Finding the Right Depression Medication By Barry McDonald

Always feeling under the weather? Always not in the mood to be around others and have a good time? If you're suffering from prolonged sadness for quite some time now, you should face these bouts of depression and get yourself diagnosed by a psychiatrist, they're doctors who can actually help you out with your problem. Not to mention the various depression treatments, as well as all sorts of depression medication that doctors prescribe to their depression patients.

Fortunately depression can now be cured, especially when diagnosed early, depressed individuals can actually be treated through therapy and depression medication, although it may be a bit costly, a person's good mental health is something that shouldn't be scrimped on. Cognitive behavioral talk or interpersonal talk are incredibly healthy depression treatments that are just some of the available psychosocial depression treatments that cognitive behavior therapists can offer to their patients, both actually prove to be able to produce fruitful and positive results even for just short-term sessions, around ten to twenty weeks are almost always, already enough to get a depression patient slowly begin their recovery towards a sound mental health.

Before getting started with depression medication, the depression patient must first get him or herself to a reputable doctor, get a diagnosis of which type of depression the patient is actually suffering from, may it be clinical depression, manic depression or what-have-you. It's best that you're sure what you're actually dealing with since there are various depression medications that are available in the market, you should make sure that you get the most appropriate one, the one that'll actually cure your depression illness.

There's actually a wide variety of anti-depressant depression medications available to help treat those who are suffering from depressive disorders. The more popular ones are those that are of the selective serotonin reuptake inhibitors or SSRIs variant then there are the tricyclics while the other popular variant is the monoamine oxidase inhibitors or MAOIs. These depression medications (the SSRIs variant as well as the other newer depression medication available in the market) actually to be a much safer alternative than the tricyclics, since they have fewer side-effects as opposed to the tricyclics depression medication variant.

Sometimes, doctors actually find it more effective to mix up these depression medications, depending on the needs of the individual, the doctor might actually prescribed a variety of depression medication to help cure one's depression illness. Also the dosages of depression medication can actually be increased or lowered depending on what the doctor finds to be the most effective. However, when it comes to taking these depression medications, patients are highly advised to never mix up depression medications as well as pick out which dosages to take without consulting their doctors first.

Anti-anxiety or sedatives however, should never be mistaken as depression medication. Even though these anti-anxiety drugs are often prescribed along with depression medication, they don't actually help cure one's depression illness. Their mere purpose is to help calm one's nerves which is why depression medications are still needed to be taken by the depression patient.

There are actually some common side-effects from depression medication, usually coming from the tricyclic variety. Some people tend to not mind these side-effects from depression medication, however if it does become to much of a bother and may end up ruining one's ability to function properly, it's best to go immediately to your doctor and report the side-effects. Quite common side-effects from depression medication are the following:

Dry mouth: always having the irritating feeling of being hydrated, it's best to always have some (clean, drinking) water nearby so as to have something to drink whenever dry mouth occurs, chewing sugar free gum as well as brushing your teeth after every meal is also a good idea.

Constipation: cure such discomfort by eating and taking in a lot of fiber to help aid your digestion.

Blurry vision: another temporary side-effect, this one's quite easy to pass but if it proves to be too much of a bother, consult your doctor immediately.

Headaches: quite common with the newer kinds of depression medication, it's really not a big deal and will actually go away easily.

Insomnia: first-time users may actually experience this depression medication side-effect but it usually just happens during the first few weeks of taking the depression medication, asking your doctor to lower the dosage of the depression medication may actually help you with this side-effect, as well as the time of day wherein you take your depression medication can actually have something to do with your sleeping problem.

Diabetes and Depression: Can Hypnosis Help? By Devin Hastings

Discussed in this article:

1) The Quiet Crisis Within Diabetes.

2) A Hidden Danger of Diabetes.

3) Are Physicians Aware Of This Danger?

4) Does Depression Cause Diabetes?

5) The Formation of Depression Post-Hypnotic Suggestions.

6) Summary

5) Next Issue Highlights.

The Quiet Crisis Within Diabetes

Depression is a 'quiet crisis' facing diabetics, their families and their health care providers. Financially and emotionally this crisis is exacting a terrible cost.

The purpose of this and following articles is to share important information about depression and how a hypnotist can responsibly and effectively help a diabetic with depression. This assistance will help to improve a diabetic's life by (a) reducing the suffering from this painful state of mind and being and (b) thus enhance their diabetes management skills which will therefore result in a state of enhanced health.

Bear in mind the importance of your contribution as a hypnotist. You can make an incredible difference because even a small reduction in a diabetic's long term blood sugar levels can result in a marked decrease in the likelihood of diabetic complications.

A Hidden Danger of Diabetes

A largely unknown hence, hidden danger of diabetes is that diabetics have twice the risk of non-diabetics for becoming depressed. Dr. Richard Surwit of Duke University states that: "Diabetes more than doubles the odds of suffering from depression at some point. One third of people with diabetes have been diagnosed with significant depression and 11 percent with major depression--twice the rate in the non-diabetic population (1)."

What is obvious and yet, not really obvious about the preceding statement is that being diagnosed with a major disease is traumatic. This, in and of itself, can lead to depression--never mind all the other contributing factors that are related to diabetes and depression.

For example, a contributing factor to depression in a diabetic can be their physiological state. As noted by Dr. Surwit, there is research indicating that high blood sugars cause biochemical changes in the brain that can lead to depression. (2)

Are Physician's Aware Of This Danger?

Physicians by and large, are extremely busy and the demands on them are greater than most can imagine. It is no wonder that many of them are simply not aware that their diabetic clients are two times more likely to suffer from depression. If they knew this, they would probably be more likely to refer their diabetic clients with poor blood sugar control to someone who could help.

When appropriate, a hypnotist can help in key ways because a hypnotist is trained to be a motivational coach and stress management consultant. One way a trained hypnotist can help a depressed person with diabetes will be explained later in this article. But first, let's look at an important question.

Does Depression Cause Diabetes?

This is an important question for many reasons. Probably one of the more compelling reasons to deeply consider this idea is because, if true to some degree, then it begs this question: Wouldn't the validity of this concept make the majority of treatment efforts inappropriate and/or ineffective to some degree? Consider the plight of many frustrated nurses and doctors who will attest that no matter what they do for their patients, nothing seems to work.

This statement is not meant to denigrate in any way the efforts of so many. It is meant to highlight the importance of timely consideration of the depression-diabetes connection before the cost for all concerned becomes not only debilitating, but also tragically unnecessary.

Consider this: Evidence, that will be discussed shortly, shows there is a strong connection between depression and diabetes. This is important because, unless diabetes treatment programs are sculpted to target a largely unaddressed cause and exacerbating feature of diabetes, many of those at risk will only become worse. Those at risk include person's with pre-diabetes as well as those with diabetes.

This pragmatic approach also prompts one to think about the idea that perhaps with re-targeted treatment methods, many of those with diabetes may actually experience a remission of symptoms. And, dwell on the idea of how many may be able to avoid developing diabetes.

Bear with me a moment while I explain. Untreated depression in those with diabetes is a personal tragedy for all family members but most especially children. I state this because children have no coping skills to handle the emotional burden of a depressed and diabetic parent.

Imagine being a child helplessly watching your mother (as in my case) being slowly, inexorably, taken apart emotionally and physically by the deadly combination of poorly controlled diabetes and untreated depression.

It is because of this searing pain that I am driven to reach whomever I can with my Diabetes Motivational Coaching TM training so that perhaps some little boy somewhere doesn't have to watch his mother go blind emotionally and physically.

I realize this may sound disingenuous or dramatic to some and I understand but I make no apologies because it is true. In fact, my feelings go far deeper than what I have communicated here. You see, the apple doesn't fall far from the tree and now that hypnosis has helped me to put my life on a previously undreamed of healthy course, my motivation is intensified because I think so many times: "What if my mother had been able to have access to these methods? How much better would her life be now?"

Now, to tie all this in to my point that perhaps an innovative approach can actually prevent diabetes: The challenge with current diabetic treatments is that no amount of chemical management (including anti-depressants as well as insulin, etc.) will ever ameliorate this significant cause of diabetes. (Depression) This is because these treatments do not address the root of the problem. Furthermore, no amount of medication given to one individual will ever prevent another from developing diabetes.

The last point seems odd until you consider a landmark Swedish study (3) in which it was discovered that there is a disturbingly high correlation between traumatic childhood life events (4) and diabetes-related auto-immune activity. This study involved 17,000 children born between 1997 and 1999. One of many conclusions in this study is that: "Experiences of serious life events (e.g., parental separation, serious illness, or death in the family) has been suggested to trigger type 1 diabetes(5) or the auto-immune process behind the disease.(6)"

An additional interesting point to take away from the preceding considerations is that current treatment programs treat one person. Limited efficacy and high cost. However, if a patient were to receive Diabetes Motivational Coaching TM then more than one person can receive the positive benefits because a healthier, non-depressed diabetic parent is less likely to have a precipitating influence on their child. Two for the price of one. A win-win situation from so many angles. Obviously more study is required but the premise is intriguing and the evidence it is based on is reasonably sound.

Another win-win benefit of appropriate, innovative treatment is that the exacerbating (and ultimately very costly) effects of depression on those with diabetes can likely be reduced or eliminated.

So, what can a properly trained hypnotist do? One key way a properly trained hypnotist can help is to reduce or eliminate depression in an individual (diabetic or not) by helping them to eliminate depression activating post-hypnotic suggestions.

The Formation of Depression Activating Post-Hypnotic Suggestions
A post-hypnotic response is a cause-effect belief program that powerfully dictates behavior. Another way to look at this is that when a specific stimulus becomes uniquely associated with a strong internal state, you have a post-hypnotic suggestion and effect. (stimulus/response)

For example, the physical lethargy and mental apathy that accompanies very high (or low) blood sugars can be a contributing factor to inappropriate cause-effect belief formation. To illustrate, let me share with this case: Shortly before I was diagnosed with diabetes, my cognitive functions were significantly reduced and my affect was severely depressed.

In layman's terms this means I felt like garbage due primarily to out of control blood sugar levels that were causing me to lose my vision as well as feel awful. (What is interesting to note is that diabetes and its attendant emotional/physical affects can go undiagnosed or misdiagnosed for years.)

Now, when a person has a strong emotional feeling, that affect state can then become associated with whatever situation and/or thoughts they are currently experiencing. I.E., uncontrolled diabetic consequences coupling with a relationship break-up, a job loss or any other stressful situation. These are common events but note that even a small, insignificant incident can also be implicated. This confluence of events is called an I.S.E. or Initial Sensitizing Event. (Please note that, as in the case of many phobias, some initial sensitizing events can have a profound post-hypnotic impact after only one learning event.)

The next stage in deepening the power of this erroneous belief programming occurs when a person is next exposed to the same stimuli that were initially associated with a powerful, negative state of mind.

The result? Generally, with enough repetition and enough time, feelings can become facts cognitively and physically. And then, a pseudo-depression cycle is perpetuated.

As a quick illustration imagine a large spider near your foot. Now, if you are a person who becomes upset when big, hairy spiders with lots of eyes and big fangs are near you, then your body will respond to some degree.

Now, imagine being unconsciously reminded (triggered or post-hypnotically influenced) to thinking and therefore feeling, many times a day that there is a nasty spider about to crawl up your leg. Ultimately, this could become a panic disorder that can even attach itself to unrelated objects and/or events. In fact, this is not uncommon.

Hopefully, this example will help to illustrate why I call it pseudo-depression. I do this because the belief syllogism is: "I feel depressed (like garbage) therefore there must be reasons."

And, when feelings happen, a person must make sense out of their world. So, they justify this unconscious, powerful, emotional experience with a conscious understanding that usually takes the form of inappropriate cause-effect associations. I.E., "I am feeling depressed because of my job--spouse--life--" or whatever seemingly reasonable explanation is available.

In other words, one's feelings of depression can be in part or whole, built on erroneous beliefs or, post-hypnotic suggestions. Therefore, all a depressed person may need are the tools and coaching in order to be able to disable erroneous cause-effect belief programs.

To finalize this point, please consider a quote from Breaking The Patterns of Depression, by Michael D. Yapko, Ph.D.:
"For most people, depression is the product of a hurtful way of interpreting and responding to life experiences."

Summary

In this article I have attempted to share information that will raise awareness on a number of different levels. If you are a person with diabetes and you are hitting a 'wall', consult with your physician to discover whether or not you have depression.

If you are a nurse or physician and you have patients who don't seem to want to take care of themselves, then perhaps there are hidden forces at work. And, there are alternatives that you may not have been aware of before now.

If you are a hypnotist and you wish to help those with diabetes, please remember four things:

1) You must always obtain a fully informed referral from your client's doctor. If you suspect your client is depressed, never diagnose. In fact, if you think they are depressed, it is incumbent upon you that you suggest they see their physician for an official assessment before you can help them further. Be sure to obtain an additional referral so that you can help them appropriately with their depression if your help is suitable. If you feel you cannot help, don't.

2) Should a physician or nurse, have time to chat with you, please remind them that if you are only allowed one approach to helping their patient, stress management alone can produce incredible blood sugar lowering benefits over time. This is attested to by an article in a January, 2002 issue of Diabetes Care in which a study done by Dr. Surwit shows that: "stress management techniques, when added to standard care, helped reduce glucose levels". Surwit notes also that: "The change is nearly as large as you would expect to see from some diabetes-control drugs".

3) By acting in a responsible manner as part of your client's health care team, you can in your way, make a big difference, even if only by reducing stress. Please note that stress is a contributing factor to depression. Therefore, as your client is reducing their stress levels they may also experience a reduction in depression. This will in turn create a need for your client to reduce their diabetic medication needs . This is because there is evidence that a reduction in depressive symptoms correlates with a reduction in blood sugar. This was demonstrated in a study conducted by Patrick Lustman, a psychologist at Washington State University School of Medicine in St. Louis.

4) Finally, before helping a person with diabetes or depression, you really need to know a great deal about both subjects.

In the next article, we will discuss several things:

1) More Ways A Hypnotist Can Responsibly Help.

2) When A Hypnotist Should Never Help.

3) The Depression-Diabetes-Pain Connection.

4) Additional Interesting Ideas and Studies.