Depression Doctor Near Me
If youre looking for a depression doctor near you, look no further. PlushCare doctors are qualified to treat depression and practice entirely online, meaning theyre always accessible to you. Our doctors can prescribe antidepressants and our therapists can offer you therapy. Our comprehensive approach to mental healthcare is extremely effective with 97% of conditions successfully treated.
How Antidepressants Can Help With Adhd Symptoms
Like stimulants, antidepressant drugs raise your brain’s levels of chemicals such as dopamine and norepinephrine. Doctors have found that these drugs can help people with ADHD improve their attention span. They also help keep a lid on behavior like being impulsive, hyperactive, or aggressive.
What Else Do You Need To Make Your Decision
Check the facts
- Sorry, that’s wrong. Taking medicine for your depression can help you get your life back to normal. But if your symptoms are mild, lifestyle changes and counselling may be all you need.
- You’re right. Taking medicine for your depression can help you get your life back to normal. But if your symptoms are mild, lifestyle changes and counselling may be all you need.
- I’m not sureIt may help to go back and read “Get the Facts.” Taking medicine for your depression can help you get your life back to normal. But if your symptoms are mild, lifestyle changes and counselling may be all you need.
- That’s right. There are many ways to manage the side effects of antidepressants. If you’re worried, talk to your doctor.
- Sorry, that’s wrong. There are many ways to manage the side effects of antidepressants. If you’re worried, talk to your doctor.
- I’m not sureIt may help to go back and read “Get the Facts.” There are many ways to manage the side effects of antidepressants. If you’re worried, talk to your doctor.
- No, that’s wrong. Antidepressants don’t work right away. And you may need to try several before you find one that works.
- That’s right. Antidepressants don’t work right away. And you may need to try several before you find one that works.
- I’m not sureIt may help to go back and read “Get the Facts.” Antidepressants don’t work right away. And you may need to try several before you find one that works.
Decide what’s next
1.How sure do you feel right now about your decision?
Discussing Depression: Symptoms & Causes
After youve booked an appointment with your general practitioner or psychiatrist, they will usually have you describe your depression. Most good doctors will make note of the specifics regarding your depression such as whether you have comorbid anxiety, whether you sleep too much vs. too little, eat too much vs. too little, and understand your energy levels.
What To Do If Youre Already On Antidepressants
Maybe youve been on antidepressants for a while and already know what works for you. If thats the case, youre at an advantage. Unlike someone new to antidepressants without insurance, you dont need to go through a period of trial and error. Here are a few things you should do to make sure you dont run out of medication:
The Government Of Canada’s Role
Health Canada also monitors the safety of health products after they have been approved for sale in Canada. Manufacturers must provide Health Canada with reports of serious side effects for the health products they sell in Canada and maintain the most up-to-date information on their health products. Important drug safety information is available in its official Canadian product monograph, available by search of Health Canada’s Drug Product Database.
Sexual Side Effects Of Antidepressants
Sexual side effects are among the most common complaints about antidepressants. According to the U.S. Department of Health and Human Services, clinical depression affects 1 in 5 adults in the United States.
Just as depression occurs in both genders, sexual side effects from antidepressants affect both men and women. Understanding how these medications affect your sex life can help you manage side effects.
There is a slightly decreased risk of sexual side effects with the medications bupropion and mirtazapine . Its important to understand that any antidepressant can cause sexual problems.
Take The Right Amino Acids To Get Off Antidepressants And Maintain Your Sanity
has a wealth of information about amino acids and is where I began my journey. In fact, Julia Ross claims that she tapers people off of their SSRIs with no withdrawalsymptoms. People say it can be hard to understand and implement the book while depressed, but if all you can do right now is walk to the library and start reading, pick this book up first.
Each amino acid affects people differently. My body and mind prefer l-tryptophan over 5-HTP. Most people respond better to 5-HTP. This is because 5-HTP skips a step in the conversion process to create serotonin. Leading practitioners in nutritional therapy try 5-HTP with people first, just dont stop if 5-HTP doesnt do the trick for you.
L-tryptophan is an amino acid that the brain uses naturally to create Serotonin. It does this by utilizing Vitamin B-3 to convert Tryptophan into 5-HTP, which is used in conjunction with Vitamin B-6 to convert into serotonin.
Amino acids compete with each other. You must take amino acids on an empty stomach. I made sure I had no other amino acids in my system by waking up first thing in the morning with a glass of water next to my bed. Id take an L-Tryptophan with complex B-Vitamins, then meditate for a half hour before eating anything. I took Tryptophan at night to aid with sleep.
Common SSRIs include:
First Pick The Right Time To Get Off Antidepressants
Dont try and go off your antidepressant when you are in the process of being promoted at work, your brother is getting married, and you have twins on the way.
You might lose your mind and it is essential that you have the proper environment to start your journey. If you cant relax and be free of responsibilities for a while, stay on your antidepressant until you can.
You might trip while coming off. Pandora played a song called The Easterner by General MIDI who Id never heard of before. I thought the song was teaching me the secrets of life. Serious.
I got sick with a cold and realized I was going to lay around in agony anyways. Its better to find a week or two at full health, let everyone know you are going to be taking it easy, and start tapering off. If you can start tapering off without much harm, start that first. Plan your week of relaxation for when you come completely off your antidepressant.
Escitalopram May Cause Side Effects Tell Your Doctor If Any Of These Symptoms Are Severe Or Do Not Go Away:
- changes in sex drive or ability
- problems with thinking, concentration, or memory
Escitalopram may cause other side effects. Call your doctor if you have any unusual problems while taking this medication.
If you experience a serious side effect, you or your doctor may send a report to the Food and Drug Administration’s MedWatch Adverse Event Reporting program online or by phone .
‘my Antidepressant Is Making Me Gain Weight’
Some depression treatments do put you at risk for weight gain, according to research published in May 2018 in the British Medical Journal. After evaluating nearly 137,000 men and nearly 158,000 women, researchers found that taking an antidepressant is associated with a 21 percent increased risk of weight gain exceeding 5 percent of ones body weight.
If you have a history of being overweight, youre more likely to gain while on an antidepressant so choose an antidepressant that is weight-neutral, Combs advises. If thats not an option, she emphasizes getting counseled in diet and exercise. An added bonus? The National Institute of Mental Health notes that exercise can be an important part of your treatment.
Why Antidepressant Withdrawal
Antidepressants work by altering the levels of neurotransmitters chemical messengers that attach to receptors on neurons throughout the body and influence their activity. Neurons eventually adapt to the current level of neurotransmitters, and symptoms that range from mild to distressing may arise if the level changes too much too fast for example, because you’ve suddenly stopped taking your antidepressant. They’re generally not medically dangerous but may be uncomfortable.
Among the newer antidepressants, those that influence the serotonin system selective serotonin reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are associated with a number of withdrawal symptoms, often called antidepressant or SRI discontinuation syndrome. Stopping antidepressants such as bupropion that do not affect serotonin systems dopamine and norepinephrine reuptake inhibitors seems less troublesome over all, although some patients develop extreme irritability.
Having discontinuation symptoms doesn’t mean you’re addicted to your antidepressant. A person who is addicted craves the drug and often needs increasingly higher doses. Few people who take antidepressants develop a craving or feel a need to increase the dose.
What Matters Most To You
Your personal feelings are just as important as the medical facts. Think about what matters most to you in this decision, and show how you feel about the following statements.
Reasons to take antidepressants
Reasons not to take antidepressants
My symptoms are keeping me from living my normal life.
My symptoms aren’t bad enough to get in the way of my life.
I’m willing to take medicine every day for at least 6 months, and maybe longer.
I don’t like the idea of taking medicine for a long time.
My symptoms are worse than the possible side effects of the medicines.
I think the side effects will be worse than my symptoms.
How To Use Celexa
Read the Medication Guide and, if available, the Patient Information Leaflet provided by your pharmacist before you start taking citalopram and each time you get a refill. If you have any questions, ask your doctor or pharmacist.
Take this medication with or without food as directed by your doctor, usually once daily in the morning or evening. The dosage is based on your medical condition, response to treatment, age, laboratory tests, and other medications you may be taking. Be sure to tell your doctor and pharmacist about all the products you use . The maximum dosage for citalopram is 40 milligrams per day.
If you are using the liquid form of this medication, carefully measure the dose using a special measuring device/spoon. Do not use a household spoon because you may not get the correct dose.
To reduce your risk of side effects, your doctor may direct you to start taking this drug at a low dose and gradually increase your dose. Follow your doctor’s instructions carefully. Do not increase your dose or use this drug more often or for longer than prescribed. Your condition will not improve any faster, and your risk of side effects will increase. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day.
It may take 1 to 4 weeks to feel a benefit from this drug and up to several weeks before you get the full benefit.
Tell your doctor if your condition does not improve or if it worsens.
Should You Treat Your Depression With Medications
You might be asking your healthcare provider this question if you have been feeling low and your friends and family have mentioned this to you. Your provider might have mentioned medication if your mood interferes with work, family or socializing for more than two weeks. Some people with depression might even have legal troubles linked to outbursts.
How Effectively Do Antidepressants Relieve The Symptoms
There are a lot of different medications for treating . But it’s difficult to predict how well a particular medication will help an individual. So doctors often first suggest taking a drug that they consider to be effective and relatively well tolerated. If it doesn’t help as much as expected, it’s possible to switch to a different medication. Sometimes a number of different drugs have to be tried before you find one that works.
Studies show that the benefit generally depends on the severity of the : The more severe the depression, the greater the benefits will be. In other words, antidepressants are effective against chronic, moderate and severe depression. They don’t help in mild depression.
The various antidepressants have been compared in many studies. Overall, the commonly used tricyclic antidepressants were found to be equally effective. Studies involving adults with moderate or severe have shown the following:
- Without antidepressants: About 20 to 40 out of 100 people who took a placebo noticed an improvement in their symptoms within six to eight weeks.
- With antidepressants: About 40 to 60 out of 100 people who took an antidepressant noticed an improvement in their symptoms within six to eight weeks.
In other words, antidepressants improved symptoms in about an extra 20 out of 100 people.
Antidepressants can also relieve long-term symptoms of chronic depressive disorder and chronic , and help make them go away completely.
Depression And Your Children
Like adults, children and teens can also feel depressed. You should watch your children for signs of depression. Talk to your children if you notice changes in their behavior. Talk to your childs healthcare provider if you are still concerned.
Prozac is the only medicine that is approved by FDA for use in children with depression. Prozac and Lexapro are the only FDA-approved medicines for teens with depression. Talk to your healthcare provider about important warnings for children and teens who take medicine for depression.
Natural Ways To Manage Depression
Always take symptoms of depression seriously as depression doesn’t just go away on its own. While there are many things you can do to support your mental health, don’t try to just handle your symptoms alone. Talk to your doctor and discuss some of the self-help strategies that may support your treatment.
If you or a loved one are struggling with depression, contact the Substance Abuse and Mental Health Services Administration National Helpline at 1-800-662-4357 for information on support and treatment facilities in your area.
For more mental health resources, see our National Helpline Database.
What Are Some Common Questions
Seeking treatment for your depression and anxiety is simple and secure. If you feel like you might be experiencing symptoms of depression, we hope you’ll consider taking our free emotional assessment to determine if treatment is right for you.
Sexual Side Effects In Women
The serotonin levels in the body are stabilized by prescription antidepressants. Women taking SSRIs may experience delayed lubrication as well as delayed or blocked orgasm. Generally, women are also likely to experience lack of desire for sex.
In some cases, women report discomfort during sex. If you are on antidepressants and are trying to conceive, you need to talk to your doctor. Some antidepressants have been proven to cause birth defects.
What Are The Considerations When Choosing An Antidepressant
The exact antidepressant medication you are prescribed will depend on the severity and type of your illness, if you have other medical conditions, if you are taking other medication, your response to antidepressant medication in the past and possible side effects.
When deciding on the best medication for you, it’s important to discuss with your healthcare provider the possible side effects of the medication and how they are likely to impact on your lifestyle. The following resources provide more information about what to think about when choosing antidepressant medication and may be useful for discussions with your healthcare provider. Be aware these are from other countries and may contain information that differs from New Zealand recommendations.
- Depression: treatment options Option Grid
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.
- You don’t need to be ashamed about taking antidepressants. Depression is a health problem, not a character flaw or weakness. 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.
- The thought of needing to take medicine for a long time can be scary. But many people are able to slowly stop taking antidepressants after a while.
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
Personal Stories About Deciding Whether To Take Antidepressants
These stories are based on information gathered from health professionals and consumers. They may be helpful as you make important health decisions.
I didn’t even realize that I was depressed for a long time. I thought everyone felt this way; at least everyone in my family seemed to. I probably would have just gone on like that if my doctor hadn’t asked one day if I had ever thought about taking an antidepressant. I was relieved to find out that it isn’t normal to feel like I do and that a lot of people are helped by medicines. I know it might take a while to find the right one, but I’m in no hurry; I’ve spent my whole life feeling sad.
Jackie, age 62
I tried antidepressants about a year ago. I really was not prepared for the first few weeks, when the side effects seemed to get me down even more than the depression did. So I stopped taking them. It took me about 3 months, but I eventually started to feel better without any medicine. Then last month, I started to feel depressed again. I don’t want to wait so long to feel better this time. So I’m going to try the antidepressants again. This time, I know what to expect and am better prepared for it.
Tyrone, age 43
I guess I’m just not comfortable with taking medicine for my depression. I feel like I ought to be able to manage this on my own without needing medicine. It seems too much like taking the easy route. But maybe I just don’t feel bad enough yet.
Bob, age 50
Joslyn, age 28
What Medications Are Used To Treat Anxiety Disorders
When treating anxiety disorders, antidepressants, particularly the SSRIs and some SNRIs ,ÃÂ ÃÂ have been shown to be effective.
Other anti-anxiety drugs include the benzodiazepines, such as as alprazolam , diazepamÃÂ , buspirone ,ÃÂ and lorazepam . These drugs do carry a risk of addiction or tolerance , so they are not as desirable for long-term use. Other possible side effects include drowsiness, poor concentration, and irritability. Some anticonvulsant drugs , some blood pressure medications , and some atypical antipsychotics are also occasionally used “off label” to treat anxiety symptoms or disorders.
What Side Effects Can Antidepressants Cause
Most antidepressants cause minor side effects that go away or improve in the first few weeks of treatment. If you keep taking your medicine, there is a good chance that you will start to feel less depressed and that the side effects will decrease. Most people feel that the benefits of antidepressants are well worth the price of living with some side effects.
Side effects may vary depending on the medicine you take, but common ones include:
- Sexual problems .
- Trouble falling asleep, or waking a lot during the night.
- Weight gain.
- Feeling nervous or on edge.
- Feeling drowsy in the daytime.
Some side effects may not go away, but usually there are ways to manage them. Talk with your doctor about how to manage side effects.
Problems with sexual arousal and a lack of interest in sex are common side effects. If this happens to you, talk to your doctor. There are other medicines that may help with these problems.
Women who take an SSRI during pregnancy have a slightly higher chance of having a baby with birth defects. But not treating depression can also cause problems during pregnancy and birth. If you are pregnant, you and your doctor must weigh the risks of taking an SSRI against the risks of not treating depression.
Health Canada and the U.S. Food and Drug Administration have issued advisories on antidepressant medicines and the risk of suicide. Talk to your doctor about these possible side effects and the warning signs of suicide.
What Are The Side Effects Of Antidepressant Medications
The provider prescribing your medicine will discuss its potential side effects with you. He or she will try to prescribe drug with the least number of side effects for your health condition. Sometimes, more than one medicine may be tried before the desired benefits are achieved.
You will be monitored closely so that your provider can detect the development of harmful side effects and make the necessary changes.
All medications not just antidepressants can cause side effects. Keep in mind that your provider prescribes the medication only if its expected benefits outweigh the risk of side effects.
Side effects, if they occur, are usually mild. Some side effects decrease after you have taken the drug for a while. However, if side effects don’t go away, they will once the drug is stopped. Be sure to discuss your concerns with your provider before taking any medicine.
Classes of antidepressant medications and common side effects
Currently there are six different classes of medications approved to treat depression. These are:
- Selective serotonin reuptake inhibitors .
- Serotonin and noradrenaline reuptake inhibitors .
- Tricyclic antidepressants .
- Norepinephrine and dopamine reuptake inhibitors .
- Non-competitive N-methyl-D-aspartate receptor antagonists.
Selective serotonin reuptake inhibitors
- Increased sweating.
Non-competitive N-methyl-D-aspartate receptor antagonists
- Feeling drunk.
- Lack of energy.