What is depression?

Depression is a disorder that makes you sad, but it is different than normal sadness. Depression can make it hard for you to work, study, or do everyday tasks.

How do I know if I am depressed?

Depressed people feel down most of the time for at least 2 weeks. They also have at least 1 of these 2 symptoms:

They no longer enjoy or care about doing the things they used to like to do.

They feel sad, down, hopeless, or cranky most of the day, almost every day.

 

Depression can also make you:

Lose or gain weight

Sleep too much or too little

Feel tired or like you have no energy

Feel guilty or like you are worth nothing

Forget things or feel confused

Move and speak more slowly than usual

Act restless or have trouble staying still

Think about death or suicide

 

If you think you might be depressed, see your doctor or nurse. Only someone trained in mental health can tell for sure if you are depressed.

 

See someone right away if you want to hurt or kill yourself!

If you ever feel like you might hurt yourself or someone else, do one of these things:

Call your doctor or nurse and tell them it is urgent

 

Call for an ambulance (dial 9-1-1)

 

Go to the emergency room at your local hospital

 

Call the National Suicide Prevention Lifeline: ( dial 1-800-273-8255)

 

What are the treatments for depression?

People who have depression can get 1 or more of the following treatments:

Medicines that relieve depression

Counseling (with a psychiatrist, psychologist, nurse, or social worker)

A device that passes magnetic waves or electricity into the brain

 

People with depression that is not too severe can get better by taking medicines or talking with a counselor. People with severe depression usually need medicines to get better, and might also need to see a counselor.

Another treatment involves placing a device against the scalp to pass magnetic waves into the brain. This is called "transcranial magnetic stimulation" or "TMS." Doctors might suggest TMS if medicines and counseling have not helped.

Some people whose depression is severe might need a treatment called "electroconvulsive therapy" or "ECT." During ECT, doctors pass an electric current through a person's brain in a safe way.

 

 

When will I feel better?

Both treatment options take a little while to start working.

Many people who take medicines start to feel better within 2 weeks, but it might be 4 to 8 weeks before the medicine has its full effect.

 

Many people who see a counselor start to feel better within a few weeks, but it might take 8 to 10 weeks to get the greatest benefit.

 

How do I decide which treatment to have?

You and your doctor or nurse will need to work together to choose a treatment for you. Medicines might work a little faster than counseling. But medicines can also cause side effects. Plus, some people do not like the idea of taking medicine.

On the other hand, seeing a counselor involves talking about your feelings with a stranger. That is hard for some people.

 

If the first treatment you try does not help you, tell your doctor or nurse, but do not give up. Some people need to try different treatments or combinations of treatments before they find an approach that works. Your doctor, nurse, or counselor can work with you to find the treatment that is right for you. He or she can also help you figure out how to cope while you search for the right treatment or are waiting for your treatment to start working.

 Our Plan and Support for you.

Recently we realized that many of our patients have depression and hence we have started screening depression. Please ask for a depression screen every time you are in the clinic. If we diagnose depression we have in house tele-medicine to connect you to a caring counselor to start your sessions from the clinic itself. Please ask your clinician to help you set up with VICI.  Once you are set up with VICI your medication management can be done by us while you continue to improve using counseling.  We have seen remarkable improvement in patients who use counseling as well as medication.  We are also starting an integrative medicine approach using 5000 year old science called Ayurveda. Please talk to the front desk.