1. Antidepressants work best for moderate to severe depression and are less effective for mild depression.
2. Psychological therapies that focus specifically on the thought processes underlying depression are as effective as antidepressants in treating mild to moderate depression.
3. If the depression is severe then psychological therapies in combination with antidepressant meds is the recommended route.
A class of drugs called SSRIs are the first line of treatment as they have a relatively small side effect profile. However, they can have side effects, but these vary between people and between the different types of SSRIs. If you are getting side effects you can talk to your dr about changing to a different type. When you stop taking them, you may get withdrawal symptoms, again, for some people this is mild whilst others describe it as horrendous.
Antidepressants don’t work for everyone, but if you have been depressed for years why not give them a try? Antidepressants are usually not a “cure”, but they can help to improve mood enough so that the person can begin to function normally again and interact with their life. These changes may not be lasting (especially after cessation of the antideps) if the person does not use the window of improved mood and functioning to address the underlying factors of their depression. Depression is perpetuated by certain thoughts and behaviour patterns, if these are not changed then the likelihood of realpse is much higher.
An efficacious way of addressing these thought patterns is with Cognitive or Cognitive Behavioural Therapy. This involves roughly 10 sessions with a trained therapist who gives you exercises to practice. You can ask for this from your GP, but there is usually a waiting list (up to 2 yrs).
You should do all you can to help yourself. As depression is amotivational by its very nature, antidepressants can help get you into a position where you are more able to make efforts to help yourself. Although other things such as regular cardiovascular exercise may be just as effective.
If you are worried about side effects then the internet is a very good source of info, although reading up on the side effects of a particular drug before/during treatment can actually cause the symptoms to be experienced!
- written 1 year, 7 months ago – voted for by Opeth
spookygoffbir I really feel for you. You are incredibly brave to have weathered so much. It seems unbelievably unlucky for one person to have to deal with such a string of bad events and people in such a short period of time. Sometimes life goes like that. But the fact that you have and are weathering it indicates that you are an incredibly strong and resourceful person. You are trying, and succeeding, and still keeping your dignity and integrity even when surrounded by others who have not kept theirs. Keep it up, keep your head above the s***, and when you get a reprieve (you will as it always comes), you will be able go with it and run.
Try and weed out the people and situations who are bad for you and capitalise on any chance you get to make your life better. You already have the coping skills, when your situation eventually improves, I have every faith you can use those same skills to flourish, and never look back.
I think it is a positive active step to share your distressing thoughts and feelings on the internet. I’m sorry to hear that you are feeling so low.
I work in mental health, helping people to recover from depression, anxiety and other psychological problems. These problems are incredibly common, most of us will experience such a problem ourselves or through a close loved one at some point in our lives. I would like to strongly reassure you that something can be done to change the way you feel for the better.
What country do you live in? I live in the UK and can tell you of where to go to get help in private. I am not sure of the exact nature of your problems, but whatever the reasons for you feeling low, seeking help from specialists (you can get this for free in the UK) and following their recommendations really really works.
If you don’t live in the UK, there is plenty of helpful information on the internet you can access for free. Such as:
There are also a number of excellent books I could recommend. Please let me know if you are interested.
If you are having thoughts of suicide I strongly suggest you talk to someone. Do you have any friends or family you can confide in? The Samaritans are a confidential service you can talk to if you don’t want to talk to anyone you know.
www.samaritans.org
I also suggest you go to your doctor and explain how you’ve been feeling ( I appreciate you may have already done this) and more importantly, the treatment options available to you.
Please know that you do not have to feel this way forever.
Wishing you all the best x - written 2 months, 1 week ago
I was painfully shy also. I found talking to boys impossible when I was in high school. Believe me when I say that it gets soooo much better. People say that school days are the best of your life, but I don’t actually know anyone who believes this is true. Life after school is infinitely more fun, I think primarily because everyone is happier and less insecure about themselves. You’ll see it will get better.
You are still developing, and your face and your body will continue to change before “settling”. My lips were thin when I was in school, but they are not now. Your face will change also, try not to dwell on their comments and focus on the good things in your life. - written 1 year, 6 months ago
I had that in High School. I had one lovely young man say to me that I looked like a rat. I would like to ask how old you are? I ask that because as I got older I found out that a number of them actually fancied me. I can’t explain why the others behaved as they did though.
I don’t mean to sound big headed (believe me, I am far from it, their comments have left me feeling very unconfident with my looks) but I have had lots of people tell me I’m beautiful. And I know they mean it. Either I went from being b*** ugly to beautiful in a couple of years, or I wasn’t ugly in the first place. And I’m guessing that you aren’t either, because I’ve noticed something else also, young guys don’t talk to girls they’re not interested in, they certainly can’t be bothered to insult them. The fact that they are insulting you says a lot.
Watch how they treat you in the future. I bet at least one or two of them ask you out. - written 1 year, 6 months ago