"Although changing from one SSRI to another has generally not been shown to be beneficial, one study showed that citalopram (Celexa) did not seem to cause sexual impairment in patients who had experienced such events with another SSRI."

"Depression has been found to occur at a higher rate among people who have other serious illnesses such as heart disease, stroke, cancer, HIV, diabetes, and Parkinsons."

 

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Over the past 20 years, biomedical research, including genetics and neuroimaging, has helped to shed light on depression and other mental disordersincreasing our understanding of the brain, how its biochemistry can go awry, and how to alleviate the suffering caused by mental illness.

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, such as many cheeses, wines, and pickles, as well as medications such as decongestants.


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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).

"Some clinicians treating men with antidepressant associated sexual dysfunction report improvement with the addition of bupropion (Wellbutrin) or sildenafil (Viagra) to ongoing treatment."

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"To sustain the response to ECT, continuation treatment, often in the form of antidepressant and/or mood stabilizer medication, must be instituted."

   
 

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"A typical course of ECT entails six to 12 treatments, administered at a rate of three times per week, on either an inpatient or outpatient basis."

 
"In one NIMH supported study, more than 40 percent of people with PTSD also had depression when evaluated at one month and four months following the traumatic event."
 
"Lithium has for many years been the treatment of choice for bipolar disorder, as it can be effective in smoothing out the mood swings common to this disorder, but its use must be carefully monitored, as the range between an effective dose and a toxic one is small."
 
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