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PHYSICIAN of the YEAR 2014-NY State Osteopathic Medical Society
Board Certified Psychiatrist
Distinguished Fellow of the American Psychiatric Association
HomeABOUT DR. KROPLICKBIODepressionAnxietyContact Me

Lois Kroplick, DO, DFAPA
(845) 362-4215

       DEPRESSION


What are the causes of depression?

Chemical imbalance in the brain
Hereditary
Stress
Often it is a combination of genetics, environment and stress

What are the symptoms of depression?

Sad, depressed or empty mood most of the day
Difficulty concentrating
Fatigue, decreased energy
Feelings of guilt, worthlessness, or helplessness
Feelings of hopelessness or pessimism
Insomnia or sleeping too much
Irritability
Loss of interest in activities of hobbies
Overeating, or loss of appetite
Recurring thoughts of death, or suicidal ideas or plans

Diagnosis

If you have 5 or more of the symptoms of depression for
at least two weeks, then you have Major Depression.
It is important before diagnosing depression that medical
conditions that cause depression are ruled out.  

Who is a high risk for depression?

Women-have twice the rate of depression than men
Poverty
History of sexual abuse or any type of trauma
Substance abuse-alcohol and drugs
Divorce
Family history of depression
Loss
Loneliness
Family conflicts
Some medications cause depression

Treatment of Depression

Studies show that a combination of therapy and medication
is the most effective way to treat depression. Each patient 
should be evaluated by their doctor to make this decision.

 Medications

 SSRI’s (Serotonin Reuptake inhibitors)
 Lexapro, Prozac, Paxil, Zoloft, Celexa 
 SNRI’s (Serotonin Norephrepine Reuptake inhibitors)
 Effexor, Cymbalta 
 Tricyclics
 MAOI
 Medications that enhance antidepressants
 Wellbutrin, Trazodone, Remeron
 Mood Stabilizers, Stimulants, Thyroid supplements 
 Antipsychotics-for treatment resistant depression,
 psychotic
 Anti-anxiety medications-for short term for 
 insomnia/anxiety 

 Other forms of treatment for depression

 ECT
 Transcranial magnetic stimulation
 Light therapy

Important ways to maintain your mood

Avoid drugs and alcohol
Eat at least 3 well balanced meals daily
Get regular exercise and regular sleep
Have positive relationships
Structure your day

Prognosis
Important to treat as 15% of patients with depression 
commit suicide
Good news: Prognosis is good with treatment! There is hope!

  Call:      Lois Kroplick, DO, DFAPA
               (845) 362-4215