"The more sedating antidepressants are generally taken at bedtime to help sleep and minimize daytime drowsiness."

"Cognitive/behavioral therapists help patients change the negative styles of thinking and behaving often associated with depression."

 

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The prognosis for treatment of depression in children is good.

Once the person is feeling better, it is important to continue the medication for at least four to nine months to prevent a relapse into depression.


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Symptoms of Depression and Mania


Not everyone who is depressed or manic experiences every symptom. Some people experience only a few; some people suffer many. The severity of symptoms varies among individuals and also over time.

Depression

* Persistent sad, anxious, or empty mood.
* Feelings of hopelessness or pessimism.
* Feelings of guilt, worthlessness, or helplessness.
* Loss of interest or pleasure in hobbies and activities that were once enjoyable, including sex.
* Decreased energy, fatigue; feeling slowed down.
* Difficulty concentrating, remembering, or making decisions.
* Trouble sleeping, early morning awakening, or oversleeping.
* Changes in appetite and/or weight.
* Thoughts of death or suicide, or suicide attempts.
* Restlessness or irritability.
* Persistent physical symptoms, such as headaches, digestive disorders, and chronic pain that do not respond to routine treatment.

Mania

* Abnormal or excessive elation.
* Unusual irritability.
* Decreased need for sleep.
* Grandiose notions.
* Increased talking.
* Racing thoughts.
* Increased sexual desire.
* Markedly increased energy.
* Poor judgment.
* Inappropriate social behavior.

"Herbal supplements frequently used that have not been evaluated in large-scale clinical trials are ephedra, gingko biloba, echinacea, and ginseng."

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"Medications of any kind prescribed, over the counter, or borrowed should never be mixed without consulting a doctor."

   
 

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"Certain medications as well as some medical conditions such as a viral infection can cause the same symptoms as depression, and the physician should rule out these possibilities through examination, interview, and lab tests."

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"Symptoms of depression are sometimes mistaken for inevitable accompaniments to these other illnesses."

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"We still do not know if depression is truly less common among men, or if men are just less likely than women to recognize, acknowledge, and seek help for depression."

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"Brain imaging technologies are now allowing scientists to see how effective treatment with medication or psychotherapy is reflected in changes in brain activity."

 
"NIMH-sponsored studies estimate that 6 percent of 9- to 17-year-olds in the United States and almost 10 percent of American adults, or about 19 million people age 18 and older, experience some form of depression every year."
 
"Some anticonvulsants that are being used now include lamotrigine (Lamictal) and gabapentin (Neurontin): their role in the treatment hierarchy of bipolar disorder remains under study."
 
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