How to get rid of depression forever?
The average person’s attitude toward the very diagnosis of “depression” and its treatment is sometimes quite ambiguous. On the one hand, a large number of pseudoscientific or glamorous sources (both printed and on the Internet) write about a wide range of self-help options for the prevention and treatment of depression. Here you can find options that suggest getting rid of depression forever with folk remedies, actively seeking entertainment that can bring great pleasure, new activities, changes in lifestyle, buying clothes of bright colors, and many other even more absurd means of “treatment”.
In reality, the question of how to get rid of depression must be approached first and foremost from the definition of depression as a disease. Depression, according to the definition of the WHO – World Health Organization – a mental disorder that is accompanied by depression, lethargy, impaired concentration, loss of joy and interest in the environment, impaired appetite and sleep. That is, this disease affects not only the mental activity of the person, but is also reflected in his physical state. Where to talk about the effectiveness of folk remedies and self-treatment?
Nevertheless, today there is a fairly extensive arsenal of proven and effective methods that allow you to get rid of depression, as well as to conduct an initial diagnosis to determine the cause of the disease. It should be noted separately: here we mean only the methods of professional medical treatment of depression. By no means do we claim that shopping or a walk in the woods will hurt or should be excluded from your life if you are depressed. You should not give up those things that can bring pleasure and do no harm at the same time (alcohol can bring someone pleasure, but you should not make it a way to fight depression, because its harm is obviously immeasurably high). But all methods of “domestic self-help” are secondary and can only act as a supplement to the main treatment of depression.
So, the main, reliable and proven methods to get rid of depression for good are pharmacological treatment and psychotherapy.
Today, a large number of drugs – antidepressants have been developed and are widely used, which, when adequately prescribed, help to cope even with severe forms of depressive disorders. Treatment with antidepressants, contrary to the common misconception, can and should be safe.
In our clinic, in order to make treatment safe, we have successfully applied the monotherapy method, which is based on the careful selection (based on tests) of a single drug in a strictly tested, individually selected dosage. In this case, the patient hardly notices any side effects, does not spend a lot of money on a large number of drugs, and his body receives minimal strain from the medication treatment.
Psychotherapy is another method to get rid of depression for good. There are a large number of methods of psychotherapeutic treatment of depression in a variety of directions. Our clinic employs experienced psychotherapists skilled in behavioral, cognitive, interpersonal, existential therapy, hypnosis and psychoanalysis.
Among other things, we use safe non-pharmacological methods such as:
- intravenous laser blood irradiation,
- transcranial magnetic stimulation, etc.
Thus, it is possible to get rid of depression forever, but one should understand that the treatment of this illness must be carried out by professional psychiatrists and psychotherapists with work experience and profound, high-quality theoretical training.
Only comprehensive treatment of depression allows to relieve the patient from suffering and return him to a bright, full life.
If you only suspected signs of depression in yourself or your relatives, do not delay seeing a doctor. Starting treatment early allows the problem to be resolved quickly and with great success.
MEDICATIONS FOR DEPRESSION
Depression is one of the most common illnesses. Its prevalence is second only to cardiovascular disease. And of all those suffering from depression, no more than 20% seek qualified help.
In this article we will tell you about all the medications used to treat depression.
All antidepressant medications can be divided into several groups:
Initially, drugs in this group were developed to treat depression. Currently, the indications for taking antidepressants have expanded. They are also used for other mental disorders: neuroses, personality disorders, aggression, psychosis, schizophrenia. And also for many diseases: chronic pain, irritable bowel syndrome, bedwetting, insomnia. Used in practice since 1957. The basis of action of antidepressants – restoration of the disturbed metabolism of serotonin. Altered metabolism of neurotransmitters – one of the main mechanisms of depression, so its normalization provides an antidepressant effect. Antidepressants remove the symptoms of depression, they will have no effect on a person with a normal mood.
A list of the most common and effective antidepressants
Amitriptyline is one of the strongest and most effective antidepressants. It is the drug of first choice for severe depression. When administered intravenously and intramuscularly it works quickly, therefore it is used in emergency psychiatric care. Of the disadvantages – side effects: drowsiness, dry mouth, blurred vision, mild coordination disorders.
Clomipramine (anafranil) – also has a strong antidepressant effect and frequent side effects. In addition to its antidepressant effect, it reduces obsessions and anxiety.
Imipramine (melipramine) – has a pronounced stimulant effect. It is effective for depression with apathy and lethargy. Like all tricyclic antidepressants, it has a large number of side effects (dry mouth, tendency to constipation, etc.).
Azafen. Of all the tricyclic antidepressants, it is well tolerated, so it is often recommended for the elderly and those with concomitant internal diseases.
Monoamine oxidase inhibitors (MAOIs)
Nialamide. A first-generation drug of this group, it went out of practice many years ago.
Pirazidol. A highly effective broad-spectrum antidepressant with minimal side effects. It is still used nowadays.
Moclobemide (Aurorix). It has an anti-anxiety effect, which makes it effective for depression accompanied by sociophobia and anxiety.
Selective norepinephrine reuptake inhibitors
Maprotiline (ludomil). Good for depression with fatigue, loss of feeling, and lethargy. A big plus of this drug is the availability of ampoule forms that allow it to be administered intravenously, which gives the possibility of a rapid onset of therapeutic effect.
Doxepin (Sinequan). This drug is rarely used.
Selective serotonin reuptake inhibitors SSRIs
These antidepressants are now the most commonly prescribed. They have achieved this “popularity” because of a number of advantages: they are effective, easy to dose, well tolerated, and are widely advertised by the pharmaceutical companies. There are only seven of them, and their effectiveness is approximately the same:
Selective norepinephrine and serotonin reuptake inhibitors.
This group is effective for resistant (not amenable to traditional treatment) depression.
Antidepressant receptor blockers
Drugs in this group are distinguished by their sedative effect and restorative sleep action.
A new class of antidepressants
Characterized by a mild antidepressant effect, but excellent tolerability: side effects are extremely rare. It is used for non-serious depression.
Agomelatine (Valdoxan). Normalizes sleep.
Vortioxetine (brintellix). Improves cognitive function.
Medications in this group have an antidepressant effect only when the depressed state is caused by chronic affective illnesses such as bipolar affective disorder (BAD, manic depressive psychosis), cyclothymia, dysthymia, schizoaffective disorder. The most commonly used medications are:
Although most neuroleptics depress the nervous system, there are drugs with antidepressant effects among them:
Flupentixol (fluanxol). It has an antidepressant effect only when prescribed in low doses (less than 2 mg per day).
Aripiprazole. Effective for depression in bipolar affective disorder and schizytic disorders.
Levomepromazine (tizercine). Prescribed for endogenous depression accompanied by insomnia.
Bromodihydrochlorophenylbenzodiazepine (phenazepam). The drug of choice for neurotic states with depression, for post-stress states. That is, in those cases where short-term treatment is needed.
Clonazepam. A strong anti-anxiety and sedative effect. With prolonged use, it is addictive.
Alprazolam. Prescribed for anxiety-depressive states. Recommended for short courses (not more than 10 days) because of the risk of addiction and dependence.
Nootropics and metabolic agents
Agents in this group help to get rid of depression that has developed as a result of stress, fatigue, encephalopathy, and the effects of trauma and poisoning. By improving the blood supply of neurons and energy metabolism inside the cells, they help to activate cognitive functions and memory. The most effective drugs in this group are:
Among the large number of herbal remedies, preparations based on St. John’s wort proved to be the most effective and trustworthy of doctors:
Amino Acids .
Glycine. The most effective drug of this group. In addition to its own antidepressant effect, it has the ability to enhance the antidepressant effect of drugs of other groups (antidepressants, normotimics).
Glutamic acid. Used in conjunction with depression with neurological diseases and mental retardation.
Caffeine. Caffeine (a drug containing caffeine)
Phenamine. Banned for use in our country. In some Western countries, used by doctors to achieve rapid antidepressant effect.
Sydnocarb (Mesocarb). Domestic effective stimulant, unfortunately, is not currently available due to low demand and production shutdown.
What medications for depression can be obtained at the pharmacy without a prescription
Only drugs from the group of Plant remedies and Amino acids. All other medications are purchased only with a prescription from a clinic doctor. Alprazolam, phenazepam, clonazepam, and tizercine are prescribed on special Form 148 prescription forms.
What depression medications can be addictive?
Most antidepressant medications are not addictive or dependent. Exceptions: drugs from the tranquilizer group: phenazepam, alprazolam, clonazepam.
Are there any non-drug ways to treat depression?
In addition to medication, there are many non-drug methods of treating depression. These include psychotherapy, biofeedback therapy, diet therapy, physical therapy, exercise therapy, reflexology, light and color therapy, sleep deprivation, etc. Most often, a combination of several methods is used to treat depression. For example: psychotherapy + medication, biofeedback therapy + psychotherapy, taking medication + diet therapy, etc.
Do not prescribe and use medication by yourself. If you or your loved one has a depression problem, you need to see a psychiatrist or psychotherapist! Only on his recommendations can you use medication. Self-treatment is life-threatening!