Does Taking Medication Indicate Depression or Just Symptoms?

Q: Does Taking Medication Indicate Depression or Just Symptoms?

Hello Ms. <br>Chen： Generally speaking, if someone is experiencing only mild depressive tendencies, there is no need for antidepressant medication. <br>The need for antidepressants usually indicates a more severe level of depression that affects functioning (such as occupational

Does taking medication count as depression?

Hello, Doctor.
I started seeing a psychiatrist in March of this year because I have had suicidal thoughts for the past three to four years.
The psychiatrist prescribed me medication, and I have been taking Brintellix 5mg daily for over six months now.
During the course of my medication, I sometimes feel stable, while other times I experience significant lows.
Recently, I have been feeling more stable, but I am curious if this qualifies as depression or if it is just a tendency towards depression.
I feel hesitant to ask my treating physician because I worry it might seem foolish.
Thank you for your response.

Chen, 20~29 year old female. Ask Date: 2022/11/17

Dr. Lin Mianzhang reply Psychiatry

Hello Ms.
Chen: Generally speaking, if someone is experiencing only mild depressive tendencies, there is no need for antidepressant medication.
The need for antidepressants usually indicates a more severe level of depression that affects functioning (such as occupational and social functioning).
Therefore, your situation is more likely to be indicative of major depressive disorder.
Of course, a definitive diagnosis should still be discussed with your physician.
Wishing you peace and health.

Reply Date: 2022/11/17

More Info

It's understandable to have questions about your mental health, especially when dealing with complex emotions and medication. The fact that you've been prescribed Brintellix (vortioxetine) indicates that your healthcare provider has identified symptoms consistent with depression or a related mood disorder. However, the mere act of taking medication does not definitively label you as having depression; rather, it suggests that you are experiencing symptoms that warrant treatment.

Depression is characterized by a range of symptoms, including persistent sadness, loss of interest in activities once enjoyed, changes in appetite, sleep disturbances, fatigue, feelings of worthlessness, and, in some cases, thoughts of self-harm or suicide. The presence of suicidal thoughts over the past few years is a significant indicator that you may be experiencing a depressive disorder. The fact that you have been prescribed medication suggests that your symptoms were severe enough to require intervention.

Brintellix is an antidepressant that works by affecting the levels of serotonin in the brain, which can help improve mood and emotional stability. It's common for individuals on antidepressants to experience fluctuations in their mood, as you described—some days may feel stable, while others may feel like a low point. This variability can be part of the recovery process, as the medication takes time to fully exert its effects and as your body adjusts to the treatment.

It's important to differentiate between having a depressive disorder and merely experiencing depressive symptoms. A diagnosis of depression typically requires a comprehensive evaluation by a mental health professional, who will consider the duration, intensity, and impact of your symptoms on your daily life. If your symptoms have persisted for a significant period and have affected your functioning, it is likely that you are experiencing a depressive disorder rather than just transient depressive symptoms.

If you are feeling more stable now, that is a positive sign, but it doesn't negate the past experiences you've had. It's essential to maintain open communication with your healthcare provider about your feelings and any concerns you have regarding your diagnosis and treatment. You mentioned feeling hesitant to ask your doctor questions, but it's crucial to remember that your healthcare provider is there to support you. Asking questions is a vital part of your treatment process, and it can help you understand your condition better and make informed decisions about your care.

In addition to medication, consider incorporating other therapeutic approaches, such as psychotherapy or counseling, which can provide you with tools to manage your emotions and cope with stressors more effectively. Cognitive-behavioral therapy (CBT) is particularly effective for depression and can help you identify and challenge negative thought patterns.

Lastly, it's essential to monitor your mental health regularly. If you notice any worsening of symptoms or new concerns, reach out to your healthcare provider promptly. Mental health is a dynamic aspect of your overall well-being, and ongoing support is crucial for long-term recovery. Remember, you are not alone in this journey, and seeking help is a sign of strength.

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