"Trauma, loss of a loved one, a difficult relationship, a financial problem, or any stressful change in life patterns, whether the change is unwelcome or desired, can trigger a depressive episode in vulnerable individuals."

"Several trials of psychotherapy or medications may be necessary to successfully treat depressive disorders."
 

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Medication as a first-line course of treatment should be considered for children and adolescents with severe symptoms that would prevent effective psychotherapy, those who are unable to undergo psychotherapy, those with psychosis, and those with chronic or recurrent episodes.

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


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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).

"For many depressed patients, especially those with moderate to severe depression, a combination of antidepressant medication and psychotherapy is the preferred approach to treatment."


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By Flor Serquina Depression is a negative mental state, a kind of disease that when left untreated ... . Knowing how to deal with depression is therefore a very important skill to learn. Accept Your Situation ... you recognize it and you accept it. How to deal with depression now that you are aware

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"Other health professionals who may prescribe a drug such as a dentist or other medical specialist should be told of the medications the patient is taking."
   
 

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"Traumatic events that can trigger PTSD include violent personal assaults such as rape or mugging, natural disasters, accidents, terrorism, and military combat."

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"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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"The confusion and disorientation experienced upon awakening after ECT typically clear within an hour."
 
"Some clinicians treating men with antidepressant associated sexual dysfunction report improvement with the addition of bupropion (Wellbutrin) or sildenafil (Viagra) to ongoing treatment."
 
"Psychotherapy is almost always the first treatment of choice, except in cases where depressive symptoms are so severe or critical that immediate relief is necessary to restore functioning and to prevent immediate and severe consequences."
 
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