By Michelle Rabin, Ph.D.
Different Kinds Of Depression
I’m often asked if it’s possible to treat depression without having to take
medications. The answer is YES….but there are many things to consider. The first is
whether or not the depression is reactive or endogenous. Reactive depression
happens after an upsetting event: the loss of a loved one, getting fired from a job, a
bad breakup, etc. This type of depression is a natural reaction to a sad or traumatic
event. It usually clears up after a time (it’s only worrisome if it’s been a long period
of time and the depression hasn’t started to improve) and can be greatly helped
with non-pharmaceutical treatments like exercise, nutrition, herbs, and therapy
However, in cases of severe loss that go beyond reasonable periods of grieving (if a
person has lost someone close to them and a year has passed without any
improvement) may benefit from a pharmaceutical intervention for a period of time
to help reduce their level of dispair. In many cases of reactive depression, it’s
important to remember that it’s normal to struggle emotionally after a major life
event, and sometimes it’s best if the person can just allow themselves to feel sad for
a little while and to take time to work it out and process what’s going on, instead of
trying to cover it up and pretend like everything’s normal.
The second type of depression is called Endogenous depression. It is a depression
that comes from within and may be a result of a chemical imbalance. Maybe you
know someone whose life looks perfect from the outside yet, no matter what they
do, they cannot get out of the dark hole of depression. This type of depression can
also be helped with non-pharmaceutical alternatives, but in certain cases where
everything has been tried to no effect, drugs may be a last resort.
Exercise
It has been shown that the consistent release of endorphins can have a significant
impact on depression. Endorphins are chemicals that get released when one has
been running for about 25 minutes, for example, or when we engage in any type of
strenuous physical activity. We’ve all heard of the runners “high”. It’s the endorphins
doing their thing. These endorphins can work wonders on a depressed person to
give them a little chemical taste of well being. In this way, exercise can be extremely
beneficial to all people who are depressed, whether they are slightly depressed or
severely depressed. The problem—the real catch 22—is that it’s almost impossible
to get a depressed person to exercise. Getting out of bed may be a challenge for
them. If someone you know is suffering from depression, you could suggest that the
two of you go for a walk, a jog, a swim, or a bike ride together. Anything to get the
blood pumping will make the person feel better. It almost seems too simple, but in
my experience, it is usually the most simple things that are the most effective.
Diet
Diet plays a critical role in ones mental health as well as physical health. It is
essential to eat wholesome, natural foods that are organic whenever possible. The
American Medical Association (AMA), came out in 2002 and stated that all
Americans need to supplement their diet with vitamins and minerals. The soil that
we’re growing our food supply on has been depleted of its vitamins and minerals
and, as such, the food we eat isn’t providing us with all the nutrition we need for
our physical and mental well-being. The only way to ensure that we’re getting
adequate nutrition is to consume lots of whole grains and vegetables, and
complement them with nutritional supplements. After 25 years of researching
supplements, I have found a wonderful, complete nutritional product that is easy to
take and extremely easy to digest. It is my opinion that maintaining good nutrition
is the single best way to fight depression.
Herbs
Herbs are a good option for people who have mild to moderate depression and
decide they’d prefer to avoid pharmaceuticals. St. Johns Wart is a good herb if it’s
taken in tincture form. The down side of using herbs is that you must take them 3
times a day, consistently for at least 3-4 months. Always remember that herbs are
not regulated by the FDA so the only way to insure that you’re getting the best
quality herbs is to purchase quality brands. Don’t shop for discounts when it comes
to herbs. For tinctures, I would recommend Herbalist & Alchemist, and Herb Pharm.
And the company Traditional Medicinals makes very high quality herbal teas. When
it doubt, it is always best to seek the help of a qualified herbalist or Naturopath.
ECT
Many people have questions about electro-convulsive therapy (ECT). It is frightening
for most people to imagine, and it is certainly a very extreme measure to take. The
truth is that it is not what most people have been lead to believe it is through
television and movies. First off, the patient is not conscious while the procedure is
being performed and experiences no pain. But it is also necessary to mention that
ECT is only appropriate for a very, very small percentage of people who are
depressed, and should only be considered after every other alternative
(pharmaceuticals included) has been tried without success. For those few people
who are candidates, the potential for improvement is considerable, It is essential to
find an excellent practitioner, typically a psychiatrist, to perform this procedure.
Cognitive Behavioral Therapy
Cognitive Behavior Therapy (CBT) is the psychological treatment of choice for
depression. CBT helps to counteract the negative thought patterns that often
accompany depression and replace them with more accurate beliefs. CBT teaches
people how to reframe their negative thought patterns while giving them a new skill
set for future challenges they might face.
Dr. Michelle Rabin is a clinical psychologist with 25 years experience treating
depression.
For more information on depression or for more depression resources, visit http://www.depression-symptoms-treatment.com/tagt/depression-treatment-ax.html
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