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Are Antidepressants Ever Necessary?

A new study suggests that about a quarter of the people who have been diagnosed with depression may actually be dealing with the normal and expected emotions associated with loss or traumatic events.

It is not unusual to experience depressive feelings when you have lost your job or marriage. But researchers are now suggesting that such feelings should not usually be diagnosed as depression.

The study was based on a survey administered to more than 8,000 Americans, which asked questions based on diagnostic criteria for mood problems.

The researchers found that extended periods of depression-like symptoms are common in people who have been through life stresses, and that this does not necessarily constitute illness. Only a fraction of people, however, had severe symptoms that could be classified as clinical depression.

Drug treatment may often be inappropriate for people who are responding to life's stresses. Supportive psychotherapy, however, may still be useful.

Archives of General Psychiatry, Vol. 64, No. 4, April 2007: 433-440

PsychCentral April 3, 2007

Washington Post April 3, 2007


Dr. Mercola's Comment:

I think that this study is really about semantics. When I first started practicing in 1985 I was very sensitive to the issue of depression and diagnosed many thousands of my patients with it. No matter what you call it, there are many millions of people who are not doing well emotionally and as a result have major physical complications.

So I am not sure if I agree with this study, as my experience suggests many are suffering out there. However, the central issue is what do you do? If you are cluelesss like I was over 20 years ago you put people on antidepressants because that is the "standard of care." 

Then you find out later that antidepressants provide no meaningful benefit, can harm your immune system and exacerbate the risk of suicide among younger folks.

So clearly another option is required. Fortunately, there are many that do address the underlying causes. You can also start an exercise program today, as it clearly is one of the best-kept secrets for treating depression. Omega-3 fats like fish and krill oil are also very effective.

You can find out more about this by reading The Omega-3 Connection by Dr. Stoll. He is a Harvard psychiatrist who has done a great job of compiling the evidence supporting the use of fish and krill oils for depression.

Among the other effective therapies for taming your emotions and boosting your health: Learning a proven energy psychology tool like the Emotional Freedom Technique, used daily in my practice. For serious problems it would be prudent to not treat yourself with EFT and instead contact a health care professional who is trained in the technique. You can use the list of guidelines and practitioners compiled by Dr. Patricia Carrington.

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Comment on This Article Community Comments (60)
 
 
Posted On Apr 03, 2007
Thank you Dr. Mercola for exposing the lies behind these drugs and the idea that every other person on the planet is "depressed." 

After my parents divorce, despite being a normal kid, with good grades and no complaints a social worker sent me for testing at the local University when I was in middle school. They diagnosed me with "depression." Then started the slew of drugs followed by my grades plummuting, mood swings and suicide attempts. Funny all that started AFTER they put me on those drugs. Of course that behavior just confirmed the diagnosis.

It took me years to figure out that there is nothing wrong with me and every time I am feeling angry or down or unmotivated I don't need to seek out medication for my "condition." What I need is to take responsibility for my own health both physical and emotional .

I eat well (for my MT), exercise daily, make sure I have sunshine and omerga 3's and voila, no symptoms.

I think exercise and sunlight are the two most critical components for me, if you are depressed give the natural approach a try.


 
Michigan Mom
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Michigan Mom  
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raugust
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raugust  
 
Posted On Apr 05, 2007
I totally agree with you.

My post-depression "depression" symptoms didn't really hit until long after I started Effexor XR and Seroquel in my drug regimen, after I went to my local drug pusher (read: "therapist") because I hit an emotional slump a few years ago and just needed a little help getting through it.

Seroquel nearly killed me by causing me to become too drowsy to drive to work, even after several hours of sleep.  Seroquel also caused severe weight gain and sugar cravings, which I was never, EVER told by my local *insert expletive here* "mental health professional".

After suffering a car accident that caused me to blow out a tire after veering from roadside to roadside just to stay awake, I decided to try EFT here at www.mercola.com.  It is working.  I am awake.  I get enough sleep.  I might be starting to save money, too, as I get off all these other meds one by one, as my weight drops, and as my life gets back on track.


Amanda Rose
Savvy User Savvy User Joined On 6/2006
Amanda Rose  
 
Posted On Apr 05, 2007
My depression hit in pregnancy. There is nothing like pregnancy to suck the nutrients out of your body. What’s amazing is that there is clinical trial evidence that nutrients improve depression yet most doctors do not have sufficient knowledge of these studies to instruct their patients.

Probably the best “home remedy” I’ve found in addition to the sunlight and exercise that others have mentioned is liver from grass fed beef. It is loaded with depression-fighting nutrients, particularly B vitamins and Omega 3s.  Eat it a few times a week.  You'll be amazed at the difference it can make. 



Birdlady
Apprentice User Apprentice User Joined On 6/2006
Birdlady  
 
Posted On Apr 17, 2007
Well no wonder people are depressed more than ever.  It is more than just what we eat. It is the mind set of Americans.  Most of us are living in this naive world where we think our food suppliers, pharmaceutical companies and government wouldn't hurt us or lie.

I don't know if it is a cause or an effect of it, but we don't question anything anymore. We just go along with whatever is put in front of us. If the doctor says to go on meds, you do it without even questioning.  The TV says to drink diet soda and we do.  Dentist says to get extra fluoridated toothpaste and you do.  The TV says to ask your doctor for 15 different prescription medications and I bet a lot of people do.

Once you break through the lies and deceit that are being fed to us, only then you can appreciate life and understand why the world we live in is so messed up. I suggest everyone turn off their TVs for 1 week and your depression and overall blah feeling will go away.

This is one of my favorite websites for news.  Instead of just reporting what drama is important for that week like the mainstream media, this website actually uncovers important news that matters.  http://www.infowars.com or http://www.prisonplanet.com


Area51
Apprentice User Apprentice User Joined On 12/2006
Area51  
 
Posted On Apr 17, 2007
Amanda Rose and rauqust.....what you are talking about is post partum depression. A natural progesterone cream should work for that. Here is a sample of Jon Barron's article on depression and post partum and why progesterone cream is what he recommends.......

Progesterone

This is particularly important since women experience clinical depression twice as often as men. Over the years I have been recommending progesterone crème to women, it has picked up the nickname from many of them: "The Happy Crème." Any time progesterone levels drop such as during the monthly cycle, immediately after giving birth, or all the time if you are in a state of estrogen dominance, depression is a likely result. Using a good progesterone crème can provide an almost instant turnaround in attitude.

And while we're on the subject, let's talk about post partum depression. It's real. During the weeks leading up to birth, progesterone levels have soared to levels 10-20 times normal. No wonder women seem to glow during pregnancy. But immediately after birth, progesterone levels plunge to almost zero. No wonder so many women experience extreme, even psychotic levels of depression. Simple supplementation with progesterone crème will resolve the depression over 90% of the time. In fact, any doctor who recommends antidepressants for post partum depression without trying progesterone crème first, should be named as an unindicted co-conspirator since they truly share the blame for any psychotic incidents that may result.



CATRYNA_203
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CATRYNA_203  
 
Posted On Apr 17, 2007
 Many times after a trauma the whole immune sytem is put in jeopardy, especially the Adrenals, Pituitary and Thyroid. Often a depressed person will show other signs of glands not operating up to the optimum. A blood test or other examination can often prove this. After decades of depression, among other things, last year I was  diagnosed with Hypothyroidism. Thank goodness I had the good sense never to involve myself in taking Pharmaceuticals for the depression. After trying Armours and then a synthetic, with adverse repurcussions, I am now taking two supplemtents for the Hypothyroidism with wonderful reslults. So, if you have a depression problem find out what the root problem is. It might be in your head, but not the location that everyone thinks.

Have a nice day, Catryna


MDS_203
Apprentice User Apprentice User Joined On 1/2007
MDS_203  
 
Posted On Apr 17, 2007
I think in many cases, drugs should be the last resort, not the first. In my opinion, depression can be a symptom of a problem: poor diet, lacking nutrition, little exercise, a high sugar/simple carb diet-- the typical American diet is appalling.  (Garbage in, garbage out.)  Symptoms of depression (crying, moody, lethargic, lack of focus) are also the same symptoms of hypoglycemia, hormone imbalances, thyroid problems, etc.  It's difficult, though not impossible, to find a doctor who is willing to help you balance your body with proper nutrition, exercise, natural hormone replacement.... but don't expect your HMO to contribute.

As a testament to "modern medicine"- my friend lost her husband of 25 years and 4 weeks later, her doctor prescribed antidepressants because she was "still" grieving!




Sfort
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Sfort  
 
Posted On Apr 17, 2007
I went to the dr several years ago suffering with back and hip pain, which was making me unable to work. During the course of recounting everything that was going on in my life as a result of the pain I began to cry. At the end all the dr said was "Do you need anti-depressants?"
I had tried those already and all they did was making me think of gasing myself and my kids in our van! Thankfully, I found a Chiropractor who helped with the pain and also introduced me to Omega-3. It helps my pain and I give it to my son and it helps his ADHD. During my research I learned how Omega-3 helps with depression along with a good diet and exercise. I am now employed by a Chiropractor and pass on much of this information to my patients and recommend this web site to everyone.
Another good resource in a book called "Confessions of an RX Drug Pusher" By Gwen Olsen. She quotes some great sources regarding how much more helpful good nutrition and talk therapy is than drugs. The inside out approach is best almost everytime.


Paraklaytos
Novice User Novice User Joined On 4/2007
Paraklaytos  
 
Posted On Apr 18, 2007
 A response to depression can be to stay inside away from people and to not really desire any exercise, which of course are actually what will be very helpful to alleviate the depression.  Medication tends to be the first response to the stressful reactions (in this culture), whether it is cigarettes or coffee or menthylphenidate or dexedrine or antidepressants or mood stabilizers or analgesics.
However, to some extent, in response to a stressor, it is acceptable to be depressed, sad, grieve or mourn.  We all experiences losses of varying intensity.  If something has meaning, then a person will experience loss.  In this culture, the first response tends to be "GET OVER IT!"  However, helping others "get through it," and allowing ourselves to experience the grief makes more sense.


Alisa_203
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Alisa_203  
 

nzkiwiman
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nzkiwiman  
 
Posted On Apr 27, 2007
I think antidepressants might help with coping until you find the real problem.  Of course a natural solution is preferable first.  The problem is that people are led into thinking that antidepressants are the solution and that there are no side affects which is wrong.  Undiagnosed allergys/intolerances and toxicity can cause depression.  Always keep a record of what is going in and onto your body.   I found dentalallergy.com had some good suggestions about becoming informed and showed the importance of some unexposed dangers!


sandrews
Novice User Novice User Joined On 4/2007
sandrews  
 
Posted On Apr 28, 2007
you are smart you have made a good point. a person does need to take responsibility for their own well being not rely on some antidepressant drug to cure the problem. those drugs help a person to ignore the problem. and the real problem is never addressed which is not healthy at all

 
 
 
Posted On Apr 06, 2007
I used to be "depressed" and was on anti-depressants. I found them completely debilitating. It's not that I was no longer depressed, it's that I couldn't feel at all. I just didn't even want to be anymore. It made me have more body odour and completely killed my sex drive. I was just a vegetable. That in itself is more depressing than I was without the drugs.

I know people who've developed a dependency on them because they're convinced they need them and that it's helping them. Their dosages are so high I don't even know if it's possible to get off of them without them killing themselves. This is really dangerous stuff and I am 100% against them.

Oh, and those psychiatric hospitals that work in conjunction with them? Not good either. Those make you 1. Think you're crazy from being around everyone who is diagnosed as crazy; 2. Make you depressed even more. The whole medical system put in place to help "depressed" and persons with mental disorders is completely brainwashing and dangerous. All mind/hormone altering drugs are dangerous to the body. Actually, I think it's safe to say that all drugs in general are dangerous.

I'm so glad I'm off of those antidepressants and I just wish everyone who is on them knew that it doesn't have to be like that and that they can live full and productive lives in society without them. Healthy diet and exercise (especially the latter) are key in getting your mood up.

 
pinkskittles
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Area51
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Area51  
 
Posted On Apr 17, 2007
Tina Holly....I've talked to other people who've been on antidepressants and experienced the same negative symptoms. One of them who also said that she couldn't feel anything at all like you, finally couldn't take it anymore and stopped taking them despite her doctors orders. She said the withdrawal symptoms were really bad, that she was crying in pain.

Another woman told me that while on them, she had high blood pressure and blood sugar problems. She deided to slowly get off of them. It took over a year to wein herself off of them, and her blood pressure and blood sugar levels went back to normal once she was off of them.


medpug
Novice User Novice User Joined On 9/2007
medpug  
 
Posted On Nov 04, 2007
It seems that these anti-depressants help some people get in touch with their feelings - but for me, they had the opposite effect.  I was more moody and had cloudy judgment when I was on so-called therapeutic doses.

You're definitely right about high dosages being hard to come off of.  Depending on one's body chemistry, it can be very, very dangerous coming off of these medications.  Some people don't have a problem, but other people have very sensitive brain chemistry and their bodies react quite violently from the withdrawal.  To make matters more complicated, many psychiatrists often have limited knowledge of tapering or discourage it outright, keeping you trapped in the system.  If you have a cocktail of drugs to contend with, then tapering becomes exponentially complicated and dangerous.  I've been trying to get off these drugs for years and only as of 3 months ago have I figured out how to effectively get off of these things.

I concur with the inpatient mental hospitals too.  These so-called sterile/control environments only served to traumatize me.  All of the patients in my experience were treated like cattle and medicated to keep them quiet.  For if you are more sedated, you will ask fewer questions. I was forced to sleep in quarters alongside people with severe mental disorders that could have potentially been violent.  I deliberately wrote in my diary, read a book, and did puzzles to give the staff the impression that I was a cognizant individual.  I think that worked because I ended up staying for only three days instead of a week or two.  As long as the staff at these inpatient hospitals continue to confidently make mistakes, i.e. drug the problem and not address it, these inpatient facilities (not to mention outpatient) will continue to be for many people very dangerous.



medpug
Novice User Novice User Joined On 9/2007
medpug  
 
Posted On Nov 04, 2007
(continued from last post) It seems that exercise and healthy eating are clear winners to your recovery.  I remember hearing that as a kid in the '80s when I went to see my pediatrician but I never hear that now unless it comes from people like you who've been toyed with by the system and Dr. Mercola.  I wish you continued luck with everything.

 
 
 
Posted On Apr 03, 2007
I always knew that grief and depression shared many symptoms.  Because after a loss you are depressed because of the loss of companionship that you had with that person.  Just because you experienced a loss does not mean that you are depressed,  it means you are normal. 

Mary

 
mmc88121
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Nika
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Nika  
 
Posted On Apr 18, 2007
Amen.  Yes, they constantly mix up grief and clinical depression.  When my 20 yr old daughter lost her life in an accident - Bang!  Depression they said.  Well, no, it was grief, profound gut-wrenching grief.  The first day, I guess it was shock, I was shaking uncontrollably and someone called my doctor.  He knows I am not a pill taker and gave me very low dose of something.  I took one pill and all it did was make my legs feel like rubber.   I just needed to go through a painful process.  The grief is never-ending, but changes over time.  You learn to deal, because what is the alternative?  Commit suicide and make your family even more miserable?  Gees, now if you're "unhappy" with your job or your lovelife the answer is, of course, Prozac. 

 
 
 
Posted On Apr 04, 2007
Here are my thoughts on low serotonin (which is tryptophan-5HTP = serotonin):

1. Alerted nutrition (increased insulin levels) cause most amino acids to be swept out of the body

2. Altered sleep cycles and levels of melatonin, will decrease serotonin stores

3. There is research to show (by Julia Ross in Mood Cure and Diet Cure, as well as in the Second Brain by Michael Gershoon) to show that 90% of the serotonin in the body is produces in the gut. It is there to assist with digestion, peristalsis and to signal a part of our brain to tell us that we have eaten/are satisfied. So I have found that poor nutrition, parasites, fungus, bacterial overgrowths, leaky gut, low SIgA and so forth all have an affect on this.

What if I were to tell you that with organic foods, holistic lifestyle principles, a protocol to heal the gut, eliminate any parasites, fungus and bacteria, as well as the AA tryptophan or 5HTP can help treat this?

 
Josh Rubin
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Josh Rubin  
 
 
 
Posted On Apr 04, 2007
  The marketing of ssris as antidepressant drugs that treat a chemical inbalance is just an absolutely brilliant piece of marketing. It accomplishes three thinks   1.It  helps people remove the social stigma associated with mental problems  2 It  takes the responsibility for your emotional well being away from you and puts it in the hands of the experts.  3. It makes a ton of money .But before we all run to the nearest drug store and get this wonder drug so we can all dance happily on the beach- just like the happy people on the commercials; lets just look at a couple of things.   None of it is based on very good science. There is no measurement of serotonin levels that indicates depression. No blood test or other advanced diagnostic tool to ascertain serotonin levels. It is an artificial sales tool used to market these products. They don't work very well only slightly better that placebo .The real question is were are all the happy people who take these drugs .Finally  they have dreadful side effects. While serotonin can cause a happy feeling especially when produced thur exercise or sunlight in basically happy people the way they market these drugs is highly deceptive. You know the local bartender is trying to link social phobia(shyness} to a deficiency of gin. It just might work

 
vince_203
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vince_203  
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Area51
Apprentice User Apprentice User Joined On 12/2006
Area51  
 
Posted On Apr 17, 2007
Vince....I agree with you on the chemical imbalance thing. After the Tom Cruise situation where he talked against antidepressants, a doctor that was on Good Morning America actually admitted that Cruise had some valid points because there is no scientific proof that a "Chemical Imbalance" actually exists. In fact he said that the term "Chemical Imbalance" is banned from being used in any advertisements for drugs in Europe. And that the US is the only country that uses "Chemical Imbalance" in their advertising. 


medpug
Novice User Novice User Joined On 9/2007
medpug  
 
Posted On Nov 04, 2007
The bottom line at the end of the day just comes down to, don't take these drugs unless you have to - because of the side effects, lack of long term studies, studies that are fudged so that these drugs can be approved by the FDA (read Joseph Glenmullen's Prozac Backlash in which Eli Lilly and its testing and selling of Prozac is a case study ). It's really quite terrible that so many people are so readily medicated!  I'd be willing to bet that 3/4 of people on these anti-depressants don't even need to be on them - that the importance of nutrition and exercise should have been stressed by doctors to begin with.  But then of course, they wouldn't be rewarded monetarily for drugging anyone.  The other 1/4 may actually need the drugs, but I would advise short term usage in conjunction with a great therapist that actually cares to help you work through your issues and empower you with coping mechanisms.

 
 
 
 
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