"Although some improvements may be seen in the first few weeks, antidepressant medications must be taken regularly for 3 to 4 weeks (in some cases, as many as 8 weeks) before the full therapeutic effect occurs."

"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."

 

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Some medications, although safe when taken alone, can cause severe and dangerous side effects if taken in combination with others.

If successful, this may be a more convenient and safer medication option than the older MAOI tablets.


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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.

"The most important thing anyone can do for the depressed person is to help him or her get an appropriate diagnosis and treatment which may involve encouraging the individual to stay with treatment until symptoms begin to abate (several weeks), or to seek different treatment if no improvement occurs."

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"Depending on the patient's diagnosis and severity of symptoms, the therapist may prescribe medication and/or one of the several forms of psychotherapy that have proven effective for depression."

   
 

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Silk Therapy

"Depending on the patient's diagnosis and severity of symptoms, the therapist may prescribe medication and/or one of the several forms of psychotherapy that have proven effective for depression."

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"Research has shown that the co occurring depression can and should be treated, and that in many cases treating the depression can also improve the outcome of the other illness."

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"For individuals with bipolar disorder or chronic major depression, medication may have to be maintained indefinitely."

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"Some people who have not had a problem with alcohol use may be permitted by their doctor to use a modest amount of alcohol while taking one of the newer antidepressants."

 
"For individuals with bipolar disorder and those with chronic or recurrent major depression, medication may have to be maintained indefinitely."
 
"If a physical cause for the depression is ruled out, a psychological evaluation should be done, by the physician or by referral to a psychiatrist or psychologist."
 
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