Now onto my favorite (*cough* *cough*) advice for treating Depression: medication.
Whoa –what?! YOU don’t like being dependent on pills? We should hang out. Oh, wait. We kind-of are.
For nearly my entire anxious life I’ve worried about THE Day: that point at which the doctors would finally tie me up in a straight jacket, cart me away, and dose me full of anti-depressants. I knew it would come. As relative after relative succumbed to depressive tendencies, I’d mentally count down to when my turn would be.
I watched a friend balloon in weight on anti-psychotics; saw the not-so-fun of adjusting medications in another. I read and heard and watched people being negatively affected by their cocktail of drugs. Would that happen to me, too?
Frankly, there is a lot to be depressed about in terms of depression medication.
But this sort of thinking is clearly that of someone in a depressive mindset (aka ME). I love to take the easy route of negative self-talk; of assuming the worst.
The truth -no, The Truth is that medications are extremely helpful. They are often vital.
Need an example? A close friend of mine was married for a couple decades to a guy with serious schizophrenic issues. Super nice guy, by the way. He became concerned that apocalyptic situations were nearing and concluded that medication dependency was a bad thing. So, of course, he went off of his pills.
This is not one of those ‘happily ever after’ stories, but it is one in which life had to keep going and did (and, still does). After severe manic/depressive episodes, a necessary divorce, and removal of his ability to get credit cards; he’s back on a higher dose and somewhat back to the person I knew before.
No, not every story is that extreme. Yes, some are more so.
In my vast experience of talking to a lot of people about mental illness (’cause I’m nosy), most use medication for its intended purpose: a leg up. Prescription drugs are meant to give our poor minds and neural pathways a little help.
They are meant to be taken WITH therapy, because we need to teach ourselves to form automatic pathways to brighter fields of mental flowers.
I found some really great sources of information online (Mayo Clinic, WebMd, MedicineNet) that go into more details about common medications, their types, and side effects. They’re especially good if you want to get worked up about how you have a 5% chance of a limb detaching once on a course of Prozac.
So, this is the part where a psychomedicaldoctordude comes in handy. He or she will help you not panic after reading about arms falling off, and come up with a working plan to fit your symptoms. After talking through what you and s/he think is going on, s/he may prescribe you something to try.
The most common medications to treat Depression are:
-Selective Serotonin Reuptake Inhibitors (SSRIs) like Prozac, Celexa, Zoloft, Paxil.
-Serotonin and norepinephrine reuptake inhibitors (SNRIs) like Cymbalta and Effexor.
-Tricyclic antidepressants (TCAs) like Nopramin and Nardil.
-Other classifications, like Wellbutrin (aminoketone class), Trazodone (serotonin modulator), or Remeron (tetracyclic).
You may have a mix of mental illness, in which case anti-anxiety or anti-psychotic medications are prescribed. Ones like:
-Antipsychotics: Seroquel, and Zyprexa with Prozac.
-Lithium carbonate.
-Some stimulants like Ritalin.
-Anti-anxiety, like Buspar.
For those like me who deal with related issues like thyroid deficiencies, the prescription may simply be:
-Supplements to raise natural levels in the body
-Hormone therapy
-Specific thyroid medications
Whew! That’s quite a list. I swiped it from WebMd, mostly, leaving out the fun side effects notes.
These all affect serotonin, norepinephrine, and dopamine in some way. An article by Harvard Health also referenced Glutamate and GABA. Once assisted, those internal hormones and neurotransmitters and such will give us our mental leg-up.
In reading over these sites, I get the idea that Depression is a tricky bugger. The medications tend to improve symptoms in about 70% of sufferers, but doctors are not entirely certain why. Yes, they affect these hormones or connectors -however, simply affecting said things in isolation does not always work. That, and some people are still not helped by the good old anti-depressant classics.
Talk to a doctor continually in order to address the issues you have, and involve therapy along with the medication(s).
But besides boring you all with technical details about prescription drugs, I wanted to repeatedly hit my main point home for you: Pills aren’t all that bad.
During my brief stint on hormones, I experienced something wonderful. The sensation was very much like the gift of sight despite not wearing contacts or eyeglasses. I looked around at the world and saw light, felt hope, and assumed better outcomes instead of the worst possible ones.
Prescription drugs can be the older-brother boost to get into that impossibly high tree. Instead of constantly staring up at all the other people who got to the top branches, you can get help. With The Pill, you will be able to see knotholes or branch stubs or bark indentations. With psychotherapy, you’ll gain the strength to use them.
The journey to a brighter place may necessitate medication. Don’t be hatin’. Try what your paid medical friend suggests, pay attention to side effects; try, try again. Train your mind, young padowan, so that you may someday need fewer legs up -or, perhaps, none at all.
These pictures were swiped from JES’ database, which uses Unsplash.
*Chelsea Owens is not a licensed anything, except a Class D driver in her home state, and shares all information and advice from personal experience and research.
I agree. I was put on medication for anxiety and depression, and the change is there! I went on for a long time not wanting to take the medication, primarily out of fear of what others would say. Pfft! I’m over that now and have been on meds for a few months, I feel the difference when I’m on meds and when I’m not. And when I’m taking my medication I feel like a much better version of me.
I also have thyroid issues, last year however, had to get it all completely removed. So we’re still trying to get the new thyroid med dosage right since the surgery.
Great post! Appreciate your honesty.
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Thank you for sharing your experiences! I’ve only had experiences with hormone replacement stuff so far but just that (as I said) positively altered my perspective.
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That’s great! So glad it’s helped though! Sometimes it takes a few tries on a few different meds to feel a change, if any.
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Yes yes yes
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🙂 I take it you approve.
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Yes!! Medication helps.
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🙂
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These sorts of articles are very interesting and helpful. I don’t suffer from depression, I am hyperactive which has its own set of problems, but my son has OCD and my sister suffers from depression. These articles help me to understand.
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Thanks, Robbie. I primarily have experience with depression, though my counselor maintains that I have negative thought patterns and not actual depression…
My son has ADD/ADHD with other social issues, but is mostly high functioning.
At the site where I originally posted these, I enjoy reading others’ experiences because I only ever live inside my own head, 🙂 Like you said, I don’t really understand what they are going through otherwise.
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Brilliant post … I quite agree. And used in conjunction with self-help and therapy, it’s a win win scenario.
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Thanks, Katie! ❤
That’s what my counselor says, so most days I trust her and keep plugging along…
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That’s the way to do it …
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Ah. Hormones. Why does that sound so familiar… I’ve never been on them myself, but I know what life becomes without them . Never heard of using them for depressing but it makes the utmost sense to me. Very informative….
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Periodically, I think I’d be better off without them, but know that’s not the answer.
Thanks!
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I’ve taken a LOT of those. In the end, I just settled on something to handle the mood swings and left the depression to be handled philosophically. Frankly, if someone can find an anti-depressant that works, I say, “Use it!”.
If you can’t, you have to attack it from within… how you interpret things…
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I’m in favor of using what you need when you need it. The ‘permanent’ fix is to have methods and automatic thought pattern habits in place, but I couldn’t even CONSIDER those without a new perspective provided by the outside source of medication.
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I was on medication for a day (just a day…) and had horrific side effects. I know there’s other medications out there, but I’ve been so frightened by the first event that I can’t bring myself to try again… this article did a good job dispelling those fears (but I’m probably not ready to talk medication again with anyone yet, haha).
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I’m with you! A month of birth control pills was enough that, every time we’ve thought of gong on something since, my (sweet) husband’s nearly had a seizure in adamantly saying, “No!” 😀
I’m glad that other doctors and other methods are out there, with graduated levels. At the moment, I’m just taking some 5-HTP.. (https://www.webmd.com/vitamins/ai/ingredientmono-794/5-htp) I thought it a fairly mild thing (I can get it through Amazon), but that link says I may have my muscles all spasm if I keep taking it -albeitin large doses.
*sigh* I just need a different body.
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Bodies suck sometimes.
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I’ll say!
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I work with a lady who gets really depressed. She’s been on medication the most part of her life. Sometimes it works sometimes it doesn’t and they have to fiddle with the dose..
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It seems an ongoing process.
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Great post, it’s about what works best for you.
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Yes! And to not be terrified of a possibly helpful aid.
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Super helpful post. My dad and siblings are/were bi-polar. I had extreme mood swings for a while based on genetics but also very poor thought management. I used Zoloft for 5 years. It helped me get out of bed, but didn’t take away the meloncholy. Neither did talk therapy by itself, though it helped! When I got sober and had a spiritual experience where I replaced the god of my understanding (in my case Jesus/God/Holy Spirit) I was able to focus less on people, places and things as being my God. In a nutshell: people pleasing and wonky expectations of others and myself created HORRIBLE thought patterns I didn’t even know I had. Now I am not on medication but a steady diet of prayer, meditation, 4 meetings/week where I share, a sponsor who tells me like it is, friends I daily call to right size my thinking and exercise/good food/sleep. When I don’t do it, I am a mess. I am very open to meds if I ever need them but for ME just meds and not the other was a disaster.
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That’s wonderful, Andrea! Thank you for sharing.
I often resent that life needs to be more ordered for good mental health, but why complain when I’m functional -right?
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