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How do I manage my depression?


14 years ago 0 1044 logo logo logo logo logo logo logo logo logo logo 0
My general doctor fusses at me all the time about smoking.  My psychiatrist tells me, he doesn't think it's a good time with the anxiety issues.  I guess one can be as dangerous as the other.  I won't try to quit until my pdoc says it's okay.  He did give me the go ahead one time and I took some Rx meds that are being used but warn that may cause depression.  I crashed and burned but as soon as the meds were out of my system, I rebounded.  It's not healthy to smoke.  But sometimes, as my pdoc told me, it's changing one bad for another.  He doesn't advocate smoking he makes this abundantly clear.
14 years ago 0 271 logo logo logo logo logo logo logo logo logo logo 0
Had a cigarette, by myself and concetrated solely on me and my smoke and it helped.  I know bad, bad, bad, but I will not be made to feel guilty about it.  One thing, I don't drink, do drugs, go sleep with strange people, beat up people,  or do anything else negative or unhealthy (except chocolate but that wasn't cutting it anymore).
 
I will reclaim my quit when I am more emotionally stable.
 
Now those of you who have quit smoking don't go and start just because one cigarette felt good for me.  It is mine and I am not sharing it.  Selfish, selfish, selfish.
 
Thanks.
14 years ago 0 1693 logo logo logo logo logo logo logo logo logo logo 0
Members,

Let's take some time to review the good in our lives. 
What do you enjoy doing? What brings you a sense of happiness? Is it being with loved ones? Being by yourself and enjoying a great movie or book? Going for walks, exercising, going out for dinner? Or, it could be something small, such as buying yourself a specialty coffee once a week, or treating yourself to a night out.
 
Members, let's hear from you!
Breanne, Bilingual Health Educator
14 years ago 0 271 logo logo logo logo logo logo logo logo logo logo 0
I keep trying to get help and only get rejected (I don't mean this website).  So I am still looking and waiting and losing hope.  I just plain don't enjoy anything anymore except, @#$itching and whining and arguing.  And that is not enjoyable but at least I get some of the frustration out.
14 years ago 0 517 logo logo logo logo logo logo logo logo logo logo 0
Nature does it for me too. It helps me when I work in my garden and I watch the things grow.
14 years ago 0 1044 logo logo logo logo logo logo logo logo logo logo 0
It took me a while but I finally found a therapist with whom I could relate.  I don't think one size fits all with therapists or docs.  I see a psychiatrist for my meds and can call him anytime and I have regularly scheduled appts., how well I am doing is what decides the frequency.  I also do this on-line program, exercise, schedule fun things, journal, meditate, tai chi.  My son is very supportive and I have a great network of friends.  I also try to work.  I tried to work in my field but found that mentally exhausting and after an 8 hour day wasn't feeling like doing anything.  I switched to a part-time labor intensive job (and I like it) and it is very therapeutic.  Also my career you don't see results immediately and in the landscaping business....within a day or two a yard goes from weeds to beautiful and I helped do it.  I've also found being grateful for the things I have and can do, keeps me from focusing on the things I don't have or the things I can't do.  I struggle with this, but I'm getting better. 
 
I still have my down times, but my downs are not as down as they used to be.  And for that I am also grateful.


14 years ago 0 517 logo logo logo logo logo logo logo logo logo logo 0
I was on SSRI 2 years ago and they gave me horrible withdrawal symptoms and because of that I don't want to take medications anymore. I don't have insurance right now and I don't work, so I don't feel up to going to a random doctor to prescribe me something they don't know about. (My past doctors were not educated about SSRIs) and I only see these doctors for 10 minutes per visit and I just tell them my symptoms and they just hand me drugs. It is hard for me to easily give in to those drugs anymore. I have also had psychotherapy and again, I don't have insurance now and I don't have enough money to search for a good therapists since I am agoraphobic also. All the great doctors that acutally specialize in what I have are many miles away and costs many dollars. The therapist that I had previously told me 'you're depressed' and nothing more so I stopped going.
The treatment that I'm following now is only Depression Center and Panic Center (whenever I get online), exercising, writing in my journal, and playing with my cat. 

14 years ago 0 823 logo logo logo logo logo logo logo logo logo logo 0
Members,

In order for things to get better, you are going to have to take action. The first step towards recovery is to seek appropriate treatment. Appropriate treatment for depression is medication, psychotherapy or both. No matter what type of treatment you choose, you will be asked to "get active" in your treatment. Medications only work if you take them as directed and let your doctor know how things are going. Psychotherapy only works if you're willing to do some hard work.

Healthy living habits may also help you to overcome depression. Exercise, a proper and balanced diet, moderate use of caffeine and alcohol, and learning how to reduce stress are important. In order to make these kinds of changes, you will need to do some work. 

The help and support of family and friends can be an important part of recovery. Friends and family can also play an active role in the treatment process. However, if you want support and help, you have to be willing to ask for it.

Medication and Therapy Compliance

Treatments for MDD work well. However, treatments for MDD do not work right away. It usually takes 4 to 8 weeks before people notice that things are getting better.

If your doctor prescribes medication, take it as prescribed. It's important for you to let your doctor know if you have any problems or side effects. It's also important to let your doctor know if the medication is working. If the medication is not working after 4 to 8 weeks, don't give up. Talk to your doctor again. There are likely other options including increasing the dose or switching medications. If the medication seems to be working, make sure to tell your doctor that too.

Your doctor needs to know what is going well and what is going not so well. Communication between you and your doctor is extremely important. Keeping detailed records of your symptoms and sharing that information with your can help you get the best results possible.

If you are involved in psychotherapy you'll be asked to do a lot of work. For example, in CBT and CBASP you'll be asked to set goals for treatment and you'll be asked to do "homework" that helps you to work toward your goals. You'll be asked to keep detailed records of your symptoms, to record what you are doing and feeling, and to record what you're thinking about when you feel depressed. You'll be asked to share all of this with your therapist.

Treatment for MDD is hard work. However, the only way for you to recover and get back to your life is to get active.

What kind of treatment are you currently following?

Faryal - Health Educator


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