What are the causes of depression?
Chemical imbalance in the brain
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
Fatigue, decreased energy
Feelings of guilt, worthlessness, or helplessness
Feelings of hopelessness or pessimism
Insomnia or sleeping too much
Loss of interest in activities of hobbies
Overeating, or loss of appetite
Recurring thoughts of death, or suicidal ideas or plans
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
History of sexual abuse or any type of trauma
Substance abuse-alcohol and drugs
Family history of depression
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.
SSRI’s (Serotonin Reuptake inhibitors)
Lexapro, Prozac, Paxil, Zoloft, Celexa
SNRI’s (Serotonin Norephrepine Reuptake inhibitors)
Medications that enhance antidepressants
Wellbutrin, Trazodone, Remeron
Mood Stabilizers, Stimulants, Thyroid supplements
Antipsychotics-for treatment resistant depression,
Anti-anxiety medications-for short term for
Other forms of treatment for depression
Transcranial magnetic stimulation
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
Important to treat as 15% of patients with depression
Good news: Prognosis is good with treatment! There is hope!
Call: Lois Kroplick, DO, DFAPA