My depression..?
Hello, doctor.
After I discovered that I have depression, I took a break from school to receive treatment.
Initially, I went to China Medical University for treatment, where I was prescribed Zoloft (to be taken at bedtime).
However, it was not suitable for my constitution (causing palpitations, frequent urination, and dry mouth), and since I had not officially withdrawn from school at that time, I proactively stopped the medication.
I then sought treatment at the psychiatry department of Keelung Municipal Hospital, where I was prescribed Cipram, also to be taken at bedtime.
This time, I experienced fewer side effects, so I continued taking it for two weeks.
However, I was quite impatient and had suicidal thoughts, prompting the school counselor and teachers to urgently call my parents to take me back home.
I then visited a small clinic (Hsu Chang-Geng Clinic on Beitun Road), where a psychiatrist who is also a researcher in depression treated me.
I took medication for nearly a month and even traveled abroad to clear my mind, but there was still no significant improvement in my condition.
The dosage this time was higher, requiring me to take medication twice a day, including multiple pills at bedtime, some of which I was unfamiliar with.
I really want to recover quickly, but after taking medication for over a month, I am starting to feel impatient.
At this point, I am considering whether I should be admitted to a psychiatric hospital.
Should I switch to a different hospital for treatment? I still feel restless and lack energy to do anything.
Jia Cheng, 10~19 year old female. Ask Date: 2003/12/03
Dr. Chen Wenke reply Psychiatry
Hello, Jia-Cheng: Based on your description, I have a few suggestions for you: 1.
The pharmacological treatment for depression requires adequate dosage and sufficient time; both are essential.
Therefore, it is challenging to achieve improvement in a short period.
It may be better to take it step by step.
Collaborating closely with your physician will definitely lead to progress.
2.
Moderate lifestyle adjustments, including regular exercise, are also very important.
3.
I understand that you feel very anxious and uncomfortable about your condition and are eager to recover quickly.
I encourage you to work closely with your physician.
If you encounter any uncertainties regarding your medication, please consult your doctor to gain a better understanding.
4.
Depression is not an untreatable condition, but it does require cooperation from multiple aspects to see improvement.
Wishing you good health, Dr.
Chen Wen-Ke.
93.1.2
Reply Date: 2003/12/03
More Info
Navigating through depression can be an incredibly challenging journey, and it's commendable that you are actively seeking treatment and exploring your options. Your experience reflects a common struggle faced by many individuals dealing with major depressive disorder (MDD). It’s important to understand that recovery from depression is often not linear; it can involve ups and downs, and finding the right treatment plan can take time.
First and foremost, it’s crucial to recognize that medication is just one component of a comprehensive treatment plan for depression. While antidepressants like Zoloft (sertraline) and Cipram (citalopram) can be effective for many, they do not work the same way for everyone. Side effects, such as heart palpitations, frequent urination, and dry mouth, can be distressing and may lead to discontinuation of the medication. It’s essential to communicate openly with your healthcare provider about any side effects you experience, as they can help adjust your treatment plan accordingly.
In your case, it seems that you have already tried multiple medications without significant improvement. This can be frustrating and may lead to feelings of hopelessness. However, it’s important to remember that finding the right medication can sometimes require patience and persistence. If you feel that your current treatment is not effective, it may be beneficial to discuss this with your psychiatrist. They may consider adjusting your dosage, switching medications, or even exploring other treatment options such as psychotherapy, which can be incredibly beneficial in conjunction with medication.
Psychotherapy, particularly cognitive-behavioral therapy (CBT), has been shown to be effective in treating depression. It can help you develop coping strategies, challenge negative thought patterns, and improve your overall emotional well-being. If you haven’t already, consider seeking a therapist who specializes in treating depression. This could provide you with additional support and tools to manage your symptoms.
You mentioned feelings of restlessness and a lack of energy, which are common symptoms of depression. Incorporating regular physical activity into your routine can also be beneficial. Exercise has been shown to have a positive impact on mood and can help alleviate some symptoms of depression. Even small amounts of physical activity, such as walking or stretching, can make a difference.
If you are feeling overwhelmed and are contemplating hospitalization, it’s essential to discuss this with your healthcare provider. Inpatient treatment can provide a structured environment where you can receive intensive care and support. It may be a suitable option if you feel that your safety is at risk or if you are unable to manage your symptoms at home.
Lastly, it’s important to cultivate a support system. Reach out to friends, family, or support groups who can provide understanding and encouragement. Sharing your feelings and experiences with others can help alleviate some of the burdens you may be carrying.
In summary, navigating depression treatment requires a multifaceted approach. It’s crucial to work closely with your healthcare provider to find the right medication and consider integrating psychotherapy into your treatment plan. Don’t hesitate to seek additional support, whether through therapy or community resources. Remember, recovery is possible, and taking proactive steps toward your mental health is a significant part of the journey.
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