February 20, 2019
Do you know that depression is the “most common mental or psychological disorder affecting majority on the people globally (Osan)?” Depression is an exhausting mental condition that affects all aspects of person’s life. It damages individual’s personal and family relationships also job adjustments and public health. Depression influences your emotional state and changes the functioning through your mood. Common depressive moods are feelings of guilt, decrease in energy, and interest in daily activities, difficult in communication and withdraw from others (Ferizi). The most common causes of depression are genetics, brain chemistry imbalance, poor nutrition, physical health issue, drugs, and stress(schimelpfening). Depression is no piece of cake, if you fail to get treatment it can lead to some serious consequences.Therapy and antidepressants medications are solutions to depression that can lead to a better quality of life.
There are many forms of psychotherapy like CBT, IPT, “that were found to be superior to the outcomes achieved by the control group, with effect sizes ranging from .57(50%) to .87(87%) (Hunsley).” Cognitive Behavioral Therapy was developed in the 1906s and became a widely known and form of short-term psychotherapy. CBT focuses on specific problems using goal-oriented approach, “CBT helps patients reduce or eliminate thinking styles and behavior patterns that contribute to suffering. Typically, a therapist and patient work together to replace dysfunctional patterns with those that promote health and well-being (COX).” CBT help set goals and identify healthy strategies to incorporate in daily living. Interpersonal psychotherapy is also another short-term psychotherapy, it is an effective therapeutic approach in reducing symptoms of depression, that focus on structure, context and interpersonal skills. IPT reduces depressive symptoms in which effect a person’s by increasing communication skills, social skills, social performance, emotional expressiveness, and having a good level of social functioning (Ferizi).
Antidepressant “is a psychiatric medication used to alleviate mood disorders (Van Leeuwen).” Antidepressant medication are one of the major approach’s to treating depression. The effects of antidepressants are not fully understood but it is known to restore the brains chemicals balance. Many different antidepressants are used to approve the symptoms that depression cause. For example, older antidepressants like Tofranil (imipramine) and monoamine oxidase inhibitors such as Nardil (phenelzine). Also, the newer ones like selective serotonin reuptake inhibitors Prozac, Paxil, Zoloft, Wellbutrin, Effexor, Serzone, and Remeron. These medications can usually control the symptoms of depression. It can last for four to eight weeks, but there are patients that stay on antidepressants for six months to a year (Nordenberg). Studies have shown that “around 60% of people respond by about two months to the drugs with about 50% reduction in their symptoms and improvement in mood, better sleep and so on. But he said, ‘about 80% of people stop antidepressants within a month (Boseley).”
Even though antidepressant medication is just as effective as psychotherapy to improving quality of life. I would recommend the psychotherapy because the negative effect of antidepressants out way the negative downsides of going to therapy. Negative effects to watch out for when taking antidepressant medication are serotonin syndrome, hyponatremia, suicidal thoughts, allergic reaction, and mania are effects that are pretty much life threatening. There are other symptoms to these effects like weight gain, fatigue, blurred vision, insomnia, nausea, anxiety, confusion, agitation, muscle twitching, sweating, shivering, diarrhea, high fever, seizures, irregular heartbeat, and unconsciousness. Serotonin syndrome happens when neurochemicals in the brain are to high. It happens when SSRI or SNRI medication is combined with another medication that effects also effects serotonin. Too much serotonin is not good, it is like an overdose of meds.Hyponatemia is a condition where sodium, or salt levels in the blood decrease abnormally, this can cause dangerous amounts of fluid can build up inside the body’s cells which comes with its own cases of symptoms (Schimelpfening). Also, there a negative effect if you immediately stop taking your medication. These symptoms include electric shock sensations, tingling, vivid dreams, hallucinations, sweating, muscle pain, blurred vision, insomnia, anxiety, irritability, agitation, upset stomach, and fatigue(schimelpfening). Please consult your doctor before deciding to immediate stop taking your meds to prevent the negative effects.
What are the downsides to talking about your feelings to a psychotherapist? Some of the downside to psychotherapy is that it is not a quick process, it takes time to figure out the hidden causes to your depression. Depending on the diagnosis on your depression whether is mild or severe is a factor that can determine the effects. If suffering from severe depression, then there will be a treatment that is suggested to gives results faster like medications. If that happens the treatment would be medication plus a form of psychotherapy. If it is a mild case of depression psychotherapy would probably be the choice of treatment. Another downside is the cost of the therapy sessions. If you don’t have enough money to pay that can render, you from getting the kind of therapy you do need.
Depression is a mental illness that effects one’s behavior and emotions, it is a lack of feeling, lack of energy, sense of hopelessness, loss of interest, not able to do day-to-day activities. It is hard to deal with depression, but there are many well-known treatments for this mental illness. Cognitive Behavior Therapy, Interpersonal Psychotherapy are two psychotherapies that can reduce the symptoms of depression as well as antidepressants. CBT encourages and focuses on solutions to change the way you think and behave. Improving quality of life, emotional expressiveness and social skills. IPT focuses on ways to improve patients’ personal relationships and social functioning. Antidepressants are medications that is fast acting to improve the symptoms of depression. Psychotherapy and Antidepressants have the same effectivenessbut there are downsides to both treatments. So, personally I would go with the psychotherapy because therapy is better than unwanted side effects that medication brings when taken. When dealing with depression, therapy and antidepressants are treatments to better enhance the quality of life.
Cox, Darcy., et al. “Cognitive-Behavioral Therapy with older adults.” British Columbia Medical Journal, Sept.2011, Vol.53, Issue7, p348-352. 5p. Academic Search Complete. http://web.b.ebscohost.com.chaffey.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=4&sid=b8221959-6b75-42c6-98c2-1c37982b268a%40pdc-v-sessmgr05
Ferizi, JavadNezafa. et al., “The Effectiveness of short-term group interpersonal psychotherapy to symptoms of depression, emotional expressiveness, social skills and quality of life in depressed university students.“Journal of Fundamentals of Mental Health. Nov/Dec2015, Vol. 17 Issue 6, p318-324. 7p., Database: Academic Search Complete http://web.b.ebscohost.com.chaffey.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=5&sid=91456025-c300-4c90-8ebe-9aa4bdf7c110%40pdc-v-sessmgr05
Nordenberg, Liora. “Dealing with The Depths of Depression.” FDA Consumer, 03621332, Jul/Aug 98, Vol.32, Issue 4. Academic Search Complete.http://web.b.ebscohost.com.chaffey.idm.oclc.org/ehost/detail/detail?vid=6&sid=b8221959-6b75-42c6-98c2-1c37982b268a%40pdc-v-sessmgr05&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#AN=822677&db=a9h
Osan, Nisha., et al. “An exploratory study on correlates of depression in young adults.” Indian Journal of Health & Wellbeing. Sep2016, Vol. 7 Issue 9, p884-888. 5p. 2 Charts, 2 Graphs., Database: Academic Search Complete.http://web.b.ebscohost.com.chaffey.idm.oclc.org/ehost/pdfviewer/pdfviewer?vid=8&sid=91456025-c300-4c90-8ebe-9aa4bdf7c110%40pdc-v-sessmgr05
Schimelpfening, Nancy. “9 Most Common Causes of Depression.” Verywell Mind, Dotdash, 11, Oct. 2018, https://www.verywellmind.com/common-causes-of-depression-1066772
Schimelpfening, Nancy, and Steven Gans. “Rare and Potentially Serious Side Effects of Antidepressants.” Verywell Mind, Dotdash, 24 Nov. 2018, https://www.verywellmind.com/negative-effects-of-antidepressants-1067351
VanLeeuwen,JaydenT. “Antidepressants: Types, Efficiency and Possible Side Effects.” Series: Depression–causes, Diagnosis and Treatment. New York: Nova Science Publishers, Inc. 2010. eBook., Database: eBook Collection http://web.b.ebscohost.com.chaffey.idm.oclc.org/ehost/ebookviewer/ebook/bmxlYmtfXzM0MDA5OF9fQU41?sid=91456025-c300-4c90-8ebe-9aa4bdf7c110@pdc-v-sessmgr05&vid=6&format=EB&rid=1