"The interaction of tyramine with MAOIs can bring on a hypertensive crisis, a sharp increase in blood pressure that can lead to a stroke."

"Following remission of symptoms, continuation treatment with medication and/or psychotherapy for at least several months may be recommended by the psychiatrist, given the high risk of relapse and recurrence of depression."

Where to Get Help


If unsure where to go for help, talk to people you trust who have experience in mental health, for example, a doctor, nurse, social worker, or religious counselor. Ask their advice on where to seek treatment. If there is a university nearby, its departments of psychiatry or psychology may offer private and/or sliding scale fee clinic treatment options. Otherwise, check the Yellow Pages under mental health, health, social services, suicide prevention, crisis intervention services, hotlines, hospitals, or physicians, for phone numbers and addresses. In times of crisis, the emergency room doctor at a hospital may be able to provide temporary help for a mental health problem, and will be able to tell you where and how to get further help.

Listed below are the types of people and places that will make a referral to, or provide, diagnostic and treatment services.

* Family doctors
* Mental health specialists, such as psychiatrists, psychologists, social workers, or mental health counselors
* Religious leaders/counselors
* Health maintenance organizations
* Community mental health centers
* Hospital psychiatry departments and outpatient clinics
* University or medical school affiliated programs
* State hospital outpatient clinics
* Social service agencies
* Private clinics and facilities
* Employee assistance programs
* Local medical and/or psychiatric societies

Within the Federal government, the Substance Abuse and Mental Health Services Administration (SAMHSA) offers a Services Locator for mental health and substance abuse treatment programs and resources nationwide. Call 1 800 789 2647 (toll free).

"Recently, concerns have been raised that the use of antidepressant medications themselves may induce suicidal behavior in youths."

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"Although depression itself can lower libido and impair sexual performance, SSRIs and some other antidepressants can provoke sexual dysfunction."

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"If a person has preexisting thyroid, kidney, or heart disorders or epilepsy, lithium may not be recommended."

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"For the small number of people for whom MAO inhibitors are the best treatment, it is necessary to avoid certain foods that contain high levels of tyramine, including many cheeses, wines, and pickles, as well as medications such as decongestants."

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"For the small number of people for whom MAO inhibitors are the best treatment, it is necessary to avoid certain foods that contain high levels of tyramine, including many cheeses, wines, and pickles, as well as medications such as decongestants."

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"Antidepressants may cause mild and, usually, temporary side effects (sometimes referred to as adverse effects) in some people."