cravings for certain foods

Overcoming depression is extremely challenging and not something that happens overnight. But overcoming depression is do-able. It is entirely possible to move beyond the dread and sadness of each day and reclaim a peaceful, fulfilling, and meaningful life. Below are some enlightening insights that will help you view depression from a higher perspective and some tips that will help you through your journey.

Accepting Depression

If you are struggling with depression, you may have tried countless therapists, psychologists, psychiatrists, energy healers, self-help books, and programs. You may have practiced the power of positive thinking, studied the law of attraction, practiced meditation, or looked into religion for you answers. Through all these strategies, you have been at war with your depression, doing everything within your power to get rid of it. Pharmaceutical companies convince us that depression is an illness caused by an imbalance in brain chemicals. If we simply take medication, we can quickly get back to feeling better again. If only the answer were so simple. Perhaps there is a gift beyond depression that can only unfold if you dare to first accept your experience as important and valuable instead of trying so hard to make it disappear.

Depression and Personal Growth

An easy start to shifting depression is to entertain the idea that depression is not dysfunctional, not a mental illness, but instead deeply meaningful. Consider that depression may be a naturally arising expression on your journey of evolutionary growth. Yes, depression is dark, and a time of misery and suffering. Yet, it also a time when we ask deeply personal questions:

Who am I?

Why am I alive?

What does it mean to be me?

What makes my life worthwhile?

Should I continue to live?

Why should I continue to live?

Is depression really something that we should avoid, or an illness that we should ‘cure’ with drug therapy alone? Should our profound questions be pushed down into silence with medication and drug therapy?

The distress you feel is real, the suffering immensely painful, and there is a very real risk of ending your own life. However, what if you are in emotional suffering but yet not ill? When you look inside, do you really believe, on a soul level, that your pain is simply due to a chemical imbalance – or might there also be a meaningful spiritual component to your journey through depression?

Why Does Depression Occur?

Depression often occurs when we are at the edge of personal and spiritual growth. In some ways, depression can be compared to a caterpillar becoming a butterfly. You once lived life as a caterpillar and everything was fine. Then it was time to change and become something new. During this transition, you offer yourself an opportunity to throw off old heavy energies, outdated perceptions about life, self-doubt, and self-limiting beliefs. It’s a time when we entertain a spiritual desire to be more than we were in the past. We wish to be more alive, more self-confident, and more authentically engaged in life. During depression you are going through an expansion process, an unfolding, a readiness to release certain agreements you made in the past.

Depression, however, is the middle ground between here and there. Old tried and true ways of living are now outdated and limiting. They create stress, emptiness, avoidance of being in touch with your own authenticity, and narrow ways of dealing with life’s challenges. On the one hand you are ready to come out of your cocoon and adopt new ways of being true to self, but on the other hand your logical mind tells you that you are already doing the best you can and no other alternatives are possible.

Depression, and thoughts of suicide, happen when we are in turmoil, caught between the end of an old way of living and a terrifying desire to live in a new way. In this transition, we cannot feel the joy of being alive. Internal anxiety rises and there is nothing we can do to run or hide from the conscious realization that we feel alone. We feel lethargic, powerless, and trapped. It seems as if the pain exceeds our capacity to deal with it.

One Step Forward

If you have feelings of depression, you have those feelings for a reason. Accept that your depression is real, that you feel miserable, and that you are questioning whether you choose to continue living in the same way that you have always lived. Remind yourself that there is no mandate that you must be happy and content. Even though you would rather not be experiencing this part of life, it’s okay. You may eventually discover that your depression was more profoundly necessary that you can yet consciously imagine. Depression deals with a deeper relationship issue of becoming more true to self, the transformation of your physical body to become more alive, and a deeper connection to your spirit.

Depression Runs Its Course

If you are depressed, it is natural to want the pain to end. However, consider the idea that perhaps your pain is necessary. You feel the heartache, the loneliness, the despair of your life. For a while, perhaps your pain needs to run its course. It may just be a natural outcome of wanting to evolve and live your life differently, but at the same time being terrified, uncertain, and grieving for what you must let go in order to move forward.

At some point during your depression you will arrive at a decision making point. You can decide to release certain beliefs, adopt new ways of believing, and move forward with the new experiences your life will bring. Alternatively, you could decide to remain in your suffering for a long time. A third choice exists and that is to end your life as a way of ending the painful conflict. There is no right choice to make. It is your life and you must choose what feels right for you, not only in your mind and emotions, but also in your heart and soul.

Do You Choose Life?

During your time of depression, you are considering whether you choose to take the next step in your evolution. Do you decide to let go of self-doubt, move beyond the limitations of your former beliefs, and bring new balance to your mind, body, and spirit? Do you consciously choose to be alive in a new way? If so, for what purpose and meaning? When you accept that your depression is a time of change and release, you can begin to see that you are asking yourself to live in a new way. You are making a choice to release formerly held beliefs and discover what lies beyond those beliefs. Offer yourself compassion as you see that heading off into unknown territory is frightening.

Breathe

What to do if you are depressed? Breathe. If you can accept that your depression has deep personal meaning, if you can accept the experience in which you find yourself, and if you make the conscious decision to remain alive, then the best therapy is to consciously breathe.

You don’t need any fancy breathing techniques. Just breathe more deeply than you are right now. Breathing helps move the heaviness of depression. Breathe with intention to fill up with life. You already know that depression does not hold much light, not much energy. Breathing will arouse energy. You can’t just wait for energy to flow into you. You must decide to choose life, breath, and energy. If you can, get up and go for a walk outside. Get some fresh air and sunshine. Breathe. If you just arouse a little bit of energy, it will help you to generate a bit more energy, and that uplifts you and gets you moving one more step further out of the depression.

Depression involves the very real emotional despair of living day to day with real hopelessness. There is no one right way through depression. Your life is very important, including those times when you are in transition or depressed. Use the ideas above to help support yourself as you choose to bring new meaning into your life.

Dr. Annette Colby, RD can help you take the pain out of life, turn difficult emotions into joy, release stress, end emotional eating, and move beyond depression into an extraordinary life! Annette is the author of Your Highest Potential and has the unique ability to show you how to spark an amazing relationship with your life! Visit http://www.LovingMiracles.com to access hundreds of content filled articles and sign up for a Free subscription to Loving Miracles! newsletter.

Author: Annette Colby
Article Source: EzineArticles.com
Provided by: Digital Camera Information