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How do you figure out if an antidepressant such as an SSRI is something you should think about? Psychiatrists say it can be helpful to approach the decision the way you would any other medical treatment. There aren't hard-and-fast rules about who should go on antidepressants, and everyone should talk to a professional — whether that's a primary care doctor, clinical psychologist, or psychiatrist — about their individual situation. Still, there are a few key questions that can help guide the decision process, according to professionals and patients.
Here are four of them. When a new patient walks into the office of Larissa Mooney , a board-certified psychiatrist and associate clinical professor of psychiatry at the University of California, Los Angeles, Mooney's first question is about how much their anxiety or depression is getting in the way of the basics: eating, sleeping, getting up in the morning, and getting through the day.
She wants to find out, she says, the extent to which their symptoms are "interfering with the ability to take care of themselves and complete daily tasks. Chicago-based teacher Karen first thought about going on antidepressants when she was She had an unusually tough new class to teach, and her depression and anxiety started keeping her home from her job even though exercise, journaling, and regular therapy sessions had previously helped keep her symptoms in check.
For Christine, it was increasingly frequent panic attacks during her first year of grad school in Reno that led her to consider medication. She had been seeing a therapist at the university clinic, trying out new diets, working out, and forcing herself to socialize, but she was still struggling.
I basically was functioning at the bare minimum required to get by, which was not like me at all," she tells Allure. Therapy in its various forms can be one of the most valuable tools for helping people manage their mental health, but it's not always enough. You can use it to talk with your doctor or loved ones about your decision. My symptoms are worse than the possible side effects of the medicines. Are you clear about which benefits and side effects matter most to you?
Do you have enough support and advice from others to make a choice? Author: Healthwise Staff. Weinstock MD - Psychiatry.
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Please turn on JavaScript and try again. Important Phone Numbers. Depression: Should I Take an Antidepressant?
Get the facts. Your options Take antidepressants to treat depression. Don't take antidepressants. Key points to remember Taking medicine for your depression can help you get your life back to normal, especially if you also get counselling.
But if your symptoms are mild, lifestyle changes and counselling may be all you need. The medicines won't change your personality.
Antidepressants don't work right away. And you may need to try a few before you find one that works. Side effects are one reason that people stop taking antidepressants. But talk to your doctor. There are many ways to manage side effects. And lowering the dose or changing medicines may also help.
Are you depressed? The symptoms of depression include a loss of interest in daily activities or feeling sad or hopeless and having at least four of the following symptoms: A change in eating patterns that causes either weight gain or weight loss Sleeping too much or not enough Feeling restless and unable to sit still, or feeling that moving takes a great effort Feeling tired all the time Feeling unworthy or guilty without an obvious reason Having problems concentrating, remembering, or making decisions Thinking often about death or suicide.
What are antidepressants? Antidepressants don't change your personality. They help your symptoms. How well do antidepressants work? What side effects can antidepressants cause? Side effects may vary depending on the medicine you take, but common ones include: Nausea. Dry mouth. Loss of appetite. Diarrhea or constipation. Sexual problems loss of desire, erection problems. Trouble falling asleep, or waking a lot during the night.
Weight gain. Feeling nervous or on edge. Feeling drowsy in the daytime. What are other treatments for depression? Counselling Counselling is an important part of the treatment for depression. The types of counselling most often used for treatment of depression include: Cognitive-behavioural therapy , which teaches you how to become healthier by changing certain thought and behaviour patterns. Interpersonal therapy , which focuses on your relationships and the problems they may be causing. Problem-solving therapy , which focuses on the problems you are facing and on helping you find solutions.
Family therapy , which involves the entire family. Lifestyle changes There are also lifestyle changes you may be able to make that may help your depression symptoms: Eat healthy foods. Don't drink alcohol.
Get regular exercise. Get a good night's sleep. Get social support from family and friends. Try to keep a positive attitude—remember that feeling better takes time, and your mood will improve little by little.
Other treatment choices Besides counselling and lifestyle changes, there are some other treatments you can try: Alternative treatments such as massage therapy and yoga may help you get better faster and make your life better. You can try relaxation exercises at home to lower your stress.
Complementary therapies are sometimes used for depression. Talk to your doctor before taking any of them, because they can interfere with other medicines.
Electroconvulsive therapy may be used to treat severe depression or depression that hasn't responded well to other treatment. It also may be a treatment choice for someone who cannot live with the side effects of antidepressants. Why might your doctor recommend antidepressants? Your doctor might suggest that you try antidepressants if: You have tried counselling and lifestyle changes, and they haven't worked.
Your symptoms are bad enough that they interfere with your daily life. Compare your options. Compare Option 1 Take antidepressants Don't take antidepressants. Compare Option 2 Take antidepressants Don't take antidepressants. Take antidepressants Take antidepressants You take a pill or liquid medicine one or more times a day for months or sometimes years.
Antidepressants can improve or completely relieve symptoms. Antidepressants usually help when counselling and lifestyle changes haven't worked. It takes weeks, and sometimes months, for the medicine to start working.
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