01-18-2008
Coping with Depression Has Become Easier
If you’re young, you may not remember when depression was still a mystifying condition referred to as “melancholia.” It was thought to be a woman’s disease, caused by a woman’s need for attention and by unrequited love in her middle age. Nobody really knew just what to do with depression. Sigmund Freud treated it with cocaine injections. Bad idea. Coping with depression was frustrating to both doctors and patients.
Thanks to years of research, we’ve come a long way in terms of treatment for depression which was once thought to be a woman’s issue. Find out about the progress we’ve made and all of the differnt options available for coping with depression.
In the past half-century, medical research yielded a wealth of information about what causes depression, who gets it, and how it can be successfully treated. Coping with depression became a whole lot easier and faster. In the early days, electro-convulsive therapy (ECT), or “shock treatments” provided relief from serious, suicidal depression but were very unpleasant, causing a grand mal seizure and memory loss.
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The first medications for coping with depression were the tri-cyclic drugs like Elavil and Pamelor. Research found that depression was caused by an imbalance of chemicals in the brain, particularly the neurotransmitters serotonin and norepinephrine. The old-style tricyclics worked very well to relieve depression, but had some unpleasant side effects like dryness of the mouth and other mucous membranes and sedation. Then came the new Serotonin Selective Reuptake Inhibitors, or SSRIs. These drugs increased the availability of the neurotransmitter serotonin in the brain, usually putting depression into full, sustained remission within six months.
In addition to medications, ECT made a big comeback; it was still regarded as a very effective treatment for severe depression that doesn’t respond to drug therapy. Today, an ECT patient is placed under general anesthesia and has no traumatic memories of the procedure. When the electricity is administered, the seizure cannot be observed except for a twitching or curling of the toes.
Coping with Long-Term Depression
Although depression is no longer considered as a “woman’s disease,” it is true that more women than men suffer from depression due to hormone changes. It is essential for those coping with depression that if a person has had one episode, he or she should stay on an SSRI for a full year, until the depression goes into full, sustained remission. Then the patient will be gradually weaned off the medication; if symptoms begin to return, the medication is reinstated.
Many people have one episode of depression and never have another one after medication is discontinued. However, for middle-aged menopausal women who have two episodes that resolve with medication, they have at least an 80% chance of having another episode. A large part of coping with depression is accepting that it could be a life-long problem requiring continuous medication. This is no different from taking daily hypertension medication or a multi-vitamin.
Along with medications, coping with depression is made much easier with psychotherapy. In therapy, patients have the opportunity to discuss life events that may contribute to their depression or impede their recovery. Physicians recommend that medication be combined with therapy for the best results possible.
Tags: Coping With Depression
