In general, yes, counseling first is a good way to go. In Gale's specific case, she's already done the counseling part, they've suggested medication a few times and she's refused, and she's now at a point where she's realizing she might need it and give it a try.Monique said:I don't think there is anything wrong with taking anti-depressants if it is really making you lathergic to the point you can't function anymore. I'd first try counceling though! See if talking and opening up about your problems make you feel better about yourself, that is the ultimate goal.
For some people, they can eventually go back off the antidepressants if the depression is secondary to another problem and once that problem is resolved, the medication is no longer needed; for others, it will be a lifelong issue.
Gale has shared with us that she's been feeling depressed for a long time, it got a little better when she was in dorms, but did not go away, so that probably suggests some of it is worsened by living at home, but the underlying problem is not related just to being at home, and she's shared that she's been thinking about suicide. That last one is the one that has me most concerned for her and tells me this is not something to sit around thinking about but is at a point where she needs to talk to a professional very soon, before it gets worse than it is already.
Again, you're not listening to what we're saying here. The scientific literature says this is a physical problem, whether you want to believe it or not, it is true. And yes, normal people with normal lives, even those who seem to have it all, can suffer from depression. It is the attitude you're presenting here that people can just work through it themselves that leaves people feeling they can't talk about their depression and hesitant to seek help until they are so overwhelmed they resort to drastic measures. Gale has come here and taken the chance of talking with us about her problem and I for one care enough about her to not let someone get away with negativity that is based on opinion rather than facts that could push her away from getting the help she needs right now.Lisa! said:Oh that's so bad.I really don't want to agree with you about unpreventable deseases.I consider that people who have a normal life and of course personality don't get involved in these kind of problems.
Here are just a handful of the many references from this year alone that report on the biological basis of depression.
Newberg AB, Amsterdam JD, Wintering N, Ploessl K, Swanson RL, Shults J, Alavi A.
123I-ADAM Binding to Serotonin Transporters in Patients with Major Depression and Healthy Controls: A Preliminary Study.
J Nucl Med. 2005 Jun;46(6):973-7.
Caetano SC, Fonseca M, Olvera RL, Nicoletti M, Hatch JP, Stanley JA, Hunter K, Lafer B, Pliszka SR, Soares JC.
Proton spectroscopy study of the left dorsolateral prefrontal cortex in pediatric depressed patients.
Neurosci Lett. 2005 Jun 3; [Epub ahead of print]
Ehrlich S, Breeze JL, Hesdorffer DC, Noam GG, Hong X, Alban RL, Davis SE, Renshaw PF.
White matter hyperintensities and their association with suicidality in depressed young adults.
J Affect Disord. 2005 Jun;86(2-3):281-7.
Koks S, Nikopensius T, Koido K, Maron E, Altmae S, Heinaste E, Vabrit K, Tammekivi V, Hallast P, Kurg A, Shlik J, Vasar V, Metspalu A, Vasar E.
Analysis of SNP profiles in patients with major depressive disorder.
Int J Neuropsychopharmacol. 2005 Jun 1;:1-8 [Epub ahead of print]
Perico CA, Skaf CR, Yamada A, Duran F, Buchpiguel CA, Castro CC, Soares JC, Busatto GF.
Relationship between regional cerebral blood flow and separate symptom clusters of major depression: A single photon emission computed tomography study using statistical parametric mapping.
Neurosci Lett. 2005 May 24; [Epub ahead of print]
Karolewicz B, Stockmeier CA, Ordway GA.
Elevated Levels of the NR2C Subunit of the NMDA Receptor in the Locus Coeruleus in Depression.
Neuropsychopharmacology. 2005 May 25; [Epub ahead of print]