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Dr. Rajesh Patel, MD.
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Ask the Doctor!
April 2009
Q:
Depression seems to be a very common condition for millions of people today. What are some symptoms and at what point should medication be used versus therapy/counseling to treat depression?
-- J. Blevins, Tyler, TX
A:
Indeed, depression is a very common condition, affecting roughly 20 million people in the United States. It typically involves individuals between the ages of 15 and 30. Generally, women seem to be more affected. Depression may appear at specific times such as after giving birth (postpartum depression) and during the change in season into winter months (seasonal affective disorder). It can also run within members of the same family and it can often coexist with other conditions as well (i.e. bipolar disorder and general anxiety disorder).
Clinical depression significantly hinders one's ability to function in everyday life activities (such as at work and social settings). Symptoms include a marked level of sadness, feelings of guilt or worthlessness, loss of interest in previously enjoyable activities, lack of overall concentration, changes in sleeping pattern, unintentional weight loss or gain, lack of energy, and suicidal thoughts or preoccupation with death.
Treatment varies based on the number of symptoms and level of impaired functioning. Initially, it can be beneficial to receive some form of counseling. The goal is to identify the root stressor(s), gain a better understanding, and find a true resolution. Individuals with persisting symptoms may require antidepressant medications if they cannot function on a daily basis. A number of these medications have been successful. The combination of counseling and medication seems to help a vast number of individuals cope with depression for the long term. Severity and treatment of depression must be assessed on an individual basis by a health professional.
Although it's normal to "feel down" some days, it is important to seek medical attention if these symptoms begin to occur in regularity. Physicians and other health professionals can help identify significant depression. Unfortunately, many people have difficulty seeking proper care for this condition due to its social perception. However, this is a common condition and it should be addressed without hesitation. Depression should not be dealt with alone. There is help.
Submit your questions to askthedoctor@nowoodennickels.org
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