Doctor insights on:
Major Depression Severe Recurrent
Lithium treatment: Lithium can be taken as long as necessary provided it is the primary med necessary to stabilize a person's recurring depression and is medically safe. Blood levels should be drawn periodically to monitor, eg., lithium levels, thyroid, kidney function. Close clinical supervision is essential to observe a pt's functioning and address any side effects, eg. tremor, weight gain which may occur. ...Read more
Depression is a mood disorder that can affect behavior and emotions. Symptoms of depression include feeling down most of the time, losing interest in previously enjoyable activities, increase or decrease in appetite or weight, sleeping more or less, becoming easily agitated or lethargic, feeling worthless, feeling guilty, having difficulty concentrating, thinking more about death and dying. Depression can sometimes result in suicidal thoughts and plans. In this case, emergent ...Read more
I do not have bipolar disorder. I do have recurrent Major depression, severe. Why would my psychiatrist prescribe lithium and Geodon (ziprasidone)?
Mood disorder: Many argue that many cases of depression are a form of bipolar disease. Specially if your mood fluctuates. Instead of going from extreme highs to lows, you go from lows without going into highs, so many treat depression as a form of bipolar disease. What drugs you go on depends on how high or low you go. I would have to know more about your case. ...Read more
Accept help: This sounds like a very painful way to live. I recommend that you seek out a psychologist who provides cogntive behavioral therapy. You may or may not need psychotropic medication management. Acupuncture can also be a good adjunct. Getting help can improve the quality of your life. ...Read more
There can be: Major depressive disorder is diagnosed by having at least 5 symptoms from a list. Melancholic major depressive disorder refers to having certain specific symptoms. The severe classifier refers to how much the symptoms you have interfere with your functioning and your life. Much of the time if you have melanchotic mdd your symptoms are severe but not always. ...Read more
How do I not take the bait for my spouse blaming me for his recurrent resistant major depression. He says if he werrent married he would not have it.?
Questions: Why are you in a relationship with a man who is telling you that he's depressed cause he's married to you? Why does he stay. You both may benefit from individual therapy to help you answer the questions above. If you want to save the marriage (and I'm not sure if either of you want to), seek marital therapy. ...Read more
Possibly and Worry: It is quite possible. It is also quite possible that chronic worry (generalized anxiety disorder) which can occur in up to 65% of cases with depression is also a culprit. Chronic worry causes muscle tension due to "autonomic inflexibility." depression and worry highly co-occur. "psychomotor retardation" in depression also makes sense. Worry. ...Read more
If someone is diagnosed with major depression recurrent and bpd. Is having suicidal thoughts and cutting often quite normal? Basically, weekly?
I've been taking Effexor (venlafaxine) for about a year or so (diagnosed w/major depression & severe anxiety disorder) & I'm not happy w/it. Other suggestions?
Discuss with doctor: I suggest discussing your concerns with your doctor -- hopefully a psychiatrist. A psychiatrist will be interested in why you're unhappy with effexor, (venlafaxine) and try to work with you to improve the results you're getting. This should involve a close review of your case, and possibly dose adjustments or changes to different medications. Psychotherapy should be part of your treatment too. ...Read more
Can you explain the difference between recurrent major depression with mood lability and bipolar disorder?
Different problems: With major depression you have serious depressive symptoms like sadness and hopelessness. It can be constant or come and go. Mood lability is when you mood fluctuates frequently, feeling okay one minute then sad or angry the next. With bipolar disorder you can have depression but you also have mania or hypomania, conditions with increased arousal. See doctor if you have either. ...Read more
Major depression: Lifetime prevalence of major depressive disorder is approximately 16.5%. Females are 70% more likely than males to experience major depression. The average age of onset is 32 years old. There is a genetic contribution, the specific genes have not been identified. It is thought that life stressors interact with this vulnerability to result in major depressive episodes. ...Read more
See Below: Difficulty concentrating, keeping focus, low or lack of motivation, irritability, depending on severity, some people might start skipping showers, or taking care of their basic needs, which inadvertently will affect your work and out-of work relationships. Some people get more angry, having "shorter fuse". If you feel you're being affected, get evaluated and start treatment (meds and psychth). ...Read more
Therapy: Can be effective, but the time required would be much greater than therapy plus medications. Why not get the best treatment available? ...Read more
A milder form of MDD: Minor depression is a mood disorder that does not meet full criteria for major depressive disorder but in which at least 2 depressive symptoms are present for 2 weeks or more. It is usually quite responsive to psychotherapy interventions. In the diagnostic & statistical manual of mental disorders iv, minor depressive disorder was cited as an example of depressive disorder not otherwise specific. ...Read more
Major Dep.: Symptoms are; depressed mood, can't experience pleasure, worthless/guilt/hopeless/hopeless thoughts with self-hatred, withdrawal, poor concentration & memory, poor sex drive, thoughts of death, poor memory, physical complaints, changes in energy/appetite/sleep. Children become irritable, clinging, demanding. Severe cases can show psychotic symptoms such as delusions/hallucinations. ...Read more
Seek Tx: Stay on your medication, keep your psychotherapy appointments, or find a psychotherapist asap. Address any changes in your condition with your providers, especially if you have thoughts of self-harm. It is also important with any mood disorders to keep your routine, and look at the events that precipitated your depression. ...Read more
Persistent sadness: Major depression is a mood disorder where a person is persistently sad or depressed for at least two weeks with changes in sleep, appetite and weight. Change in mood could also present as irritability. Low energy or persistent lethargy is also seen. Hopelessness and disinterest in enjoyable activities is common. Suicidal ideation is a sign of worsening depression and warrants immediate attention. ...Read more
Are you already in: Treatment? If not, that is very important. Cognitive behavioral therapy with a psychologist can be very beneficial. Medications prescribed by your physician or a psychiatrist may be indicated. In the meantime, don't isolate. Spend time w people. Use your support system. Get out. Don’t stagnate at home. Get at least 8 hrs of sleep/ night ; eat healthfully. Daily aerobic physical activity is a big +. ...Read more
Help is possible: Symptoms of depression include sad mood and loss of interest in usually pleasurable things for greater than 2 weeks. Also there are changes in sleep (too much or not enough); energy (slowed down or agitated); and appetite (could have little appetite w/weight loss, or eating too much w/weight gain). Difficulty concentrating ; making decisions. Frequent thoughts of death ; suicide. It's treatable. ...Read more
Supplements like: St John's Wort do not undergo rigorous laboratory testing, like psychiatric medications. Therefore, no one can tell you if it will work for major depression & anxiety. You are safer to consider meeting with a psychiatrist & being followed to be sure you are on the right medication & that is is working. Don't risk using something that has not been tested. ...Read more
Dysthymia: Dysthymia and major depression are related, but dysthymia lasts 2 years or more. Also the new dsm 5 calls dysthymia "persistent depressive disorder.". ...Read more
Types of Depression: There are several types of depression. Reactive depression occurs as a result of loss and eventually we adjust. If one does not adjust or if the cause is not clear certainly seek professional help. "feeling good" by david burns is an excellent self-help book based on science. Major depression impacts job, marriage, social situations. This needs to be treated ASAP. Peace and good health. ...Read more
Depression is: Treatable. I know that you are on Effexor (venlafaxine) - but don't know what other treatment you have received. Talking therapy (such as cognitive behavioral therapy or insight oriented psychotherapy) is extremely important for lasting change. Don't isolate. Spend time w people. Having a support system is very important. Get out. Don’t allow yourself to stagnate at home. Work to get at least 8 hours of sleep >. ...Read more
Extremely difficult: You must prove you are severely disabled and can not work at all with support. You get an evaluation by an SSI physician. After evaluation, you be ordered into treatment and fail every kind, including medications, psychotherapy, possibly electroshock therapy. Being on SSI can decrease quality of life because of financial crisis, poor self-esteem, social isolation. Maybe better alternatives exist. ...Read more
Symptoms: Symptoms may incluse: depresses or orritable mood, sleep initiation and/ or early morning waking, oversleeping, decreased appetite, weight loss, de rease in energy, motivation and interest levels. Crying episodes, withdrawn, feelings of hoplessness, helplessness, worthlessness, amhedonia (lack of enjoyment in activities prev enjoyed), diurnal variation, suicidal thoughts, low frustration tolerance. ...Read more
Multiple Factors: There are several factors that may increase the risk of depression. One of these is a strong family history of severe depression. Also, negative life experiences such as trauma, abuse, and multiple losses can increase this risk. Chronic pain and other medical conditions can play a role, as well as the abuse of substances such as alcohol and illegal drugs. ...Read more
Yes, but chronic Rx: Major depression is an episodic but chronic illness for most sufferers. Most people with depression recover with treatment, but many are unable to sustain recovery because they stop treatment prematurely. ...Read more
Lower motivation: Symptoms of major depression often include sadness, withdrawal, difficulty concentrating, appetite/weight changes, fatigue, low energy, hopelessness, guilt feelings, and sleep difficulty. Depression can also distort the way events are perceived, resulting in negative self-perceptions and loss of interest in previously enjoyed activities. ...Read more