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Depression: Treating Depression
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Wellbutrin helps treat depression and anxiety symptoms. Wellbutrin is among the newer antidepressants. Wellbutrin and the smoking cessation drug Zyban are the same chemical, but in different formulations (Zyban is prescribed only for smoking cessation, not depression). Wellbutrin SR is a long-acting form. People with a history of seizures should use Wellbutrin with extreme caution. However, it may ... cause jitteriness, tremors, and insomnia. Wellbutrin also increases the risk of seizures and is not recommended for treating panic attacks.
Depression ... often co–exists with other serious medical illnesses such as heart disease, stroke, cancer, hiv/aids, diabetes, and Parkinson's disease. Studies have shown that people who have depression in addition to another serious medical illness tend to have more severe symptoms of both depression and the medical illness, more difficulty adapting to their medical condition, and more medical costs than those who do not have co–existing depression.7 Research has yielded increasing evidence that treating the depression can also help improve the outcome of treating the co–occurring illness.8
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The currently prescribed medications that are approved for the treatment of depression are not considered addictive. Drug addiction implies that you would crave increasing amounts of a substance. While certain medications used in treating unusual forms of depression do have potentially addictive qualities, these medications are not considered standard antidepressants and are not the subject of this brochure. Although antidepressants are not addictive, you may experience some symptoms that lead you to wonder whether you are getting "high." Early on in treatment, antidepressants may cause you to feel unusually energized, especially compared to your previous state. As with most prescription medications, there are ... potential drug side effects with antidepressants. Feeling "high" or intoxicated suggests an unusual reaction to your medication, an interaction with another medication, complications from drug or alcohol use, or other unwanted side effects.
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This is an excellent article on men and depression. While many see depression as intense feelings of suicide, clinical depression can have more subtle symptoms (like loss of interest in previously enjoyed activities, loss of interest in sex, increased or decreased appetite, difficulty with concentration and sustaining attention, etc.) Many psychologists note people with “smiling depression” because these people are so afraid of their intense feelings of despair that they hide them even from themselves. As described in the article, I've had men come in very reluctantly on referral from their physicians intent on finding a medical cause for their symptoms. “I'd rather have a neurological problem or a tumor than be depressed,” they will say. But this is foolish because depression is very treatable. In fact, treatment success in mental health is statistically better than success rates in treating many major medical problems.
To address increasing American interests in St. John's wort, the National Institutes of Health conducted a clinical trial to determine the effectiveness of the herb in treating adults who have major depression. Involving 340 patients diagnosed with major depression, the eight–week trial randomly assigned one-third of them to a uniform dose of St. John's wort, one–third to a commonly prescribed SSRI, and one–third to a placebo. The trial found that St. John's wort was no more effective than the placebo in treating major depression.29 Another study is looking at the effectiveness of St. John's wort for treating mild or minor depression.
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In cases that are difficult to diagnose, doctors may perform other tests to confirm the diagnosis of depression. For example, because sleep problems are such a prominent sign of depression, doctors who specialize in diagnosing and treating mood disorders may use a sleep electroencephalogram to measure the time it takes for rapid eye movement sleep (the period during which dreaming occurs) to begin after the person falls asleep. Normally, progression to this stage of sleep takes about 90 minutes. In a person with depression... it usually takes less than 70 minutes.
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